Palpation of the Posterior Lungs with 2 hands using the technique called tactile fremitus

POINTS TO REMEMBER:

1. You may use either the two hand or one hand method when assessing for tactile fremitus
2. Ask the patient to say "99" each time you move your hands
3. Using the palms of your hands, start at the apex (top) of lungs and proceed down the back to the base (bottom) of lungs and then move your hands to the lateral chest
4. Vibrations palpated will be loudest at the apex and will decrease in intensity as you move down the back.  Question to ask self:  Are the vibrations symmetrical? 
Normal finding-Symmetrical

Click on the link below to watch this flash movie on using the technique of tactile fremitus using 2 hands on the posterior thorax