MANUAL OF CLINICAL DIAGNOSIS
Increased vocal fremitus refers to an enhancement in the vocal vibrations felt through the chest wall when the patient speaks.
This condition suggests an increased density of the underlying lung tissue, facilitating the transmission of vibrations. The most common cause is pulmonary consolidation, where the alveolar spaces are filled with fluid, cells, or solid material, thereby increasing the density of the lung tissue.
Pathology | Clinical Symptoms and Signs | Suspected Diagnosis | Confirmatory Diagnosis |
Extensive Pulmonary Consolidation | Dyspnoea, productive cough, fever, crackling sounds, increased vocal fremitus | Medical history, physical examination, increased vocal fremitus | Chest X-ray, chest computed tomography (CT) |
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