Physical Diagnosis, with Case Examples of the Inductive Method

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D. Appleton, 1907 - 456 pages
 

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Page 177 - ... by rubbing a lock of hair between the finger and thumb close to the ear. In the next stage the sound just described cannot be heard, for as the Inflammation proceeds, the soft and spongy character of the lung is lost...
Page 388 - ... the umbilical level, to end in the sigmoid flexure lower down, near the left Poupart's ligament. The cecum is more superficially seated than the upper portion of the ascending colon. The appendix vermiformis lies, at its root, at the middle of a line drawn from the anterior superior iliac spine to the navel, near the right edge of the rectus muscle. PHYSICAL EXAMINATION OF THE INTESTINES INSPECTION Most of the general and local enlargements of the bowels have already been pointed out in the preceding...
Page 49 - SIDE), ARTIFICIALLY PRODUCED BY INJECTING AIR INTO THE RIGHT PLEURAL CAVITY. Unbroken line: outline before injection. Broken line: outline after moderate distention.
Page 315 - The examiner then inserts the tips of both index fingers under the lower edge of the cricoid cartilage, which is gently raised by them (Ewart), when, if aortic aneurism be present, an unmistakable downward tug is felt with each cardiac systole.
Page 294 - SYSTOLIC MURMUR. This is significant of relative tricuspid incompetency due to dilatation of the right ventricle arising from left-side disease or anemia. The circle shows the point of maximum intensity. It is sometimes heard over the area indicated by the radiating lines. (Butler.) extreme tension and pressure within the pulmonary circulation from mitral disease, a previously compensatory hypertrophy of the right ventricle giving way to dilation because of the backward stress, and consequently to...
Page 351 - ... (3) Next, as auricular weakness and dilation become extreme, backward pressure into the pulmonary veins occurs; engorgement of the pulmonary capillaries and arteries follows, and the result is dilation from overdistention of the right ventricle, and more or less prompt and effective hypertrophy, which after a long interval passes into marked weakening and dilation of its walls in turn. Therefore the diffuse, flabby impulse over the lung-exposed portion of the heart, the marked epigastric pulsation,...
Page 197 - Vesicu lar murmur or its modification. Normal vocal resonance. Lung tissue healthy or nearly so ; at any rate, no increased density from deposits or from pressure. Increased. Dull Bronchovesicular or bronchial.

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