Comparison between wheeze and stridor
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
