Method Of Exam

• Patient to say "99" "1, 2, 3" or "E"
• Each time you lay your hands or listen
• All around the chest and compare
• Dorsal surface of your fingers or ulnar surface of your hand (tactile fremitus)
• Listen with diaphragm (vocal resonance)
• If increased have patient whisper

• Note the intensity
• Quality of pitch
• Compare