Epitome of Percussion and Auscultation, and the Physical Diagnosis of Affections of the Lungs and Heart ; with a Summary of the Regions of the Chest and Abdomen ... as Related to Physical Diagnosis ... (Google eBook)

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Gray, Baker & Company, 1875 - Heart - 39 pages
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Page 22 - ... kind of swimming sound. The respiratory murmur is often feeble over the whole of the upper portion of the left lung. Asystolism. Asystolism is a term " employed to designate that remarkable group of symptoms which is characteristic of an enduring inability in the right ventricle to empty itself." * The physical signs are those of dilatation of the right side of the heart. A short time before death additional signs occur, viz. : On palpation the cardiac impulse is feeble. On auscultation the heart...
Page 24 - ... vocal resonance diminished or suppressed. Vocal f'remitus wanting. Exceptionally, the bronchial respiration emanating from the compressed lung is more or less diffused, and may extend over the whole of the affected side. If the chest be partially filled, flatness or dullness on percussion from the base of...
Page 25 - Kxaggerated respiration on the healthy side when the chest is partially, and still more when it is completely filled. Pleural friction sound sometimes prior to and with liquid effusion; frequently during and after absorption of liquid. A characteristic contraction of the chest on one side follows chronic pleurisy with considerable effusion.
Page 24 - Deficient respiratory movements or immobility. The intercostal spaces on a level with the ribs, and sometimes bulging. Dislocation of the heart, its site being shown by the impulse or sounds. Normal vocal resonance diminished or suppressed. Vocal fremitus wanting.
Page 24 - Pleurisy with Effusion and Empyema. — If the pleural sac be filled either with lymphoserous liquid or pus, universal flatness on percussion over the affected side. Generally absence of respiratory sound except over the compressed lung at the summit, and, here, bronchial respiration. Enlarged dimensions of the affected side, if the liquid be sufficient to dilate the chest, as shown by mensuration and inspection.
Page 24 - ... with the ribs, and sometimes bulging. Dislocation of the heart, its site being shown by the impulse or sounds. Normal vocal resonance diminished or suppressed. Vocal fremitus wanting. Exceptionally, the bronchial respiration emanating from the compressed lung is more or less diffused, and may extend over the whole of the affected side. If the chest be partially filled, flatness or dullness on percussion from...
Page 24 - ... base of chest, extending upward to a horizontal line denoting the level of the liquid when the patient is sitting or standing. Resonance extending below this line, in front, in some cases, when the patient lies on the back, owing to a change of the level of the liquid.
Page 32 - If sugar be present in considerable quantity, an abundant precipitate of the yellowish red suboxicle of copper will be found remaining suspended in the liquid for a short time, rendering it almost opaque to transmitted light. If the quantity of sugar be small, no precipitate will appear, on the addition of but a few drops of the suspected urine.
Page 30 - First examine for albumen, and if present remove it by boiling or filtration. ~ (a) MOORE'S TEST. — Add to urine half its quantity of liquor potassa or soda...
Page 11 - Diagram showing the physiological action of the heart in connection with its external manifestations.— Guirdner.

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