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Author Question: While palpating the chest of a patient who repeats the words ninety-nine, you note an area of ... (Read 49 times)

ts19998

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on: Jul 16, 2018
While palpating the chest of a patient who repeats the words ninety-nine, you note an area of increased tactile fremitus over the left lower lobe. Which of the following could explain this finding?
 
  1. Pneumothorax
  2. Emphysema
  3. Pneumonia
  4. Pleural effusions
  a. 2 only
  b. 1 and 4 only
  c. 1, 2, and 4
  d. 3 only

Question 2

Which of the following would cause an increase in tactile fremitus?
 
  a. Pleural effusion
  b. Pneumonia
  c. Emphysema
  d. Pneumothorax


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yifu223

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Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: D
Tactile fremitus is increased when the lung becomes consolidated as with pneumonia because sound vibrations travel better through a more solid medium.

Answer to Question 2

ANS: B
Any condition that increases the density of the lung, such as the consolidation (or alveolar filling) that occurs in pneumonia, increases the intensity of fremitus.


ts19998

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Reply 2 on: Jul 16, 2018
Thanks for the timely response, appreciate it

juliaf

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Reply 3 on: Yesterday
Excellent

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