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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