korotkoff sounds
12.5 The Onset of Turbulence Sometimes we can predict if flow will be laminar or turbulent. We know that flow in a very smooth tube or around a smooth, streamlined object will be laminar at low velocity. We also know that at high velocity, even flow in a smooth tube or around a smooth object will experience turbulence. In between, it is more difficult to predict. In fact, at intermediate velocities, flow may oscillate back and forth indefinitely between laminar and turbulent. An occlusion, or narrowing, of an artery, such as shown in Figure 12.17, is likely to cause turbulence because of the irregularity of the blockage, as well as the complexity of blood as a fluid. Turbulence in the circulatory system is noisy and can sometimes be detected with a stethoscope, such as when measuring diastolic pressure in the upper arms partially collapsed brachial artery. These turbulent sounds, at the onset of blood flow when the cuff pressure becomes sufficiently small, are called Korotkoff sounds. Aneurysms, or ballooning of arteries, create significant turbulence and can sometimes be detected with a stethoscope. Heart murmurs, consistent with their name, are sounds produced by turbulent flow around damaged and insufficiently closed heart valves. Ultrasound can also be used to detect turbulence as a medical indicator in a process analogous to Doppler-shift radar used to detect storms.