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 12.18, 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 arm's 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.

Figure 12.18 Flow is laminar in the large part of this blood vessel and turbulent in the part narrowed by plaque, where velocity is high. In the transition region, the flow can oscillate chaotically between laminar and turbulent flow.

An indicator called the Reynolds number $N_{\text{R}}$ can reveal whether flow is laminar or turbulent. For flow in a tube of uniform diameter, the Reynolds number is defined as

where $\rho$ is the fluid density, $v$ its speed, $\eta$ its viscosity, and $r$ the tube radius. The Reynolds number is a unitless quantity. Experiments have revealed that $N_{\text{R}}$ is related to the onset of turbulence. For $N_{\text{R}}$ below about 2,000, flow is laminar. For $N_{\text{R}}$ above about 3,000, flow is turbulent. For values of $N_{\text{R}}$ between about 2,000 and 3,000, flow is unstable—that is, it can be laminar, but small obstructions and surface roughness can make it turbulent, and it may oscillate randomly between being laminar and turbulent. The blood flow through most of the body is a quiet, laminar flow. The exception is in the aorta, where the speed of the blood flow rises above a critical value of 35 m/s and becomes turbulent.

The topic of chaos has become quite popular over the last few decades. A system is defined to be chaotic when its behavior is so sensitive to some factor that it is extremely difficult to predict. The field of chaos is the study of chaotic behavior. A good example of chaotic behavior is the flow of a fluid with a Reynolds number between 2,000 and 3,000. Whether or not the flow is turbulent is difficult, but not impossible, to predict—the difficulty lies in the extremely sensitive dependence on factors like roughness and obstructions on the nature of the flow. A tiny variation in one factor has an exaggerated (or nonlinear) effect on the flow. Phenomena as disparate as turbulence, the orbit of Pluto, and the onset of irregular heartbeats are chaotic and can be analyzed with similar techniques.