Wheeze is a musical, high-pitched, unusual #respiratory sound produced anywhere from the larynx to the distal bronchioles expiration or inspiration or both. Wheeze may widespread polyphonic or fixed monophonic. Widespread polyphonic wheezes are most common, particularly heard in expiration. There is characteristic of diffuse airflow obstruction, especially in conditions such as asthma and COPD. These wheezes represent dynamic compression of the bronchi, and are accentuated in expiration due to airway narrowing. A fixed monophonic wheeze is produced due to localized narrowing of a single bronchus, which may be due to a tumour or foreign body. It may change its intensity in different positions. Causes of #wheeze include:
• Respiratory infections (croup, laryngitis)
• Obstructive airway diseases (asthma, bronchitis, COPD, anaphylaxis)
• Pulmonary peribronchial edema (CHF)
• Vocal cord dysfunction
• Post nasal drip
• Airway compression: Intrinsic or extrinsic (lung cancer, goiter)
• Tracheobronchomalacia
• Carcinoid tumors
• Foreign body obstruction
• Forced exhalation by normal individuals
On the other hand, #stridor is a variable, high-pitched, monophonic, noisy breathing associated with upper airway obstruction. Acute stridor is an airway emergency, and it should be managed in ICU of ENT. Causes of stridor inclue:
• Congenital tumours and cysts
• Laryngomalacia
• Subglottic stenosis
• Acute laryngitis
• Laryngeal trauma
• Laryngeal carcinoma
• Supraglottitis (epiglottitis)
• Supraglottitis (epiglottitis)
• Laryngotracheobronchitis
• Acute laryngitis
• Foreign body
• Retropharyngeal abscess
• Papillomatosis
= This medical video was made for the sole purpose of medical education, after having consent from the patient. =
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