Increased Vocal Resonance
Overview
Increased resonance of vocal sounds on auscultation of the chest.
Significance
- Occurs due to increased density within the lung parenchyma.
 
Causes of Increased Vocal Resonance
- Pneumonia
 - Atelectasis
 - Lung cancer
 
Why Blue Balloons?
Tactile fremitus was first described by a German physician who called for the patient to say "neunundneunzig" (ninety-nine). "Blue Balloons" is an English phrase that closely resembles the sound and vibration emitted from the lungs when saying "neunundneunzig" (a low frequency 'diphthong' phrase).
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