Voice Transmission
Method of Exam

• Instruct the patient to say "1, 2, 3" or "E"
• Examine all around the chest and compare
• Use the dorsal surface of your fingers or ulnar surface of your hand (tactile fremitus)
• Listen with the diaphragm (vocal resonance)
• If increased, have the patient whisper
  • Note the intensity
  • Note the quality of pitch
  • Compare