Tactile Fremitus: Cups Demonstration

Sandra G. Adams, MD, MS demonstrates why tactile fremitus is increased or decreased in different clinical scenarios using cups and a straw. To get the most from this video, you will need 2 large plastic cups, 1 smaller plastic cup, and 1 straw. Pour water in the bottom fourth of one of the larger cups. Then follow along as Dr. Adams explains why tactile fremitus is increased in consolidation (pneumonia) and decreased or absent in a large pleural effusion and a large pneumothorax. Sandra G. Adams, MD, MS, is an Associate Professor of Medicine at the University of Texas Health Science Center at San Antonio and a Staff Physician at the South Texas Veterans Health Care System in San Antonio, TX.

[captainhindsight]

I’m a British Paramedic and this video has taught me more in the last 6 minutes than any course I’ve ever attended in demonstrating how to differentiate between respiratory conditions in a simple manner. It’s a great way for me to demonstrate this to students now too. Thanks 👍

[axisgraf]

Thank you Dr.Adams for this brilliant demonstration! Learned for life....never to forget again

[yy]

This is a lifetime explanation !! I will never forget fremitus as I am always used to, thanks doc

[TheSassleburger]

OH MY GOODNESS, thank you!! I have spent hours trying to learn this from a textbook, and you just explained it so clearly and it makes perfect sense!! Wow...subscribed!

[dwain]

BRILLIANT SOMETHING SO SIMPLE, EXPLAIN SOMETHING SO COMPLEX!!!

[silk.spectre]

OH, MY GOSH. I couldn't understand the concept for the longest time. This is by far the best explanation I've ever seen. Thank you so much.

[graceusa]

Wow, you are a genius, the teaching is so excellent. Better than what is written in the text book.

[nurseroseonthego]

Thank you so much. This demonstration is so clear, simple, and well explained. I am so glad to find this video, as I am going to test on this information soon. Wish I found this video YEARS ago.

[Sav]

This is the best video I have watched in all of medical school

[jessicastauffer]

I have dreams about this woman. Her explanations are incredible, and her voice is so calming.

[hamzaaslam]

Hands down the best explanation on YouTube for me.

[abdullahmohamed]

I wish there was a superlike button because this video is such a good practical demonstration that i will never ever forget

[jasminemcnair]

I've NEVER EVER understood this until today!! Thank you so much!!

[trinicapre]

I am so privileged to work with Dr Adams in MCCU UHS. Good job Dr Adams! 

[bimpe-aduke]

All I can say is "Thank you". God bless you, doctor

[kasunisamarakk]

I had a lot of difficulty remembering this but you make it sound so easy! Thank you Dr.Sandra! I hope you upload more respiratory videos!!

[tompos]

I wish I would have watched this years ago!! Thank you Dr. Adams!

[lomaxlomax]

Very very very helpful. I didn't have cups but I still untold what you trying to demonstrates. Thank a million.

[thapelomoloi]

I had no choice but to subscribe after witnessing, and benefitting from, the brilliance of that demonstration.
Big thanks.

[EnochBrown-sj]

Wonderful, wonderful, wonderfl!!! What an excellent demonstration. Thank you!!!