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A Manual of Auscultation and Percussion

A Manual of Auscultation and Percussion


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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. Excerpt from book: Section 3Chapter II. n of llje Cmnlaforg This comprehends the auscultation of the heart, and of the great vessels. -A.IR.T. I. AUSCULTATION OF THE HEAKT. textit{ 1. Physiological Phenomena. In the natural condition, if we apply the ear to the prsecordial region, we hear a species of tick-tack, composed of two successive sounds, which are regularly repeated sixty to eighty times a minute. The first of these sounds, dull, profound, and more prolonged than the second, coincides with the striking of the point of the heart against the thorax, and immediately precedes the radial pulse; it has its maximum of intensity between the fourth and the fifth rib, below and a little outside of the left nipple. The second, clearer, shorter, andmore superficial, takes place after the pulsation of the arteries, and its maximum of intensity is nearly at the level of the third rib, a little below and to the right of the nipple. Considered in their rhythm, the sounds are repeated in the following order: at first the dull sound, then the small silence, afterwards the clear sound, and finally the great silence; every pair, with the intermediate silences constitutes a complete beat. The beats, numbering from sixty to eighty in the adult, are more frequent in infancy; and are also accelerated by exercise, the moral emotions, etc. The force of the sounds varies according to the energy and rapidity of the contractions of the heart, and the idiosyncrasy of individuals, and the physical disposition of the thorax: they are more intense in nervous subjects, with narrow and thin chests, etc. Their extent is equally variable: distinct in the prsecordial region, they weaken by degrees as we remove from this centre; they are still perceived with considerable facility, on the right side in front; they are less so on the left side at...


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Product Details
  • ISBN-13: 9781443265959
  • Publisher: General Books
  • Publisher Imprint: General Books
  • Height: 246 mm
  • No of Pages: 30
  • Spine Width: 2 mm
  • Width: 189 mm
  • ISBN-10: 1443265950
  • Publisher Date: 01 Apr 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 73 gr


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