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Principles and Practice of Physical Diagnosis

Principles and Practice of Physical Diagnosis


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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1909 edition. Excerpt: ...in part to compression of the bronchopulmonary structures. Syncope, vomiting, symmetric coldness of the extremities, and disturbances of the cardiac rate, rhythm, and force also occur as the result of what Gowers terms "vagal attacks." The pulse, aside from its irregularity, is of feeble volume bilaterally, if the aorta be compressed, while differences in the force of the two radials is noticed in the event of pressure upon the innominate artery or upon the left subclavian. Edema of the lower extremities, ascites, and engorgement of the surface tributaries of the inferior vena cava are visual evidences of constriction of this great venous trunk. Inequality of the pupils, and sometimes unilateral circumscribed flushing and perspiration, betoken irritation of the sympathetic cord. Palpation.--Considerable significance attaches to the sign noted by Graham Steell, who observed that the visible and palpable cardiac impulse covers an area almost coextensive with that of the entire heart, which, when encroached upon by a tumor of the posterior mediastinum, appears to thrust itself forward en masse with every systole. In other cases, where this diffuse impulse is not present, the apex-beat may merely be tilted outward and downward away from its normal site. Percussion.--Ordinarily, a tumor deep within the mediastinum is far beyond the reach of percussion, although should it extend back Fig. n1.--Radiograph of a mediastinal neoplasm. Lateral aspect, showing dense shadow in the anterior mediastinum, with infiltration of the sternum, and edema of the overlying chest-wall. (Plate by Dr. W. F. Manges.) ward against the posterior wall of the thorax, a patch of irregularly shaped dulness or flatness may be delimited in the interscapular...


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Product Details
  • ISBN-13: 9781152693487
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 202
  • Spine Width: 11 mm
  • Width: 189 mm
  • ISBN-10: 1152693484
  • Publisher Date: 01 Apr 2013
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 372 gr


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