Evaluation of fremitus. As always, use this information with the usual disclaimers. Tactile Fremitus: “Tactile fremitus increases in intensity whenever the density of lung tissue increases, such as in consolidation or fibrosis, and will decrease when a lung space is occupied with an increase of fluid or air (e.g., pleural effusion, pneumothorax and emphysema). Table 1. This is referred to as fremitus and can be detected by placing the ulnar aspects of both hands firmly against either side of the chest while the patient says the words "Ninety-Nine." We then compare healthy vs abnormal voiced sounds using audio recordings and text. Egophony or an "E to A" change: A qualitative change in the voice that resembles the bleating of a goat. Vocal fremitus/tactile fremitus. Vs Vocal resonance ... เอาจริง egophony spec.สูงนะในpneumonia (96-99%) (แม้sens. Tactile Fremitus: Normal lung transmits a palpable vibratory sensation to the chest wall. Fig. Tactile fremitus is a vibration of the human body that can be felt by placing a hand in the area where the vibration is occurring. It can be a clinical sign and may be checked for during a basic exam in the process of evaluating a patient's symptoms to start thinking about a diagnosis or more testing. If it doesn't sound right - look it up. Vs. Summary of Skills Wash hands, Gown & drape Observe & Inspect Hands Nails, fingers, hands, arms Respiratory rate. Bronchophony may be caused by pneumonia. Vocal or tactile fremitus is the vibration produced by the voice and transmitted to the chest wall, where it is detected by the hand as a tactile vibration called fremitus. Dullness with fremitus or egophony or bronchophony = consolidation Dullness without the rest = effusion Hyperresonance = pneumothorax or hyperinflated lung (Emphysema or acute asthma exacerbation) Hope this helps. Other types of fremitus: Ronchial fremitus - palpable ronchi Finally, we provide links to the lung sound training lessons available on this web site. Yet another test, called tactile fremitus, has the patient saying "99" while feeling for excessive vibrations over the lungs. Select sound frequencies are able to pass through consolidation and tend to distort the sound of the vowel "E" so that it is perceived by the examiner as "A" or "AAAH." Jan Stephen Tecklin, in Cardiopulmonary Physical Therapy (Fourth Edition), 2004. Here we provide a description of egophony and related voiced breath sounds along with clinical significance. •Fremitus→increased •Egophony→present. 12-7 presents one method of examination for vocal (tactile) fremitus for the posterior upper lobes. Egophony Welcome to our website's egophony page. Information from reference 22. 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