The respiratory therapist is performing palpation on a patient recently admitted to the medical ward. The therapist notes decreased tactile fremitus over the right lung
Which of the following could MOST likely be the cause for this physical exam finding?
a. Right-sided atelectasis
b. Right-sided pneumothorax
c. Right-sided pleural effusion
d. Right-sided pleural tumor
A
Tactile fremitus decreases when anything obstructs the transmission of vibration. Such conditions include tumors or thickening of the pleural cavity, pleural effusion, and pneumothorax. Tactile fremitus increases in patients with atelectasis.
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Fill in the blank(s) with correct word
Harmonic sound waves
a. are the result of scattered echoes hitting each other. b. allow the sonographer to use a low frequency transducer for penetration with improved resolution. c. do not occur in a water medium. d. remain as a sinusoidal wave shape but can change shape based upon tissue shape and contour.