Pectoriloquy

Pectoriloquy is a medical term that refers to an increased loudness of whispering noted during auscultation with a stethoscope on the lung fields on a patient's back. This phenomenon is typically indicative of consolidation or pneumonia.

Overview

Pectoriloquy is a physical examination finding. To test for pectoriloquy, a healthcare provider will ask the patient to whisper a phrase while they listen with a stethoscope on the back. If the whispered phrase is clearly heard through the stethoscope, this is referred to as positive pectoriloquy and suggests the presence of a lung consolidation.

Clinical Significance

Pectoriloquy is a sign of lung consolidation, which is often caused by pneumonia. Consolidation occurs when the air that usually fills the small airways in your lungs is replaced with something more solid like fluid or pus. This can cause a variety of symptoms including cough, chest pain, and shortness of breath.

Diagnosis

Pectoriloquy is diagnosed through a physical examination. The healthcare provider will ask the patient to whisper a phrase while they listen with a stethoscope on the back. If the whispered phrase is clearly heard through the stethoscope, this is referred to as positive pectoriloquy.

Treatment

Treatment for conditions that cause pectoriloquy, such as pneumonia, typically involves antibiotics to clear the infection. In severe cases, hospitalization may be required.

See Also

• Auscultation
• Pneumonia
• Stethoscope

References

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