Tactile fremitus is a palpable vibration of the chest wall resulting from speech. Tactile fremitus may be performed in two ways. The first way is to place the ulnar surface of your hands against the patient's chest wall and ask them to repeat the phrase “ninety-nine”. The second way is to place the palmar surface of the fingers against the chest wall. And again, have the patient repeat the phrase “ninety-nine”. The test should be repeated from the front. Again, going from top to bottom. Again, have your patients say “ninety-nine”. Tactile fremitus is increased by conditions that cause the lung to become more solid, such as consolidation, fluid, or a mass. Tactile fremitus is decreased by conditions that decrease the transmission of sound waves, such as increased fat and air-fluid level in the chest wall or overexpansion of the lungs from emphysema.
GOLDEN RULE : REMOVE THE SCAPULA , ask the patient to cross his\her hands and put them on his\her contralateral shoulder , you can take a look at the fingers for clubbing/cyanosis and get a clue about the diagnosis in the OSCE , especially if you are in a shot-case exam and where asked to examine the chest posteriorly only.
LOLsaudi TF is increased with fluid accumulation in the lung itself, such as with pneumonia; it is decreased with pleural effusion, or fluid within the pleural space but not within the lung itself.
Not entirely true, it IS a vocal diphthong (/ai/), but it is a central, rather than back, vowel onset, so the frequency isn't as low. It's a little less efficient.
What you said about pleural effusion is WRONG. Tactile Fremitus decreases in Pleural Effusion. So fluids decrease Tactile fremitus and increases in Solids like Pneumonia
Doesn't have to do with solids or liquids (pneumonia is not solid). Has to do with whether the pathology is INSIDE the lung, or OUTSIDE the lung. Pneumonia is fluid inside the lung, so the fluids will increase tactile fremitus. A pleural effusion is just outside the lung, so the fluid there will insulate and cause decreased tactile fremitus.
Tactile fremitus is a palpable vibration of the chest wall resulting from speech. Tactile fremitus may be performed in two ways. The first way is to place the ulnar surface of your hands against the patient's chest wall and ask them to repeat the phrase “ninety-nine”.
The second way is to place the palmar surface of the fingers against the chest wall. And again, have the patient repeat the phrase “ninety-nine”.
The test should be repeated from the front. Again, going from top to bottom. Again, have your patients say “ninety-nine”.
Tactile fremitus is increased by conditions that cause the lung to become more solid, such as consolidation, fluid, or a mass. Tactile fremitus is decreased by conditions that decrease the transmission of sound waves, such as increased fat and air-fluid level in the chest wall or overexpansion of the lungs from emphysema.
GOLDEN RULE : REMOVE THE SCAPULA , ask the patient to cross his\her hands and put them on his\her contralateral shoulder , you can take a look at the fingers for clubbing/cyanosis and get a clue about the diagnosis in the OSCE , especially if you are in a shot-case exam and where asked to examine the chest posteriorly only.
yes you aren't supposed to place your hands over the scapula ... but around them
in case of fluid in lung such as in pleural effusion, the sounds are decreased, not increased.
Assalamu alaikum..
it increases with lung consolidation and decreases with pleural effusion
LOLsaudi TF is increased with fluid accumulation in the lung itself, such as with pneumonia; it is decreased with pleural effusion, or fluid within the pleural space but not within the lung itself.
@@Foraminid pneumothorax (absent or decrease)
69
rofl
Canakar there's always one
My man, id 69 that
Lol!
Nice
don't we have to keep away from the scapula?
omg I really hope that girl changed her bra size after this! that band size looks way too tight!!
ninety-nine is a misattribution -- it's only a vocal diphthong when said in German. boy oh boy, blue balloons, toy boat and scooby doo work.
Yep.. I came straight after reading this in the Wiki article...
Not entirely true, it IS a vocal diphthong (/ai/), but it is a central, rather than back, vowel onset, so the frequency isn't as low. It's a little less efficient.
In Arabic, the patient is taught to say "Arb'aa Wa Arb'aeen" it's mean forty-four in English 😅
NCLEX question: How many lawsuits is this likely to cause male nurses..?
C.) 99
That's correct!
Good video but they seem more like robots 🤖, She seems like her batteries ran out
What you said about pleural effusion is WRONG. Tactile Fremitus decreases in Pleural Effusion. So fluids decrease Tactile fremitus and increases in Solids like Pneumonia
Doesn't have to do with solids or liquids (pneumonia is not solid). Has to do with whether the pathology is INSIDE the lung, or OUTSIDE the lung.
Pneumonia is fluid inside the lung, so the fluids will increase tactile fremitus. A pleural effusion is just outside the lung, so the fluid there will insulate and cause decreased tactile fremitus.
Patterson24 thank you for this been looking for an explanation for this🙏🏾🙏🏾🙏🏾
@@Patterson24 this is insanely helpful
I concur, in this particular case the test should be repeated from the front.
😭😭😭😭😭
99 was never better before..
Blue moon
Or
One two three
Not very accurate!
Thanks 🙏🏻
tujuh puluh tujuh
can i use my face for tactile fremitus
boy if you dont stop
😂😂
Beautiful
Thanks 👍🏻😊
99
Excelent
33 en français
Thank you for your education.
Cute
0:58 say it againnnn
Thanks
link dude🤣🤣🤣🤣
99
The boy gets full feel during this exam on the girl 😂
Thank you ♡
why is only the ulnar surface used and not the radial??
how can you use the radial surface in this situation u stupid dump
you can really tell that hes looking forward to performing it in the frontal side
He is also looking forward to perform the percussion and auscultation.
osteopathic doctors do so much palpation he probably didn't think twice about it tbh
In india 🇮🇳 we also says one ,one repeatedly but 99 is more popular.
omg why did they have to bring in a hot chick
she's remotly hot
not that hot :/
ههههههههههههههههههههههههههههههههههههههههههههههههههههههههههههههههه يالمجحم
@@user-IIll من ست سنين ههههههههههههههههههههههههههههههههههههههه
This is vocal fremitus