Lung Assessment

Published

What is the technique called when the patient repeats "99"?

Up Vote Up Vote ×
Specializes in Peds, ER/Trauma.

god, I haven't done that since nursing school- i think it was called "tactile resonance"

Up Vote Up Vote ×

Close ERRN, it is tactile fremitus

Up Vote Up Vote ×
Specializes in Peds, ER/Trauma.
Close ERRN, it is tactile fremitus

I knew it had tactile in it! Does anyone even DO that, other than in nursing school????

Up Vote Up Vote ×
Specializes in Assisted Living, Med-Surg/CVA specialty.

I just finished nursing school and I've never even heard of this...

Up Vote Up Vote ×

tactile fremitus (when palpating using either the palmar base of the fingers or the ulnar edge of one hand; the phrase generates vibrations; decreased fremitus occurs when anything obstructs transmission of vibrations; increased fremitus occurs with compresson or consolidation of lung tissue eg. lobar pneumonia).

And when checking voice sounds - bronchophony (ask the person to say "ninety-nine" while listening with the stethoscope over the chest wall - increased lung density will enhance transmission of voice sounds and you will hear a clear "ninety-nine" (the words are more distinct than normal and sound close to your ear)

Have you tried egophony? (Greek - the voice of a goat - if "eeee" changes to "aaaaa" over areas of consolidation)

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.

there is a sticky thread in the nursing student assistance forum that has all kinds of weblinks where you can find this information on chest/lung exam:

Up Vote Up Vote ×
+ Join the Discussion