ممرض يفحص الصدر ويطلب من المريض قول "اثنين وأربعين" ويشعر بزيادة الاهتزاز في الجهة اليمنى السفلى، والقرع أصم. ما الأرجح؟

Asking the client to say “ninety-nine,” the nurse feels increased vibration over the right lower chest, which is dull to percussion. What is most likely?

1. Consolidation from pneumonia
2. Diffuse emphysema
3. A right pneumothorax
4. A large right pleural effusion

Answer: A) Consolidation from pneumonia. Consolidated tissue transmits vibration better, so tactile fremitus increases with dullness in pneumonia. Effusion and pneumothorax reduce fremitus because fluid or air insulate the sound.