How do you test for whispered Pectoriloquy?

Publish date: 2023-05-29
The sounds that can be assessed are:
  • Whispered pectoriloquy: Ask the patient to whisper a sequence of words such as “one-two-three”, and listen with a stethoscope.
  • Bronchophony: Ask the patient to say "99" in a normal voice.
  • Egophony: While listening to the chest with a stethoscope, ask the patient to say the vowel “e”.

  • Similarly one may ask, what does whispered Pectoriloquy indicate?

    Whispered pectoriloquy. Whispered pectoriloquy is a clinical test typically performed during a medical physical examination to evaluate for the presence of lung consolidation, causes of which include cancer (solid mass) and pneumonia (fluid mass).

    Subsequently, question is, what is a positive Bronchophony test? Bronchophony. This term represents a test to perform on the patient which may indicate that there is consolidation of the lung. Consolidation refers to increased density of the lung tissue, due to it being filled with fluid and/or blood or mucus.

    Beside above, how do you test for Egophony?

    Definition of Egophony To use egophony during an exam, ask the patient to say 'e' as you auscultate over the chest wall. Over normal lung areas, you will here the same 'e' tones. Over consolidated tissue, the 'e' sound changes to a nasal quality 'a' (aaaaay), like a goat's bleating.

    Why do doctors ask you to say 99?

    Bronchophony - Abnormal. Ask the patient to say "99" several times while auscultating the chest walls. Over consolidated areas "99" is understandable. This is because acoustic filtering is reduced in consolidated lung tissue, which allows better sound transmission.

    What does Egophony mean?

    Egophony (British English, aegophony) is an increased resonance of voice sounds heard when auscultating the lungs, often caused by lung consolidation and fibrosis. It is due to enhanced transmission of high-frequency sound across fluid, such as in abnormal lung tissue, with lower frequencies filtered out.

    What is a normal Bronchophony?

    Normally, the sound of the patient's voice becomes less distinct as the auscultation moves peripherally; bronchophony is the phenomenon of the patient's voice remaining loud at the periphery of the lungs or sounding louder than usual over a distinct area of consolidation, such as in pneumonia.

    What makes a Bronchophony positive?

    The expected finding is that the words will be indistinct. Bronchophony is present if sounds can be heard clearly. Egophony: While listening to the chest with a stethoscope, ask the patient to say the vowel “e”. Over normal lung tissues, the same “e” (as in "beet") will be heard.

    What is normal Fremitus?

    A normal evaluation occurs when equal and moderate vibrations are noticed during speech. Fremitus is abnormal when it is increased or decreased. Because sound is transmitted more strongly through non–air-filled lung, increased fremitus suggests a loss or decrease in ventilation in the underlying lung.

    What is transmitted sound?

    Lung sounds are different from transmitted voice sounds. Lung sounds are generated within the lungs, unlike transmitted voice sounds, which are generated by the larynx. Lung sounds consist of breath sounds and adventitious, or abnormal, sounds heard or detected over the chest.

    What does tactile Fremitus test for?

    In common medical usage, it usually refers to assessment of the lungs by either the vibration intensity felt on the chest wall (tactile fremitus) and/or heard by a stethoscope on the chest wall with certain spoken words (vocal fremitus), although there are several other types.

    What is vesicular breathing?

    Vesicular breath sounds are heard across the lung surface. They are lower-pitched, rustling sounds with higher intensity during inspiration. During expiration, sound intensity can quickly fade. Inspiration is normally 2-3 times the length of expiration.

    How do you test for tactile Fremitus?

    After checking for symmetrical chest expansion, feel for tactile fremitus. Fremitus refers to vibratory tremors that can be felt through the chest by palpation. To assess for tactile fremitus, ask the patient to say “99” or “blue moon”. While the patient is speaking, palpate the chest from one side to the other.

    What does stridor sound like?

    Stridor sound is a type of wheezing and is heard on inspiration and is a high-pitched whistling or gasping sound with a harsh sound quality. It may be seen in children with conditions such as croup or epiglottitis, or anyone with an airway obstruction. It requires medical treatment.

    What does Rhonchi sound like?

    Rhonchi are continuous low pitched, rattling lung sounds that often resemble snoring. Obstruction or secretions in larger airways are frequent causes of rhonchi. They can be heard in patients with chronic obstructive pulmonary disease (COPD), bronchiectasis, pneumonia, chronic bronchitis, or cystic fibrosis.

    What is bronchial breathing?

    Bronchial breath sounds are tubular, hollow sounds which are heard when auscultating over the large airways (e.g. second and third intercostal spaces). They will be louder and higher-pitched than vesicular breath sounds.

    What heart sounds should be audible?

    These are the systolic sounds that are audible in patients with defects in aortic or pulmonary valves. They are present in early systole after the S1. The aortic ejection sound is best audible at the apex or the aortic area. The pulmonary valve ejection sound is best audible at the pulmonary area.

    What is a bronchoscopy procedure?

    Bronchoscopy is a procedure that looks inside the lung airways and is used to find the cause of a lung problem. It involves inserting a bronchoscope tube, with its light and small camera, through your nose or mouth, down your throat into your trachea, or windpipe, and to the bronchi and bronchioles of your lungs.

    When the patient says 99 the sound is clear and loud?

    Voice Sounds It can be determined through the stethoscope when the patient says99”, usually just audible but becoming louder when the lung is consolidated. Pectoriloquy is abnormal transmission of the patient's voice sounds through the chest wall so that they can be clearly heard through the stethoscope.

    When the patient says EEE The sound is AAA?

    When voice sounds increase in intensity and take on a "bleating" quality, this is described as egophony. Egophony is present when "e-e-e" spoken by the patient is heard through the stethoscope as "a-a-a." Egophony is generally found over consolidated lung where bronchophony is also present.

    What are adventitious breath sounds?

    Adventitious lung sounds are abnormal sounds that are heard when auscultating a patient's lungs and airways. These sounds include abnormal sounds such as fine and coarse crackles (crackles are also called rales), wheezes (sometimes called rhonchi), pleural rubs and stridor.

    What type of lung sounds are heard with pneumonia?

    A pneumonia cough is generally a productive cough, often with yellow or green mucus. The breathing sounds are also different from asthma – Instead of wheezing, a doctor will hear rales and rhonchi with their stethoscope.

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