A handbook of physical diagnosis comprising the throat, thorax and abdomen, tr. by A. Napier1879 |
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A Handbook of Physical Diagnosis Comprising the Throat, Thorax and Abdomen ... Paul Guttmann Geen voorbeeld beschikbaar - 2016 |
Veelvoorkomende woorden en zinsdelen
abdominal acid affection alveoli amphoric aorta aortic aortic orifice apex audible auscultation becomes blood bowel bronchi bronchial catarrh bronchial respiration bronchophony cardiac cartilages catarrh caused cavity character chest chest-wall colour considerable contraction cough diagnostic diaphragm diastolic dilatation diseases dull dulness effusion emphysema enlargement examination expectoration expiration fluid frequently give rise glottis heard heart hepatic hypertrophy impulse increased inspiration insufficiency intensity intercostal space intestinal jugular vein kidneys larynx latter left ventricle less liver lobe loud lower lung mitral mucous membrane muscles normal observed occurs organs orifice palpation pathological patient percussion percussion-sound phthisical pitch pleural pneumonia pneumothorax portion posterior present pressure pulmonary artery pulsation pulse quantity râles rare region resonance respiratory murmur respiratory sound right ventricle side sometimes sound spleen sputa sputum stenosis sternum stomach surface systolic murmur tension thorax tion tissue tumour tympanitic upper urine usually valves venous vesicular vessels vibration vocal cords walls
Populaire passages
Pagina 423 - ... from the size of a pin's head to that of a pea ; scattered through a large body of sand or clay ; and in this state it is called by the Mandingoes sanoo munko,
Pagina 277 - I have already said that Outtmann adduces as an explanation of reduplication of the first sound a theory which I find it impossible to accept, viz., " non-synchronous tension of the individual segments of the semilunar valves.
Pagina 278 - ... likely to produce murmur rather than reduplication. But Guttmann says that reduplication of the second sound in mitral stenosis is difficult to account for satisfactorily, and in this I quite agree with him. He adds, " The broken diastolic sound is (so far as I have observed) certainly not loudest over the large vessels, but at the lower part of the sternum and near the apex of the heart, and is further absent in the more marked cases of mitral contraction, precisely in the cases iu which the...
Pagina 72 - PEBCUSSION is a most important aid to the physical diagnosis of disease in the thorax or abdomen. What is called immediate percussion consists in striking the thorax directly with the tips of the fingers. It is a method now abandoned, as it does not enable us to distinguish with sufficient precision between the finer shades of difference in t\.i pitch or quality of percussion sounds.
Pagina 288 - Murmurs arising at the mitral valve are loudest at the apex of the heart, or just above it; tricuspid murmurs are loudest over the lower part of the sternum; pulmonary murmurs, in the second left intercostal space close to the sternum, and aortic murmurs in the second right intercostal space at the edge of the sternum.
Pagina 355 - ... and left lumbar regions. The contents of the above-named regions may be thus described : In the EPIGASTRIC REGION lies the stomach, its lower border or larger curvature crossing the epigastrium in a curved line situated nearly midway between the point of the ensiform cartilage and the umbilicus. A small portion of the anterior surface of the stomach, and the larger part of its great curvature, are in direct contact with the abdominal parietes anteriorly ; the rest of the organ is covered over,...
Pagina 56 - ... centre (so as to contract the arteries), as the carbonic acid had previously done. With the relief of arterial spasm, and a consequent normal dilation of the arteries, " the anaemia of the respiratory centre passes off, and with it the exaggerated impulse to respiration, and breathing , once more becomes superficial." (p. 137.) In other words, the respiratory centre functionates best when it is supplied not only with non-arterialized blood, but when it has too little even of that; as soon as...
Pagina 263 - Many have attempted to distinguish in the intracardial-tension-tone in turn three sets of components: (1) the tension of the mitral and tricuspid valves; (2) the tension of the semilunar valves of the aorta and pulmonary artery; and (3) the tension of the muscular walls of the left and right ventricles. It seems desirable, certainly, to keep in mind the fact that the normal first sound is due to a combination of the sounds produced in the two ventricles, inasmuch as in disease the components due...
Pagina 341 - In the right hypochondriac region lies the liver, occupying the concavity of the diaphragm with its upper convex surface, while that portion of it which is in contact with the thoracic and abdominal wall extends on the front of the chest from the sixth rib superiorly to the margin of the arch of the ribs inferiorly, and reaching in the median line to midway between the base of the ensiform cartilage and the umbilicus. To the left of the median line it is scarcely possible to define the upper limit...
Pagina 94 - On percussion, the larynx yields a tympanitic sound, the pitch of which is higher when the mouth is open, lower when the mouth is closed.