Crackles - Late Inspiratory (Rales)
Crackles - Late Inspiratory (Rales)
Late inspiratory crackles (rales) begin in late inspiration and increase in intensity. They are normally higher-pitched and can vary in loudness. These adventitious breath sounds resemble the noise made when hook and loop fasteners are being separated. These sounds are heard over posterior bases of the lungs. They may clear with changes in posture or several deep breaths. They do not clear with coughing.Patient Recording
Patient Recording - Half Speed Playback
Position
The patient's position should be sitting.
Listening Tips
Features:Crackles begin in late inspiration and increase. High-pitched, variable loudness. Best heard over posterior bases of the lungs. Do not usually clear with coughingWaveform (Phonocardiogram)
Authors
These authors contributed the audio recordings and text found in this reference guide: Jon Keroes, MD,Diane Wrigley, PA, and David Lieberman.Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
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