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THE ANATOMIC EXPLANATION OF THE GREATER AMOUNT OF VOCAL FREMITUS AND VOCAL RESONANCE NORMALLY FOUND AT THE APEX OF THE RIGHT LUNG

1909; American Medical Association; Volume: III; Issue: 1 Linguagem: Inglês

10.1001/archinte.1909.00050120026002

1538-3679

George Fetterolf,

Literature Analysis and Criticism

HISTORICAL Writers on physical diagnosis have for many years agreed that in the normal chest both vocal fremitus and vocal resonance are more marked on the right side than on the left. This phenomenon, according to Walshe, 1 was first noted by Stokes, but the original statement I have been unable to find in the available published writings of Stokes. Skoda, 2 in his classical work on auscultation and percussion, Markham's translation of which was published in 1854, states that ``the voice of the same individual, whether his thoracic organs be healthy or unhealthy, is not heard equally loud at all parts of the thorax,'' but the concrete fact of the normal difference between the two sides evidently escaped him, as he makes no mention of it. Walshe, 3 in 1860, states of fremitus : ``As a general rule, the intensity of the fremitus is considerably greater on