Several dogmatic and worthless teachings are exposed, such as the use of the words "ninety-nine," while testing tactile
fremitus, instead of the better suited "toy boat" or "nine boys." Erudite-sounding terms that cover ignorance or unwarranted assumptions, such as "essential," "idiopathic," "physical disease," or "spontaneous bacterial peritonitis," are condemned.
One is the assessment of the vascularity of masses and the other is the identification of vague breast masses using power Doppler vocal
fremitus. When blood flow is encoded as color on a sonogram, the resulting combined image showing both the anatomy in gray and the blood flow in color is called a duplex scan.
The complete pulmonary exam included determination of the respiratory rate, type of breathing, signs of respiratory insufficiency, shape of the chest and its deviations, palpation of vocal
fremitus, percussion and auscultation of lungs.
Shifting dullness and tactile
fremitus, which were two of my signature performances, seem to have hardly any sensitivity at all and add little value.
In contrast, the absence of reduce tactile vocal
fremitus reduced the probability of pleural effusion (negative LR 0.21).
Physical examination showed the following: height--68 1/2 inches; weight--250 lbs; blood pressure--120/80 bilaterally; temperature--99.5[degrees]F taken in the ear; strong and regular heart, no bruits or murmurs; and lungs and bronchials clear, vocal
fremitus normal.
Auscultation revealed no pericardial
fremitus; no ascitic fluid was detected.
tempore quo primum
fremitus insurgere opertos caelicolum et regni sensit novitate tumentes Iuppiter aetheriae nec stare silentia pacis, Iunonem volucri primam suspendit Olympo horrendum chaos ostendens poenasque barathri.
Vocal
fremitus is another scanning technique sonographers can use to distinguish a solid tumor from normal breast tissue.
non bella norant, non tubae
fremitus truces, non arma gentes, cingere assuerant suas muris nec urbes: pervium cunctis iter, communis usus omnium rerum fuit; et ipsa Tellus laeta fecundos sinus pandebat ultro, tam piis felix parens et tuta alumnis.(10)
Physical examination was negative apart from dullness at the fight lung base with decreased vocal
fremitus and diminished breath sounds.