Concept of Vocal Resonance/Fremitus and Chest Percussion

#BeBestByBasics
Concept of Vocal Resonance/Fremitus and Chest Percussion by Dr. Keshav Garg, MAMC, New Delhi.
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[@MedicalDreamersBD]

I haven’t understood this concept in my whole final year but this 8 minute video literally enriched me. Take love sir.

[@OneStopMedicine]

☝️ Important Concept
Increased vocal resonance, bronchophony, whispering pectoroliquoy, aegophony are similar things and all are found in consolidation.
Normally what happens is, when I ask the patient to speak let say 99 in tandem, and keep steth over the chest, we can hear 99 through steth but it is not loud.
Now let say patient has consolidation and now I have kept the steth over the area of consolidation.
Now in patient of Consolidation
1. I ask the patient to speak 99 loudly. If through the steth I can hear 99 Loudly, it is increased vocal resonance
2. I ask the patient to speak 99 loudly. If through the steth I can hear 99 loudly and CLEARLY also, it is bronchophony
3. Rather than asking to speak loudly, I ask patient to WHISPER 99, now if I can hear it clearly/loudly, it is whispering pectoroliquoy
4. Now I ask patient to speak E. But on steth I heard A. This is egophony.
1,2,3 is due to increased fluid in lung increase the sound transmission, this increasing amplitude.
4 has occured bcz fluid medium has changed the quality of the sound produced by vocal cords

[@nikhiljose3036]

thank you

[@jasminpanda871]

Thank you ❣️

[@adithirao3901]

So crystal clear😭🙏

[@vishaldhone2954]

Made it look so easy !

[@gowthamhs4190]

Explaination at its peak...
Just awesome, if we understand this concept of physics behind respiratory system..
It will be easier and intriguing to read pulmonology 😍❤️💐
Gratitude + Love to Dr Keshav Sir
Great day 💐💫✨

[@drrehmanvlog7487]

Great conceptual lecture
Kindly also give a lecture on breath sounds.
Thanks

[@farhasharmin-162]

Amazing explanation sir...lotssss of respect for such a crystal clear concept 🙏🏻🙏🏻🙏🏻

[@srijan-th8sh]

Thank you boss ✌🏾

[@jasminpanda871]

Loved the explanation 😊

[@jemaluk]

thank you sir
you made it really simple🤙

[@sonithaganta5730]

thank you so much,you have made the concept so easy !!!!

[@babuji5055]

Great lecture

[@avishekdas3030]

Top notch explanation 💕

[@jasminpanda871]

Amazing explanation

[@Health.Wisdom]

Awesome Video

[@vaibhav5862]

Amazing ❤

[@ZayedIqbal-tf4tx]

Thank you sir . Amazing

[@alokumkum4060]

mashallah...loved the way ...

[@tejashwinigunalan7882]

Thank you so much
Good explanation 👍

[@sudiptachaity5115]

Best video to understand lung diseases from the root thanks 🔥

[@mohamedabdi-iz2ts]

Best Presentations
Thanks doc

[@TejaswiniEmmidisetty]

Amazing sir!

[@mdsj1311]

Fantastic

[@user-kv4cg2up3h]

Amazed

[@DrAlnofli]

Thanks so much I was suffering from understanding this topic

[@vision8603]

Excellent...💚💚

[@sreee_music]

Very helpful

[@AnkitSingh-nn7kh]

What exactly are vibration waves, i never came across such a terminology. Could you please explain. Thanks

[@rahulranjan3830]

Grt 😊😊😊

[@doctorsays.]

So why does collapsed lung have decreased vocal resonance? collpased lung have less air, isn't sound should travel better in collapse lung and increase in resonance?

[@sherinanu416]

Nice💥

[@purvibambhaniya7202]

Claps👏

[@MedicalDreamersBD]

♥️♥️

[@db_ee92]

Demystified

[@indiamyland5298]

Sir, i have a doubt sir... What will be the finding in case of bronchiectasis? And what type of breathing will be present sir?

[@vishwamodi1477]

simple concept ,other can't explain

[@VigneshV-bt7rf]

❤️

[@freeridersk4674]

Sir what will happen in case of pulmonary edema ... Will the vocal fremitus increase or decrease?? Please tell

[@OneStopMedicine]

Will increase as conduction through fluid is more than in air

[@adlesal24]

❤ well explained.
What about vocal resonance in fibrosis😢?

[@adlesal24]

Any answer doctor?

[@benjaminazumah9833]

@@adlesal24 vocal resonance in pulmonary fibrosis will increase due to increased lung tissue/density so transmission of the vibration through the tissue increases.

[@aswathypk9858]

Thank you white army❤

[@user-kv4cg2up3h]

Amazed