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Basal crackles are crackles apparently originating in or near the base of the lung. Bibasal crackles, also called bilateral basal crackles, are crackles heard at the bases of both the left and right lungs. Crackles are caused by the "popping open" of small airways and alveoli collapsed by fluid, exudate, or lack of aeration during expiration.
Respiratory sounds, also known as lung sounds or breath sounds, are the specific sounds generated by the movement of air through the respiratory system. [1] These may be easily audible or identified through auscultation of the respiratory system through the lung fields with a stethoscope as well as from the spectral characteristics of lung sounds. [2]
Signs and symptoms of spontaneous subcutaneous emphysema vary based on the cause, but it is often associated with swelling of the neck and chest pain, and may also involve sore throat, neck pain, difficulty swallowing, wheezing and difficulty breathing. [5] Chest X-rays may show air in the mediastinum, the middle of the chest cavity. [5]
[8] [9] With more severe contusions, breath sounds heard through a stethoscope may be decreased, or rales (an abnormal crackling sound in the chest accompanying breathing) may be present. [6] [10] People with severe contusions may have bronchorrhea (the production of watery sputum). [11] Wheezing and coughing are other signs. [12]
On physical exam, increased breathing rates, increased heart rates, and a low-grade fever 38.5 o C (101.3 o F) are common. [9] [3] Listening to the lungs may reveal crackles in one or both lungs, often starting in the right middle lobe.
Hamman's sign (rarely, Hammond's sign [1] or Hammond's crunch [2]) is a medical sign consisting of a crunching, rasping sound, synchronous with the heartbeat, [3] heard over the precordium in spontaneous mediastinal emphysema.
Studies show that keeping your head at the appropriate height—about 2 inches (or 5 centimeters) off the bed—helps air flow into the lungs and stabilizes your respiratory function. However ...
Shortness of breath out of proportion to effort being expended. [2] [7] Rapid, heavy or uneven breathing, or uncontrollable coughing. [10] Crackles, rattling or ‘junky’ feelings deep in the chest associated with breathing effort – usually progressively worsening with increasing shortness of breath and may be cause for a panic attack [2] [7]