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  • Tactile Fremitus: What Is It, How Is It Assessed, Uses, and More | Osmosis
    Tactile fremitus is assessed by asking an individual to repeat a certain phrase while the examiner places the palms or the bony edge of their hands on the individual’s chest wall to feel for sound vibrations Low-frequency vibrations, such as those created by two adjacent vowel sounds (e g “coin”, “sound”, or “boat”), are transmitted more effectively down the tracheobronchial
  • 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)
  • Crepitus in Lungs and Crackling Breath Sounds | Osmosis
    Understand crepitus and crackling lung sounds Learn causes like pneumonia and how to recognize symptoms for exam prep or clinical review
  • 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 Examination of the thorax and lungs gives the nurse information about the movement of air and gas exchange Let’s review the process
  • Bronchophony: What Is It, Causes, and More | Osmosis
    Bronchophony is a type of pectoriloquy, which is when voice transmission through lung structures is heard with a higher resonance In Learn with Osmosis
  • Assessment of Thorax and Lungs - Osmosis
    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 You’ll also check for crepitus by palpating with the palmar surface of your hands over the anterior and posterior chest
  • Empyema: Video Meaning | Osmosis
    On physical exam, you can expect to find dullness on percussion, decreased breath sounds, and decreased fremitus of the chest Finally, labs might reveal leukocytosis, hyponatremia, elevated CRP, and a low albumin If your patient presents with these findings, you should suspect empyema
  • Q and A with Illustrations: Boost Your Medical Knowledge | Osmosis
    Join Osmosis Suite to unlock 1,800+ videos on Pathology, Physiology, Pharmacology, and Clinical Reasoning topics Enhance your medical learning today!
  • Pleural effusion, pneumothorax, hemothorax and atelectasis . . . - Osmosis
    On chest palpation, chest expansion is uneven due to decreased chest wall movement of the affected side and tactile fremitus is decreased Tactile fremitus can be felt when the hand is placed on the chest wall
  • Hemothorax: Video Meaning | Osmosis
    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-ray If the labs and chest x-ray are normal, you should consider an alternative diagnosis





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