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Tactile fremitus, known by many other names including pectoral fremitus, tactile vocal fremitus, or just vocal fremitus, is a vibration felt on the patient's chest during low frequency vocalization. [ 6 ] : 409 Commonly, the patient is asked to repeat a phrase while the examiner feels for vibrations by placing a hand over the patient's chest or ...
Diagnosis of pneumonia is made clinically, rather than on the basis of a particular test. [13] Evaluation begins with a physical examination by a health provider, which may reveal fever, an increased respiratory rate , low blood pressure (hypotension), a fast heart rate (tachycardia) and changes in the amount of oxygen in the blood.
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 ...
Egophony (British English, aegophony) is an increased resonance of voice sounds [1] heard when auscultating the lungs, often caused by lung consolidation and fibrosis.It is due to enhanced transmission of high-frequency sound across fluid, such as in abnormal lung tissue, with lower frequencies filtered out.
Percussion of the chest may be perceived as hyperresonant (like a booming drum), and vocal resonance and tactile fremitus can both be noticeably decreased. Importantly, the volume of the pneumothorax may not be well correlated with the intensity of the symptoms experienced by the victim, [ 15 ] and physical signs may not be apparent if the ...
Once accumulated fluid is more than 300 mL, there are usually detectable clinical signs, such as decreased movement of the chest on the affected side, dullness to percussion over the fluid, diminished breath sounds on the affected side, decreased vocal resonance and fremitus (though this is an inconsistent and unreliable sign), and pleural ...
Pectoriloquy is the increased resonance of the voice through the lung structures, so that it is clearly comprehensible using a stethoscope on the chest. It usually indicates consolidation of the underlying lung parenchyma. [1] Types include egophony and bronchophony. [2]
Bronchophony may be caused by a solidification of lung tissue around the bronchi – which may indicate lung cancer – or by fluid in the alveoli, which may indicate pneumonia. However, it may also have benign causes, such as wide bronchi. As such, it is usually an indication for further investigation rather than the main basis of a diagnosis.