RT Book, Section A1 Barlotta, Kevin S. A1 Stack, Lawrence B. A1 Knoop, Kevin J. A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181040958 T1 Respiratory Retractions T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessmedicine.mhmedical.com/content.aspx?aid=1181040958 RD 2024/04/23 AB Increased respiratory effort may be manifested by increased respiratory rate, increased chest wall excursion, and retractions of the less rigid structures of the thorax. Retractions of the sternum or suprasternal notch, intercostal retractions, and paradoxical abdominal movement reflect increased respiratory effort. This may be due to obstructive disease such as asthma or upper airway obstruction, pneumonia, or restrictive disease. The presence of stridor, wheezing, or rhonchi will help distinguish the cause.