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albumen alkaline ammonia aorta aortic apex appear artery audible auscultation bladder blood bronchi bronchial tubes bronchophony cardiac cartilage casts cavity changes character chest wall clavicle clinical colour costal crepitating crystals cystine density diabetes diagnosis dilatation diminished disease dulness edge emphysema examined exists expiration fingers fluid fremitus frequently friction-sound grains healthy heard heart inch increased inspiration intensity kidney Laennec left side liver lower middle line mitral mitral regurgitation movements mucus murmur nipple nitric acid observed obstruction occur organic oxalate of lime patient percussion pericardial phosphates pleura pleurisy pleuritic effusion pleximeter pneumothorax portion praecordial presence produced pulmonary pulmonic quantity region regurgitation respiration respiratory respiratory sounds rhonchus ribs right side scapula second sound solid sometimes specific gravity sternal sternum stethoscope sugar surface symptoms systolic thorax tion trachea tricuspid tympanitic upper urates uric acid urinary deposit urine urine containing usually valves ventricle vesicular vessels vibration vocal resonance Walshe
Page 109 - In consequence of these various experiments I now employ a cylinder of wood, an inch and a half in diameter and a foot long, perforated longitudinally by a bore three lines wide, and hollowed out into a funnel shape to the depth of an inch and a half at one of the extremities.
Page 212 - They are generally much emaciated, excepting in slight cases, extremely nervous and painfully susceptible to external impressions, often hypochondriacal to an extreme degree, and in very many cases labour under the impression that they are about to fall victims to consumption.
Page 104 - So long as percussion is made over the body of the heart, a distinct sharp shock is felt directly in the ear: but, as soon as the limits of the heart are passed this sharp shock immediately ceases, and that even in passing from one solid organ to another in contact with it, as from the heart to the liver.
Page 74 - Percussion over the empty stomach gives the best example of the first kind of sound ; over the distended bladder, of the second ; and over the liver, of the third.
Page 41 - In inspiration, the clavicles, first ribs and through them the sternum and all annexed ribs are raised ; the upper ribs converge, the lower diverge ; the upper cartilages form a right angle with the sternum, and the lower of opposite sides from the seventh downwards move further asunder, so as to widen the abdominal space. The reverse happens in expiration. During inspiration...
Page 211 - Persons affected with the form of disease referable to this class are generally remarkably depressed in spirits, and their melancholy aspect has often enabled me to suspect the presence of oxalic acid in the urine. Sometimes a peculiar...
Page 74 - I consider that all these sounds may be reduced to three elementary ones ; that, in point of fact, there are only three tones occasioned by percussion, and that all the others are intermediate.
Page 141 - conveys the impression as of air entering and distending lungs which had been dried, and of which the cells had been very unequally dilated, and resembles the sound produced by blowing into a dried bladder.
Page 219 - ... firm, entangling in its meshes whatever may be in the tube at the time of its effusion.
Page 131 - ... their roots, when the substance of the lung around is condensed, as in pneumonia or by a pleuritic effusion. In the case of excavations, this variety of respiration always indicates that they are very close to the surface of the lungs . It sometimes also presents a further modification, which I call the veiled puff (souffle voile) . In this case it seems to us as if every vibration of the voice, cough, or respiration agitates a sort of movable veil interposed between the excavation and the ear.