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Fremitus is a vibration transmitted through the body. [1] In common medical usage, it usually refers to assessment of the lungs by either the vibration intensity felt on the chest wall (tactile fremitus) and/or heard by a stethoscope on the chest wall with certain spoken words (vocal fremitus), although there are several other types.
In UK bronchophony is often called "vocal resonance" and is similar to "tactile vocal fremitus" (TVF); the difference being that in TVF the sensor is the edge of the hand. All three - whispering pectoriloquy, TVF and vocal resonance - fulfill the same purpose, to distinguish between consolidation and pleural effusion, both of which cause ...
Palpation is the use of physical touch during examination. During palpation, the physician checks for areas of tenderness, abnormalities of the skin, respiratory expansion and fremitus. [14] To assess areas of tenderness, palpate areas of pain, bruises, or lesions on the front and back of the chest.
Increased vibration of the chest when speaking, known as tactile fremitus, and increased volume of whispered speech during auscultation can also indicate the presence of fluid. [14] Several tests can identify the cause of CAP. Blood cultures can isolate bacteria or fungi in the bloodstream.
Based on the auditory and tactile perception, the notes heard can be categorized as: [3] Tympanitic, drum-like sounds heard over air filled structures during the abdominal examination. [4] Hyperresonant (pneumothorax), said to sound similar to percussion of puffed up cheeks. Normal resonance/ Resonant, the sound produced by percussing a normal ...
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