== Fremitus: Medical Term and Christian Outreach==

Medical Term and a Christian Outreach

Fremitus is a palpable vibration on the human body. In common medical usage, it usually refers to (tactile) vocal fremitus, although there are several other types.

Bronchial Fremitus

See rhonchal fremitus below.

Hepatic Fremitus

Hepatic fremitus is a vibration felt over the patient's liver. It is thought to be caused by a severely inflamed and necrotic liver rubbing up against the peritoneum. The name 'Monash sign' has been suggested for this clinical sign, after the Monash Medical Centre in Melbourne, Australia (Nagappan et al, 2001).

Hydatid Fremitus

Hydatid fremitus is a vibratory sensation felt on palpating a hydatid cyst.

Pectoral Fremitus

See vocal fremitus below.

Pericardial Fremitus

Pericardial fremitus is a vibration felt on the chest wall due to the friction of the surfaces of the pericardium over each other. See pericardial friction rub for the auditory analog of this sign. In medicine, a pericardial friction rub, also pericardial rub, is a sign on the precordial exam, detected by auscultation, that suggests irritation of the pericardium and the diagnosis of pericarditis. ...

Pleural Fremitus

Pleural fremitus is a palpable vibration of the wall of the thorax caused by friction between the parietal and visceral pleura of the lungs. See pleural friction rub for the auditory analog of this sign.

Rhonchal Fremitus

Rhonchal fremitus, also known as bronchial fremitus, is a palpable vibration produced during breathing caused by partial airway obstruction. The obstruction can be due to mucus or other secretions in the airway, bronchial hyperreactivity, or tumors. See rhonchus (rhonchi) for the auditory analog of this sign. An abnormal or adventitious sound heard when listening to the chest as the person breathes. ...

Subjective Fremitus

Subjective fremitus is a vibration felt by the patient on humming with the mouth closed.

Tactile Fremitus

See vocal fremitus below.

Tussive Fremitus

Tussive fremitus is a vibration felt on the chest when the patient coughs.

Vocal Fremitus

Vocal Fremitus, also called pectoral fremitus, or tactile vocal fremitus, is a vibration felt on the patient's chest during low frequency vocalization. Commonly, the patient is asked to repeat the phrase 'ninety-nine' while the examiner attemps to detect vibrations on the chest wall.

Vocal fremitus is normally more intense in the right second intercostal space, as well as in the interscapular region, as these areas are closest to the bronchial bifurcation. Vocal fremitus is pathologically increased over areas of consolidation and decreased or absent over areas of pleural effusion or pneumothorax (collapsed lung). Pleural effusion Chest x-ray of a pleural effusion. ... In medicine (pulmonology), a pneumothorax or collapsed lung is a medical emergency caused by the collapse of the lung within the chest cavity. ...

It has recently been suggested that the artifacts caused by eliciting vocal fremitus during breast ultrasonography can be used to differentiate between benign and malignant tumors (Sohn and Baudendistel, 1995).

References

• Nagappan R, Parkin G, Tsui A, Sievert W (2001). "Hepatic fremitus: 'Monash sign'". Intern Med J 31 (9): 567-8. PMID 11767877.

• Sohn C, Baudendistel A (1995). "Differential diagnosis of mammary tumors with vocal fremitus in sonography: preliminary report". Ultrasound Obstet Gynecol 6 (3): 205-7. PMID 8521071.

• (2005) Venes D Taber's Cyclopedic Medical Dictionary, 20th Edition, Philadelphia, PA: F. A. Davis Company. ISBN 0803612087

• (2003) Dorland WAM Dorland's Illustrated Medical Dictionary, 30th Edition, Philadelphia, PA: W.B. Saunders Company. ISBN 0721601464

Fremitus Christian Outreach

What is Fremitus?

Fremitus is a Youth Outreach co-ordinated by the Youth Outreach Team at Camden Uniting Church. The word ‘Fremitus’ is derived from a medical term which means “a palpable vibration or thrill”. Although it is a term not commonly used in a Christian sense, we as a Team believe that the feeling of Fremitus is similar to the feeling that someone gets when they begin to understand who Jesus Christ is and invite Him to become Lord of their life. In other words, the feeling of coming close to God. Please don’t get us wrong, we don’t believe that Fremitus is about a once-off feeling or putting on a hyped-up event. Our vision is to see young people come to know Jesus Christ intimately, and ultimately live a life where they are constantly in the presence of the Holy Spirit. Our heart is to see the young people of the Macarthur Region changed by the Gospel of Jesus Christ.

Who is Fremitus?

Fremitus is co-ordinated by the Youth Outreach Team at Camden Uniting Church, yet the entire number of people who band together to create the Fremitus events are too numerous to even attempt to mention. After all, the major Fremitus Event is a culmination of the efforts put in by several Churches throughout the Macarthur Region.

Fremitus Youth

Fremitus Youth is the Youth Ministry at Camden Uniting. We run two groups on Friday nights; one for students in Years 7 and 8 at School and one for students in Years 9 to 12. For more information on what’s happening at Fremitus Youth, take a look at the Youth Page.

History of Fremitus

The team that co-ordinates Fremitus started about 8 years ago, running small outreaches in our church hall. Back then it was known as “Café Church”, and the whole evening had a very “Café” style to it, with tables, chairs and dessert style food being served. Since then we have run Outreaches every year, sometimes twice a year! We have held them in our Church, on the back of a truck at a street festival, in the Camden AH&I hall and now we hold them at the Camden Civic Centre. Throughout this time, Fremitus has evolved into what we do now. Last year, fremitus had over 500 young people attend.

www.fremitus.com.au