I noticed she moved her stethoscope before he breaths in or out and doesn't keep in in any one spot for a full breath cycle (both in and out). That doesn't make much sense. 🤔
She’s using vocal resonance as well as tactile fremitus. They’re interchangeable methods that both test for the same thing, so I’m unsure why it was tested twice, unless it was done for her own confirmation. I.e. - Tactile fremitus, you have abnormalities with either • increased vibrations suggesting increased tissue density (e.g. tumour, consolidation, etc.), or • decreased vibrations suggesting fluid/air outside lung (e.g. pleural effusion, pneumothorax) - vocal resonance abnormalities: • increased volume will suggest increased tissue density, and • decreased volume will suggest air/fluid outside lung It’s really up to you which technique you use to suit your systematic approach :)
This was great, thank you! I'm a med student in Canada preparing for my OSCEs :)
Frank makes an excellent patient and your examination was refreshing. Great simulation. Thanks for sharing.
thank you
I noticed she moved her stethoscope before he breaths in or out and doesn't keep in in any one spot for a full breath cycle (both in and out). That doesn't make much sense. 🤔
Its a demonstration so theydo that to save time.
Why does she listen to his chest with him saying "99"? I thought you placed your hands on the patient's back/chest for tactile fermitus. 🤔
She’s using vocal resonance as well as tactile fremitus. They’re interchangeable methods that both test for the same thing, so I’m unsure why it was tested twice, unless it was done for her own confirmation.
I.e.
- Tactile fremitus, you have abnormalities with either
• increased vibrations suggesting increased tissue density (e.g. tumour, consolidation, etc.), or
• decreased vibrations suggesting fluid/air outside lung (e.g. pleural effusion, pneumothorax)
- vocal resonance abnormalities:
• increased volume will suggest increased tissue density, and
• decreased volume will suggest air/fluid outside lung
It’s really up to you which technique you use to suit your systematic approach :)
#asmr