It is auscultating the patients chest in different fields hen the child speaks


  • Ask the patient to repeat words like ‘Ninety Nine’ continuously in the same tone and voice depth
  • No auscultate the lung in different area like upper lobe, middle lobe and lower lobe.
  • Auscultate the same areas simultaneously, i.e once on the left lung and similar area in right lung
  • Listen to the healthy side first and then the affected side

Conditions with dull vocal resonance

  • Pleural effusion
  • Pneumothorax
  • Thick pleura
  • Lung fibrosis

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