Tactile Fremitus: What Is It, How Is It Assessed, Uses, and More - Osmosis Tactile fremitus, also known as tactile vocal fremitus, refers to the vibration of the chest wall that results from sound vibrations created by speech or other vocal sounds When a person speaks, airflow from the lungs causes the vocal cords in the larynx to vibrate
Crepitus in Lungs and Crackling Breath Sounds | Osmosis The causes of crepitus in the chest usually involve underlying conditions that affect the structure of the lungs and surrounding tissues, like a pneumothorax (i e , collapsed lung) or a rupture or tear in the airway
Atelectasis: What Is It, Causes, Diagnosis, and More | Osmosis In the physical exam, a clinician may notice chest wall expansion, decreased or absent breath sounds, decreased vibration while speaking (i e , tactile fremitus), a dull sound when tapping fingers on the area of atelectasis, and sometimes, crackling sounds while breathing (i e , basilar rales)
Bronchophony: What Is It, Causes, and More | Osmosis Generally, bronchophony is caused by an area of increased lung density, or consolidation This may be due to fluid entering the lung tissues, like in pneumonia; the partial or total collapse of a lung, known as atelectasis; or the presence of a solid mass in the lungs, such as a tumor
Assessment of Thorax and Lungs: Video, Causes, Meaning - Osmosis To do this, ask them to say “99” repeatedly while palpating both sides of their posterior chest Decreased or lack of fremitus can mean there’s excess air in the pleural space, like with a pneumothorax; whereas increased fremitus may occur due to fluid in the lungs
USMLE® Step 2 Question of the Day: Hemothorax - Osmosis Blog We’re back with a USMLE® Step 2 CK Question of the Day! Today’s case involves a 33-year-old man with penetrating chest trauma, presenting with absent breath sounds, dullness to percussion, and hypoechoic fluid on sonographic examination As vital signs fluctuate, with a GCS of 15, elevated pulse, and decreased blood pressure, the question lingers: What is […]
Hemothorax: Video Meaning | Osmosis When it comes to the physical exam, you can expect to find similar findings as before So, there could be absent unilateral breath sounds, dullness to percussion, and decreased tactile fremitus on the affected side Once you’ve obtained both history and physical examination, you should order labs, including a CBC and INR, as well as a chest x
Pneumonia: Pathology review: Video, Causes, Meaning - Osmosis Examination reveals fremitus, decreased breath sounds, and dullness to percussion in the right lower lung field Chest x-rays were performed which showed a left lower lobe infiltrate in Mariah’s case, and a right lower lobe infiltrate in Jeremy’s Now, both people have pneumonia So pneumonia is an infection of the lung tissue
Atelectasis: Nursing: Video Causes - Osmosis During auscultation, there are reduced or absent breath sounds on the affected side Also, crackles can sometimes be heard, which is the sound of collapsed alveoli popping open with inspiration On percussion, there’s dullness over the affected area, and on palpation, there might be decreased fremitus
Physical assessment - Thorax and lungs: Nursing - Osmosis Assessment of the thorax and lungs should be completed as part of a comprehensive assessment, like during a routine physical exam, or as part of a focused exam if a client is experiencing respiratory issues like shortness of breath, cough, or chest discomfort