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Whispered pectoriloquy refers to an increased loudness of whispering while the physician is listening using a stethoscope on the lung fields on a patient's back.[1]

Usually sounds of this volume would not be heard when whispered. It is a test performed during a medical physical examination to evaluate for the presence of lung consolidation, which could be caused by cancer or pneumonia.

Contents

[edit] Related tests

The test is similar to the test for bronchophony and egophony. In bronchophony, the physician often asks the patient to whisper “ninety-nine” or "sixty-six" while listening over the lung fields: the sound will be louder in areas where consolidation is present.

[edit] History

The choice of "ninety-nine" is the unfortunate result of a literal translation. The test was originally described by a German physician who used the phrase "neun und neunzig" (IPA /nɔʏ̯nʊntnɔʏ̯ntsɪç/), which he chose because it contains diphthongs, calculated to cause maximum vibration of the chest. The translation, "ninety-nine", has fewer vowels and is less effective in evoking the phenomenon.[2] Better phrases in English include "toy boat”, "Scooby Doo", and “blue balloons".

[edit] See also

[edit] References

  1. ^ http://faculty.etsu.edu/arnall/www/public_html/heartlung/breathsounds/contents.html
  2. ^ Salvatore Mangione (2000). Physical diagnosis secrets. Philadelphia: Hanley & Belfus. pp. 330. ISBN 1-56053-164-9. 



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