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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.
Two-point discrimination (2PD) is the ability to discern that two nearby objects touching the skin are truly two distinct points, not one.It is often tested with two sharp points during a neurological examination [1]: 632 [2]: 71 and is assumed to reflect how finely innervated an area of skin is.
An esthesiometer (British spelling aesthesiometer) is a device for measuring the tactile sensitivity of the skin (or mouth, or eye, etc.). The measure of the degree of tactile sensitivity is called aesthesiometry. The device was invented by Edward Henry Sieveking. There are different types of aesthesiometers depending on their particular function.
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 ...
Normally, the sound of the patient's voice becomes less distinct as the auscultation moves peripherally; bronchophony is the phenomenon of the patient's voice remaining loud at the periphery of the lungs or sounding louder than usual over a distinct area of consolidation, such as in pneumonia.
But if proprioception is defective, two of the sensory inputs will be absent and the patient will sway then fall. Similar to the Romberg Test, the patient must stand unsupported with eyes closed and hands on hips for 30 seconds. The patient may make two attempts to complete the 30 seconds. [3]
To test for intact barognosis, a set of small objects with the same size and shape but of graduated weight is used. A series of different weights can be placed one at a time in the same hand, and the patient is asked to identify the comparative weight of the objects, i.e. by saying whether the object is "heavier" or "lighter".
The two-point threshold is the smallest distance between the two points that the patient can recognize. [17] By conducting this form of tactile discrimination, it is believed that practitioners will be able to discern the relative amount of nerves in the tested location.