Tactile Fremitus

[@chuckylover6047]

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.khaled9583]

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.

[@eclkt]

Thank you for your education.

[@user-or5wt4tq3s]

Thank you ♡

[@EHManjo]

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

[@user-og5sz5vx3i]

Beautiful

[@crystalss8354]

Thanks 🙏🏻

[@thegarbageman21]

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

[@diaasadeq162]

Thanks 👍🏻😊

[@monicagarcia6640]

Excelent

[@lesjovelistemoise6391]

Cute

[@LOLsaudi]

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

[@alaabukhari6506]

Assalamu alaikum.. it increases with lung consolidation and decreases with pleural effusion

[@Foraminid]

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.

[@FarhanKhan-vp6jl]

@@Foraminid pneumothorax (absent or decrease)

[@danielcastilo1840]

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

[@sharonmogambi2621]

Thanks

[@meninooliveira9694]

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

[@petertharwat2099]

how can you use the radial surface in this situation u stupid dump

[@nighthood9184]

tujuh puluh tujuh

[@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.

[@surendrarana161]

Yep.. I came straight after reading this in the Wiki article...

[@Sveccha93]

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.

[@aadam1]

In Arabic, the patient is taught to say "Arb'aa Wa Arb'aeen" it's mean forty-four in English 😅

[@couchpotato5778]

99 was never better before..

[@FarhanKhan-vp6jl]

Blue moon Or One two three

[@fthks184]

0:58 say it againnnn

[@bcm3938]

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

[@Mimi-ym2cy]

😭😭😭😭😭

[@rupayandas7483]

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

[@bonifaciothereturn]

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

[@theplushhedgehog6755]

He is also looking forward to perform the percussion and auscultation.

[@livebungusreaction]

osteopathic doctors do so much palpation he probably didn't think twice about it tbh

[@akibhabib7845]

99

[@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

[@Patterson24]

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.

[@DoubleS.C]

Patterson24 thank you for this been looking for an explanation for this🙏🏾🙏🏾🙏🏾

[@reemalzubaidy6037]

@@Patterson24 this is insanely helpful

[@grapeapetape9132]

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

[@nusratullahshaikh1688]

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

[@lauran1962]

can i use my face for tactile fremitus

[@tomisakin]

boy if you dont stop

[@smouafak]

😂😂

[@solesoulsorrow]

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

[@yourfavv_lisaa]

This is vocal fremitus

[@adamjunior54]

link dude🤣🤣🤣🤣

[@rens79]

33 en français

[@Canakar360]

69

[@sebbe91]

rofl

[@Waz-kh7oq]

Canakar there's always one

[@KeepCalmAndDieAlone]

My man, id 69 that

[@lovelylatoya3811]

Lol!

[@stephens2663]

Nice

[@endri355]

Not very accurate!

[@abdulaziz.9471]

omg why did they have to bring in a hot chick

[@TheMastorio]

she's remotly hot

[@Saracen1786]

not that hot :/

[@user-IIll]

ههههههههههههههههههههههههههههههههههههههههههههههههههههههههههههههههه يالمجحم

[@di_0b]

@@user-IIll من ست سنين ههههههههههههههههههههههههههههههههههههههه

[@wangjaden8336]

99