Fremitus: Difference between revisions
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{{Infobox medical condition | |||
| name = Fremitus | |||
| synonyms = | |||
| pronunciation = | |||
| specialty = [[Pulmonology]], [[Rheumatology]] | |||
| symptoms = Vibrations felt on the chest wall | |||
| causes = [[Pneumonia]], [[Pleural effusion]], [[Lung tumor]], [[Chronic obstructive pulmonary disease]] | |||
| risks = | |||
| diagnosis = [[Physical examination]], [[Palpation]] | |||
| differential = | |||
| treatment = Depends on underlying cause | |||
| frequency = | |||
}} | |||
``` | |||
This template provides a structured format for presenting information about the medical condition known as Fremitus. It includes key details such as the specialty areas involved, symptoms, causes, diagnostic methods, and treatment options. Internal links are used to connect related medical terms to their respective Wikipedia articles, facilitating further exploration and understanding. Fremitus | |||
Fremitus refers to a palpable vibration or tremor that can be felt through the chest wall, often during speech or breathing. It is an important clinical sign that can provide valuable information about the underlying condition of the lungs and pleura. | Fremitus refers to a palpable vibration or tremor that can be felt through the chest wall, often during speech or breathing. It is an important clinical sign that can provide valuable information about the underlying condition of the lungs and pleura. | ||
==Types of Fremitus== | ==Types of Fremitus== | ||
Fremitus can be classified into several types based on the method of detection and the underlying cause: | Fremitus can be classified into several types based on the method of detection and the underlying cause: | ||
===Tactile Fremitus=== | ===Tactile Fremitus=== | ||
Tactile fremitus is the vibration felt on the chest wall when a patient speaks. It is typically assessed by placing the palms or the ulnar edge of the hands on the patient's chest while they repeat a phrase such as "ninety-nine" or "blue balloons." Increased tactile fremitus may indicate lung consolidation, as seen in pneumonia, while decreased fremitus may suggest pleural effusion or pneumothorax. | Tactile fremitus is the vibration felt on the chest wall when a patient speaks. It is typically assessed by placing the palms or the ulnar edge of the hands on the patient's chest while they repeat a phrase such as "ninety-nine" or "blue balloons." Increased tactile fremitus may indicate lung consolidation, as seen in pneumonia, while decreased fremitus may suggest pleural effusion or pneumothorax. | ||
===Vocal Fremitus=== | ===Vocal Fremitus=== | ||
Vocal fremitus is similar to tactile fremitus but is specifically related to the vibrations of the vocal cords transmitted through the lung tissue to the chest wall. It is assessed in the same manner as tactile fremitus. | Vocal fremitus is similar to tactile fremitus but is specifically related to the vibrations of the vocal cords transmitted through the lung tissue to the chest wall. It is assessed in the same manner as tactile fremitus. | ||
===Pleural Fremitus=== | ===Pleural Fremitus=== | ||
Pleural fremitus is a vibration felt on the chest wall due to friction between the pleural layers. It is often associated with pleuritis or pleural effusion. | Pleural fremitus is a vibration felt on the chest wall due to friction between the pleural layers. It is often associated with pleuritis or pleural effusion. | ||
===Rhonchal Fremitus=== | ===Rhonchal Fremitus=== | ||
Rhonchal fremitus is a vibration felt when air passes through mucus or secretions in the bronchial tubes. It is often associated with conditions like bronchitis. | Rhonchal fremitus is a vibration felt when air passes through mucus or secretions in the bronchial tubes. It is often associated with conditions like bronchitis. | ||
==Clinical Significance== | ==Clinical Significance== | ||
The presence and quality of fremitus can provide important diagnostic clues: | The presence and quality of fremitus can provide important diagnostic clues: | ||
* '''[[Increased Fremitus]]''': This may indicate lung consolidation, such as in pneumonia, where the lung tissue becomes solidified due to infection and inflammation. | * '''[[Increased Fremitus]]''': This may indicate lung consolidation, such as in pneumonia, where the lung tissue becomes solidified due to infection and inflammation. | ||
