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Medical types - what is "decrepitation"?

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yambabe
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PostPosted: 18:06 - 09 Jan 2008    Post subject: Medical types - what is "decrepitation"? Reply with quote

Someone very close to me was taken into hospital yesterday.

So following a day of xrays and tests I finally get to speak to the consultant at about 9pm last night.

He advises me that all the tests etc are pointing to an advanced stage of COPD. Great. Sad

Now while he is examining her he is saying stuff out loud that a junior doc is writing down in her notes. One of the things he mentions is that there is "decrepitation" in the lungs, up to nearly the mid-point. I don't query this as I assume I know what it means - pretty much decay of the lung tuissue, withering and dieing right?

It would appear not. Confused According to google, decrepitation is when crystalline substances crackle under heat. Confused Surely this wouldn't be happening in someone's lungs?

Can anyone shed some light for me? I've not been able to speak to the doc again so far today and it's worrying me a lot.
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sagiliam
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PostPosted: 19:25 - 09 Jan 2008    Post subject: Reply with quote

Firstly, sorry to hear that. Hope you are ok.
i'm no medical expert though so i could be compleeetly wrong, but anyway, what i can gather is that i believe it may be something related to the effects of the mycobacterium (bacteria). i.e. the mycobacterium has caused decrepitation up to the midpoint of the lung. Maybe just a posh term for it has spread and caused damaged?
HTH
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sagiliam
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PostPosted: 19:26 - 09 Jan 2008    Post subject: Reply with quote

I think the above is a bit ummm elaborate. I read your post again and you say the doc said 'there is a decrepitation up to about the midpoint' it means there is a crackle. Thumbs Up
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BanditBitch
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PostPosted: 22:52 - 09 Jan 2008    Post subject: Reply with quote

Do you mean crepitation not decrepitation. Crepitation would fit in with a respiratory disorder.

Crepitation is a crackling sound heard with or without a stethoscope over broken bone, an inflamed lung, or damaged joint.

So if your relative has advanced COPD, then hearing crepitation wouldnt be out of the ordinary.

Its nothing to do with decaying etc... so dont worry about that.

You hear can hear creps with a various lung disorders
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stinkwheel
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PostPosted: 23:46 - 09 Jan 2008    Post subject: Reply with quote

Aye as said, crepitus is a term for a graunching noise. In medicine it is usually used to referr to various things including:
The noise of broken bone fragments sliding over one another.
The roughness felt when moving a joint with severe joint damage (eg severe arthritis).
The sensation of feeling air or gas lying just under the skin (with eg. a ruptured lung or gangrene).
A fine crackling noise on breathing in caused by fluid build-up in the smallest air pockets in the lungs.
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yambabe
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PostPosted: 00:08 - 10 Jan 2008    Post subject: Reply with quote

Could have been crepitation I suppose. Thanks!

Stinkwheel's last one would fit very well with the diagnosis and other symptoms.

No sign of the docs all day today although an ultrasound of the heart has now been done, and another of the lungs is due tomorrow.
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hellkat
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PostPosted: 01:21 - 10 Jan 2008    Post subject: Reply with quote

stinkwheel wrote:
The noise of broken bone fragments sliding over one another.

Sick
eeeeek, like fingernails on a blackboard
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hellkat
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PostPosted: 01:23 - 10 Jan 2008    Post subject: Reply with quote

For a lung problem, I would go along decrepitation as being the sort of wheezy whistley sound you get with pneumonia or bronchitis when you hear it thru a stethoscope.
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stinkwheel
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PostPosted: 01:41 - 10 Jan 2008    Post subject: Reply with quote

hellkat wrote:
For a lung problem, I would go along decrepitation as being the sort of wheezy whistley sound you get with pneumonia or bronchitis when you hear it thru a stethoscope.


Nah, it's more of a crackling sound. It's caused by the alveoli (the smallest air pockets) being effectively 'waterlogged'. They don't open immediately when you breath in, the crepitus is the sound of them cracking open when the internal pressure overcomes the surface tension.

In reality, it sounds like someone amplified the noise of rapidly bursting bath foam (like if someone put a bar of soap in).

It's an important distinction. Wheezing sounds indicate narrowing of the airways, crackling sounds indicate build up of fluid.
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queen of string
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PostPosted: 00:47 - 12 Jan 2008    Post subject: Reply with quote

The one you get in a lung I can cope with, the version of that sound you get over a broken bone still makes me feel sick just thinking about it Sick
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