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Guide to Abnormal Lung Sounds

Apr 29, 2025

Understanding Abnormal Lung Sounds

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Types of Abnormal Lung Sounds

Wheezes

  • Characteristics:
    • High-pitched, musical sound.
    • Continuous nature.
    • Heard during both inspiration and expiration.
  • Cause: Airways are narrowed.

Stridor

  • Characteristics:
    • High-pitched wheezing sound.
    • Most commonly occurs during inspiration.
  • Cause: Blockage of airflow in the larynx or trachea.

Crackles

  • Types:
    • Fine Crackles:
      • Can be cleared by coughing.
      • Sound like hair moving through fingers.
    • Coarse Crackles:
      • Wet, bubbling sound.
  • Nature: Intermittent or brief.

Rhonchi

  • Characteristics:
    • Continuous low-pitched sounds.
    • Heard during both inspiration and expiration.
    • Can be cleared with a cough.
    • Sound like snoring.
  • Cause: Narrowed airway.

Pleural Friction Rub

  • Characteristics:
    • Harsh, leathery sound.
    • Similar to the sound of walking through fresh snow.
  • Cause: Inflammation of the pleura.
  • Nature: Can be continuous or intermittent, heard during both inspiration and expiration.

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