* '''[[Decreased Fremitus]]''': This may suggest the presence of air or fluid in the pleural space, such as in pneumothorax or pleural effusion, which dampens the transmission of vibrations. | * '''[[Decreased Fremitus]]''': This may suggest the presence of air or fluid in the pleural space, such as in pneumothorax or pleural effusion, which dampens the transmission of vibrations. | ||
==Assessment Technique== | ==Assessment Technique== | ||
To assess fremitus, the examiner should: | To assess fremitus, the examiner should: | ||
1. Ask the patient to sit upright and breathe normally. | 1. Ask the patient to sit upright and breathe normally. | ||
2. Place the hands on symmetrical areas of the chest wall. | 2. Place the hands on symmetrical areas of the chest wall. | ||
3. Ask the patient to repeat a phrase like "ninety-nine" while palpating the chest. | 3. Ask the patient to repeat a phrase like "ninety-nine" while palpating the chest. | ||
4. Compare the intensity of vibrations on both sides of the chest. | 4. Compare the intensity of vibrations on both sides of the chest. | ||
==Also see== | ==Also see== | ||
* [[Percussion (medicine)]] | * [[Percussion (medicine)]] | ||
| Line 38: | Line 42: | ||
* [[Pneumothorax]] | * [[Pneumothorax]] | ||
* [[Pneumonia]] | * [[Pneumonia]] | ||
{{Medical signs and symptoms}} | {{Medical signs and symptoms}} | ||
[[Category:Medical signs]] | [[Category:Medical signs]] | ||
[[Category:Respiratory system]] | [[Category:Respiratory system]] | ||
[[Category:Physical examination]] | [[Category:Physical examination]] | ||
Revision as of 05:25, 4 April 2025
| Fremitus | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | Pulmonology, Rheumatology |
| Symptoms | Vibrations felt on the chest wall |
| Complications | N/A |
| Onset | N/A |
| Duration | N/A |
| Types | N/A |
| Causes | Pneumonia, Pleural effusion, Lung tumor, Chronic obstructive pulmonary disease |
| Risks | |
| Diagnosis | Physical examination, Palpation |
| Differential diagnosis | |
| Prevention | N/A |
| Treatment | Depends on underlying cause |
| Medication | N/A |
| Prognosis | N/A |
| Frequency | |
| Deaths | N/A |
```
This template provides a structured format for presenting information about the medical condition known as Fremitus. It includes key details such as the specialty areas involved, symptoms, causes, diagnostic methods, and treatment options. Internal links are used to connect related medical terms to their respective Wikipedia articles, facilitating further exploration and understanding. Fremitus
Fremitus refers to a palpable vibration or tremor that can be felt through the chest wall, often during speech or breathing. It is an important clinical sign that can provide valuable information about the underlying condition of the lungs and pleura.
Types of Fremitus
Fremitus can be classified into several types based on the method of detection and the underlying cause:
Tactile Fremitus
Tactile fremitus is the vibration felt on the chest wall when a patient speaks. It is typically assessed by placing the palms or the ulnar edge of the hands on the patient's chest while they repeat a phrase such as "ninety-nine" or "blue balloons." Increased tactile fremitus may indicate lung consolidation, as seen in pneumonia, while decreased fremitus may suggest pleural effusion or pneumothorax.
Vocal Fremitus
Vocal fremitus is similar to tactile fremitus but is specifically related to the vibrations of the vocal cords transmitted through the lung tissue to the chest wall. It is assessed in the same manner as tactile fremitus.
Pleural Fremitus
Pleural fremitus is a vibration felt on the chest wall due to friction between the pleural layers. It is often associated with pleuritis or pleural effusion.
Rhonchal Fremitus
Rhonchal fremitus is a vibration felt when air passes through mucus or secretions in the bronchial tubes. It is often associated with conditions like bronchitis.
Clinical Significance
The presence and quality of fremitus can provide important diagnostic clues:
- Increased Fremitus: This may indicate lung consolidation, such as in pneumonia, where the lung tissue becomes solidified due to infection and inflammation.
- Decreased Fremitus: This may suggest the presence of air or fluid in the pleural space, such as in pneumothorax or pleural effusion, which dampens the transmission of vibrations.
Assessment Technique
To assess fremitus, the examiner should: 1. Ask the patient to sit upright and breathe normally. 2. Place the hands on symmetrical areas of the chest wall. 3. Ask the patient to repeat a phrase like "ninety-nine" while palpating the chest. 4. Compare the intensity of vibrations on both sides of the chest.
