Principles and practice of physical diagnosis (1911) (14764967585)

Identifier: principlespracti1911daco (find matches)

Title: Principles and practice of physical diagnosis

Year: 1911 (1910s)

Authors: Da Costa, John C., jr., 1871-

Subjects: Diagnosis Diagnosis

Publisher: Philadelphia and London : W.B. Saunders Company

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

Text Appearing Before Image:

e fingerslike a ball of putty. In ad-vanced senility and in the multi-para the abdominal parietes arethin, toneless, and relaxed, andas the effect of long-continueddistention the skin of the ab-domen becomes tense, shiny,preterna rurally dry, and evenduskily blue in the dependentparts of the flanks. Increasedthickness of the abdominal wallmay be muscular, fatty, oredematous. Edema of this re-gion is recognized as a boggythickening which pits uponpressure like a soft apple, es-pecially in the flanks and loins;it is commonly part of the ana-sarca of renal or cardiac disease,and may or may not be associ-ated with ascites. Angioneu-rotic edema occasionally at-tacks the abdominal wall,appearing as an ephemeral local tumefaction, too tense to pit deeplyand either blanched or of a scarlet hue. In the exceptional in-stance diffuse purulent infiltration may account for a widespreadedematous thickening of the abdominal parietes. As types of color changes in the skin of the abdomen and elsewhere

Text Appearing After Image:

Fig. 203.—Venous engorgement of the ab-dominal wall (Jefferson Hospital). 488 PHYSICAL DIAGNOSIS there are to be recalled the saffron discoloration of icterus; the bluemottling of cyanosis; the dark pigmentation of Addisons disease,peritoneal tuberculosis, argyria, and vagabondism; the dirty brownor yellow patches of tinea versicolor; and the coppery macular areasof syphilis. Multiple white, silvery, or, rarely, pigmented linearmarkings upon the abdomen may have been caused by pregnancy,ascites, and various causes of chronic abdominal distention; gener-ically, these streaks are designated as linece albicantes, or, if due to preg-nancy, as linece gravidarum. The appearance of a white line uponthe skin of the abdomen (ligne blanche abdominale) after frictionwith a blunt instrument is described by Sargent as an occasionalfinding in suprarenal insufficiency. Scars, aside from those due toaccidents and to operations, may be the relic of a previous attackof syphilis, of a chancroidal bubo

nackte stehende männer Prinzipien und Praxis der körperlichen Diagnose 1911 Krampfadern Buchillustrationen Medizin medizinische Illustrationen Krankengeschichte Tuberkulose Infektionskrankheiten Bilder aus dem Internetarchiv

1911

Open Knowledge Commons and Harvard Medical School

http://commons.wikimedia.org/

public domain