Wednesday, December 28, 2011

Wheezes

Wheezes are continuous musical adventitious lung sounds. It occurs due to airway narrowing either to spasm or endoluminal or extraluminal obstruction. It occurs when air flows rapidly through a narrow airway (bronchospasm, thick secretions, edema), causing fluttering of the airway wall at one or more sites. Always signifies bronchi & upper airway obstruction, it may be heard by an unaided ear or with stethoscope.

Causes of wheezy chest:

  • Generalized (Bronchial Asthma, COPD, Bronchitis, Trachiobronchitis, Bronchiolitis, Bronchiectasis, Cystic Fibrosis, Allergic Bronchopulmonary Aspergillsis, Carcinoid Tumor, Left Sided Heart failure [Cardiac Asthma], Uremia [Renal Asthma] & Anaphylaxis)
  • Localized [Localized bronchial Obstruction]
  1. Intraluminal (Foreign body Inhalation, Bronchial Obstruction by mucus plugs, Bronchial Carcinoma, Carcinoid Tumor & Endobronchial TB)
  2. Lumenal (Bronchial Stenosis & Stricture)
  3. Extralumenal (Compression by enlarged lymph node or mediastinal mass) 

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6 Cardinal Symptoms of Respiratory System:
  1. Cough
  2. Expectoration
  3. Wheezes
  4. Haemoptysis
  5. Dyspnea
  6. Chest pain

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