Abnormal Lung Sound

Under supervision :
ALL STAFF MEMBERS OF CRITICAL CARE AND
EMERGENCY NURSING DEPARTMENT
Prepared by :
Abdulrahman Younis Ahmed
G3

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What are normal lung sounds?
Lungs that are functioning normally create a smooth, soft sound you can hear when you breathe in and
out. They’re also called vesicular lung sounds. Vesicular lung sounds usually mean nothing is blocking
your airways, and they’re fully open (not narrowed or swollen).
What are abnormal lung sounds?
The most common abnormal (adventitious) lung sounds include:
 Rhonchi/rhonchus.
 Wheezing.
 Stridor.
 Crackles (rales).
 Pleural rub.

Rhonchi
Rhonchi (plural of the word rhonchus) are continuous, low-pitched sounds that are best heard when
you’re breathing out (also called “expiration”). The sound might move around to different parts of your
chest when you cough, moving mucus around. The sound is sometimes described as snoring or gurgling.
It’s sometimes called “sonorous rhonchus.”
Wheeze
A wheeze is a continuous, high-pitched hissing sound. It’s sometimes called “sibilant rhonchus.” It’s
more commonly heard when you breathe out, but sometimes you can hear a wheeze both when you’re
breathing in and out, especially if you have asthma.
Stridor
Stridor is a continuous, harsh, high-pitched whistle or squeaking sound. Providers usually hear it when
you breathe in (also called “inspiration”).
Crackles (rales)
Crackles, also called rales, are described as discontinuous, interrupted or explosive sounds. They might
sound like rattling, bubbling or clicking. Fine crackles, or “crepitation,” are short, high-pitched sounds.
Coarse crackles are a lower pitch and last longer. A provider is more likely to hear crackles when you’re
breathing in.
Pleural rub
Pleural rub is a rough, grating sound of the lining of your lungs (pleurae) rubbing against each other.
Providers hear it both when you breathe in and breathe out.
Possible Causes
What are the most common causes of abnormal lung sounds?
Anything that narrows or blocks your airway can cause abnormal lung sounds. This keeps the air from
flowing smoothly, creating vibrations and other noises. The most common causes of abnormal lung
sounds include:
 Mucus in the airways in your lungs.
 Swelling or inflammation of your airways.
 Foreign object or a tumor blocking your airways.
 Inflammation of your pleura.
Specific causes of abnormal lung sounds
Diseases and conditions that can cause abnormal lung sounds include:
 Respiratory infections like bronchitis or croup. This is especially true for young children, who
have smaller airways than adults.
 Pneumonia.
 Asthma.
 Chronic obstructive pulmonary disease (COPD).

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  Cystic fibrosis.
 Allergies.
 Anaphylaxis.
 Tumor.
 Foreign object.
 Pulmonary edema.
 Interstitial lung disease.
 Heart failure.
 Pulmonary embolism (PE).
What do abnormal lung sounds mean?
The types of sounds your healthcare provider hears can help them diagnose diseases or learn more
about your condition. For instance, they’re more likely to hear wheezing if asthma narrows your airways.
But they’re more likely to hear stridor in a child with croup or if you have an airway blocked by swelling,
a foreign object or a tumor.
Where mucus or a blockage is located in your airways can also cause different sounds. For instance,
mucus in your larger airways can cause rhonchi. Mucus in your small airways is more likely to cause
crackles.
Care and Treatment
How are abnormal lung sounds treated?
A provider will use your symptoms and any abnormal lung sounds they hear to help make a diagnosis.
They may also need to order additional tests. How they treat you will depend on what’s causing the
abnormal sounds. Some treatments might include:
 Inhaled medications, like corticosteroids.
 Epinephrine, if you’re having a severe allergic reaction.
 Surgery to remove blockages.
 Antivirals or antibiotics to treat infections.
Can I prevent abnormal lung sounds?
If an ongoing condition, like asthma or allergies, causes abnormal lung sounds, you may be able to
prevent them by managing your condition. You can reduce your risk of respiratory infections by washing
your hands and taking other steps to prevent the spreading of infectious diseases. Some causes of
abnormal lung sounds can’t be prevented.
When to Call the Doctor
When should abnormal lung sounds be treated by a doctor or healthcare provider?
Talk to a healthcare provider if you have concerns about sounds you hear when you breathe. If you have
noisy breathing and are having trouble breathing, go to the nearest emergency room.
A note from Cleveland Clinic
Crackling, rattling, clicking or whistling — there are lots of words to describe lung sounds. Their
differences can give your provider important clues about what’s happening inside your chest. Some
causes of abnormal lung sounds are temporary and not cause for concern. Others can be serious. Your
provider will use your other symptoms and, sometimes, additional tests to understand what abnormal
sounds might mean. Then you can make a plan together to treat or manage the underlying condition.

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