Vocal fremitus versus Egophony? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 10-11-2012
sruthi's Avatar
USMLE Forums Addict
 
Steps History: Not yet
Posts: 109
Threads: 24
Thanked 19 Times in 11 Posts
Reputation: 29
Stethoscope Vocal fremitus versus Egophony?

hey guys..
can some one explain to me the difference between vocal fremitus and egophony?
Reply With Quote Quick reply to this message



  #2  
Old 10-11-2012
koolkiller88's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 864
Threads: 62
Thanked 370 Times in 224 Posts
Reputation: 380
Default Hope it help

Ya i remember NBME 1 testing this concept.

Vocal tactile fremitus: As name says. Its a tactile or tested touching patients chest surface.
Patient is asked to say low frequency word like: E or 1,2,3 or 99

increase fremitus: underlying consolidation (pneumonia)
Absent fremitus: underlying fluid or air (effusion or pneumothorax)
decrease fremitus: underlying air filled lung (emphysema)

Egophony: Also called goat sound. It is heard by auscultation.
Patient is said to say "E" but it sounds like "A"

Which means underlying consolidation (pneumonia)

It is also related to whispered pectoriloquy- in which patient whisper "1,2,3".
These 2 auscultation sounds signifies increase in frequency of sound due to consolidation.
__________________
One day i will infect these microbes and they will search for "Anti-MEbiotic"....
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
The above post was thanked by:
dr.Zh (10-11-2012), DrSK (10-12-2012), IMGdoctor (10-12-2012), Lara (10-13-2012), Noa2013 (07-05-2014), Saiyeda (10-13-2012), sruthi (10-12-2012), venky2600 (10-11-2012)
  #3  
Old 10-12-2012
sruthi's Avatar
USMLE Forums Addict
 
Steps History: Not yet
Posts: 109
Threads: 24
Thanked 19 Times in 11 Posts
Reputation: 29
Default

so is vocal and tactile fremitus the same thing??
Reply With Quote Quick reply to this message
  #4  
Old 10-12-2012
koolkiller88's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 864
Threads: 62
Thanked 370 Times in 224 Posts
Reputation: 380
Default

Quote:
Originally Posted by sruthi View Post
so is vocal and tactile fremitus the same thing??
Yup it's vocal tactile fremitus
__________________
One day i will infect these microbes and they will search for "Anti-MEbiotic"....
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
The above post was thanked by:
sruthi (10-12-2012)
  #5  
Old 10-12-2012
USMLE Forums Newbie
 
Steps History: ---
Posts: 3
Threads: 0
Thanked 2 Times in 1 Post
Reputation: 12
Default

when you listen to the patient saying "99" with stethoscope. what is this called?
Reply With Quote Quick reply to this message
  #6  
Old 10-12-2012
sruthi's Avatar
USMLE Forums Addict
 
Steps History: Not yet
Posts: 109
Threads: 24
Thanked 19 Times in 11 Posts
Reputation: 29
Default

Quote:
Originally Posted by silhouette View Post
when you listen to the patient saying "99" with stethoscope. what is this called?
actually i thot dat was vocal fremitus, wen u hear person sayn 99 wt d stethoscope!!
and wen u feel it wt d ulnar border of ur hand its tactile fremitus...
nw im cnfusd!!
Reply With Quote Quick reply to this message
  #7  
Old 10-12-2012
alice's Avatar
USMLE Forums Addict
 
Steps History: Not yet
Posts: 126
Threads: 17
Thanked 42 Times in 33 Posts
Reputation: 52
Default

Vocal resonance is hearing with the stethoscope when the person says 123 or 999... And vocal fremitus or tactile fremitus is when you place your hand on the intercoastal space and feel for the vibrations when you ask the patient to repeat 123 or 999 ... Egophony is completely different from these two ... Put your stethoscope on the patient and ask them to say E and it sounds like A ( goat like )
Reply With Quote Quick reply to this message
The above post was thanked by:
sruthi (10-14-2012)
  #8  
Old 10-13-2012
DrPKR's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 51
Threads: 7
Thanked 21 Times in 13 Posts
Reputation: 31
Default

I think you are confused between

-->TACTILE VOCAL FREMITUS(heard on PALPATION part of physical exam of the patient, says 1-2-3 aloud.)

-->VOCAL RESONANCE(heard on AUSCULTATION part of P/E, says 1-2-3 aloud.)



Rest two are:

-->WHISPERING PECTORILOQUY(heard on AUSCULTATION-but instead of saying 1-2-3 aloud, he whispers them)

-->AEGOPHONY(auscultation again, with "E" sounding like "A", patient saying it aloud.)
Reply With Quote Quick reply to this message
The above post was thanked by:
sruthi (10-14-2012)



Reply

Tags
Clinical-Signs, Respiratory-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Airway Anatomy Below the vocal cords! curiousmind USMLE Step 1 Forum 1 08-17-2012 09:04 PM
Squamous epithelium: true of false vocal cords? Dr.NickRiviera USMLE Step 1 Forum 3 05-07-2012 09:57 PM
AIN versus NSAID nephropathy versus papillary necrosis winner21 USMLE Step 1 Forum 6 08-19-2011 06:24 PM
vocal fremitus qurat21 USMLE Step 1 Forum 2 08-01-2011 12:35 PM
Tectile fremitus on the back only! dempsey USMLE Step 2 CS Forum 1 07-03-2011 01:06 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)