Increased tactile fremitus

System: Chest & Breathing Signs · All chest & breathing signs

What it is — and how it is elicited

The vibration felt by the palms on the chest wall when the patient repeats 'ninety-nine' is stronger over one area of lung.

What a positive finding suggests

Associated with consolidation of the underlying lung; fremitus is reduced with pleural effusion or pneumothorax.

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Please note: This page is an educational reference about clinical examination signs. A clinical sign supports — and never replaces — a full clinical evaluation, examination and appropriate testing. A sign being present does not by itself prove a diagnosis, and an absent sign does not rule one out. If you have symptoms that worry you, see a health professional.