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The terminology of rales and rhonchi in English remained variable until 1977, when a standardization was established by the American Thoracic Society and American College of Chest Physicians. [6] As a result, the term râles was abandoned, and crackles became its recommended substitute.
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]
Chest X-rays may show air in the mediastinum, the middle of the chest cavity. [5] A significant case of subcutaneous emphysema can be detected by touching the overlying skin, which will feel like tissue paper or Rice Krispies. [8] Touching the bubbles causes them to move and sometimes make a crackling noise. [9]
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Joint cracking is the manipulation of joints to produce a sound and related "popping" sensation. It is sometimes performed by physical therapists, chiropractors, and osteopaths [1] pursuing a variety of outcomes. The cracking of joints, especially knuckles, was long believed to lead to arthritis and other joint problems. However, this has been ...
[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]
A pleural friction rub, or simply pleural rub, is an audible medical sign present in some patients with pleurisy and other conditions affecting the chest cavity. It is noted by listening to the internal sounds of the body, usually using a stethoscope on the lungs.