Tactile Fremitus

[chuckylover]

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.

[dr.khaled]

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]

in case of fluid in lung such as in pleural effusion, the sounds are decreased, not increased. 

[thegarbageman]

yes you aren't supposed to place your hands over the scapula ... but around them

[ilikefunnyvideos]

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

[CheeseLoversUnited]

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.

[bcm]

I concur, in this particular case the test should be repeated from the front.

[EHManjo]

don't we have to keep away from the scapula?

[solesoulsorrow]

NCLEX question: How many lawsuits is this likely to cause male nurses..?
C.) 99
That's correct!

[danielcastilo]

Good video but they seem more like robots 🤖, She seems like her batteries ran out

[bonifaciothereturn]

you can really tell that hes looking forward to performing it in the frontal side

[rupayandas]

The boy gets full feel during this exam on the girl 😂

[grapeapetape]

omg I really hope that girl changed her bra size after this! that band size looks way too tight!!

[meninooliveira]

why is only the ulnar surface used and not the radial??

[lauran]

can i use my face for tactile fremitus

[nusratullahshaikh]

In india 🇮🇳 we also says one, one repeatedly but 99 is more popular.

[abdulaziz.]

omg why did they have to bring in a hot chick