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Hyperresonant (pneumothorax), said to sound similar to percussion of puffed up cheeks. Normal resonance/ Resonant, the sound produced by percussing a normal chest. Impaired resonance (mass, consolidation) lower than normal percussion sounds. Dull (consolidation), similar to percussion of a mass such as a liver.
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.
Place the bony parts of the palm around the borders of the patient's scapulae while he or she says "ninety-nine" or "one one one" to test for fremitus. Repeat the sequence on the front of the chest. A decrease in fremitus may be observed if the patient has a soft voice, obstructed bronchus, COPD , pneumothorax , or other disease or injuries ...
The test was originally described by a German physician who used the phrase "neunundneunzig" (pronounced [ˈnɔʏnʊntˈnɔʏntsɪç]), which he found would cause maximum vibration of the chest. The translation, "ninety-nine", has fewer vowels and is less effective in evoking the phenomenon. [ 4 ]
Respiratory sounds, also known as lung sounds or breath sounds, are the specific sounds generated by the movement of air through the respiratory system. [1] These may be easily audible or identified through auscultation of the respiratory system through the lung fields with a stethoscope as well as from the spectral characteristics of lung sounds. [2]
A coin test (or a bell metal resonance) is a medical diagnostic test used to test for a punctured lung. A punctured lung can cause air or fluid to leak into the pleural cavity, leading to, for example, pneumothorax or hydrothorax. In a coin test, a coin held against the chest is tapped by another coin on the side where the puncture is suspected.
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The numbers "ninety-nine" or "sixty-six" are traditionally mentioned. The choice of "ninety-nine" is the result of a literal translation. The test was originally described by a German physician who used the phrase "neun und neunzig" (pronounced [ˈnɔʏnʊntˈnɔʏntsɪç]), which he found would cause maximum vibration of the chest.
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