Lungs and Thorax General observation & … Jan Stephen Tecklin, in Cardiopulmonary Physical Therapy (Fourth Edition), 2004. Tactile Fremitus: Normal lung transmits a palpable vibratory sensation to the chest wall. 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." 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). Egophony or an "E to A" change: A qualitative change in the voice that resembles the bleating of a goat. Finally, we provide links to the lung sound training lessons available on this web site. Focal consolidation, egophony, or fremitus on chest examination. Indications for Chest Radiography in … 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. Table 1. Other types of fremitus: Ronchial fremitus - palpable ronchi Egophony Welcome to our website's egophony page. Egophony: A severe form of bronchophony, defined as a nasal or bleating quality of transmitted vocal sounds How To: Perform by asking the patient to say the letter "E" while listening with the stethoscope to each lung field: when egophony is present, the sound is transmitted as "A". Vocal fremitus/tactile fremitus. 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. Vs Vocal resonance ... เอาจริง egophony spec.สูงนะในpneumonia (96-99%) (แม้sens. As always, use this information with the usual disclaimers. 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. Information from reference 22. Fig. Vs. Summary of Skills Wash hands, Gown & drape Observe & Inspect Hands Nails, fingers, hands, arms Respiratory rate. Bronchophony may be caused by pneumonia. Yet another test, called tactile fremitus, has the patient saying "99" while feeling for excessive vibrations over the lungs. Here we provide a description of egophony and related voiced breath sounds along with clinical significance. If it doesn't sound right - look it up. 12-7 presents one method of examination for vocal (tactile) fremitus for the posterior upper lobes. 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." 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