Comparison between wheeze and stridor

Comparison between wheeze and stridor

Table of Contents(toc)


Table of Differences

Feature Wheezing Stridor
Definition High-pitched whistling sound due to airway narrowing Harsh, high-pitched sound due to upper airway obstruction
Location Lower airways (bronchi, bronchioles) Upper airways (larynx, trachea)
Phase of Respiration Mostly during expiration (can be inspiratory in severe cases) Mostly during inspiration (can be biphasic)
Causes Asthma, COPD, bronchitis, anaphylaxis, heart failure Croup, epiglottitis, foreign body aspiration, tracheal stenosis
Sound Quality Musical, continuous, polyphonic or monophonic Harsh, crowing, single-pitched
Auscultation Heard over the chest, especially with a stethoscope Heard loudest over the neck and without a stethoscope
Management Bronchodilators, corticosteroids, treating underlying cause Airway support, racemic epinephrine, urgent intervention if severe

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Stridor vs Wheezing

Stridor: Upper airway, inspiration, single pitch

Wheezing:
Relatively lower airway, expiratory musical sounds, but in bad cases can see
wheezing in both

Childhood respiratory illnesses

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