A Tabular Handbook of Auscultation and Percussion: For Students and Physicians

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Houghton, Osgood, 1878 - 97 pages
 

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Page 35 - Continued. HOW PRODUCED. USUAL SEAT. DISEASES INDICATED. Produced, according to the most rational theory (Dr. Carr's), by the abrupt separation, during inspiration, of the walls of the air-vesicles, which had, after the preceding expiration, become adherent by means of the viscid exudation incident to the early stage of inflammation. This mode of its production can be illustrated by moistening the thumb and finger with a little paste or solution of gum arabic, and alternately pressing them together...
Page 61 - Vocal fremitus diminished or suppressed. Displacement of heart. Fluctuation. Sense of elasticity above and of resistance below the level of the liquid. When this disease occurs, it is generally a complication of phthisis. The relative proportion of air or gas and water varies in different cases and in the same case at different times, especially if communication with the external air continues.
Page 34 - Fine, dry, crepitating or crackling sounds, compared to those produced by tine salt on a fire, or by rubbing a lock of hair between the thumb and finger close to the ear.
Page 56 - Wanting; except at the summit over or near the compressed lung, where it is bronchial.
Page 37 - Drops of fluid fall from the upper part of the space upon the surface of the liquid below, when the patient, previously lying down, sits or stands up.
Page v - It is hardly to be expected that practitioners who do not make a specialty of lung and heart diseases, even if they have at some time carefully studied into the subject, and have been well posted, can retain in their memories for immediate use at all times every point necessary for a delicate physical diagnosis.
Page 43 - By slight consolidation of the lung tissue around the air tubes, whereby the sound-reflecting power of the tubes is increased, and the pulmonary parenchyma is rendered more homogeneous and a better soundconductor.
Page 36 - The slight rubbing or grazing character may be imitated by placing over the ear the palmar surface of one hand, and moving over its dorsal surface slowly the pulpy portion of a finger of the other hand.
Page v - ... every point necessary for a delicate physical diagnosis. If the case be at all obscure, they feel the necessity of consulting some authority. In such emergencies, the busy doctor may appreciate such a time and labor saving contrivance as the present. It often needs only a word here and there to revive memories of extensive reading.
Page 44 - A ringing sound of a metallic quality, not distinctly articulated, not transmitted forcibly through the stethoscope, but resembling the sound produced by speaking into an empty jar.

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