Medical diagnosis for the student and practitioner (1922) (14761478316)

Identifier: medicaldiagnosi00gree (find matches)

Title: Medical diagnosis for the student and practitioner

Year: 1922 (1920s)

Authors: Greene, Charles Lyman, 1862-

Subjects: Diagnosis

Publisher: Philadelphia, Blakiston

Contributing Library: The Library of Congress

Digitizing Sponsor: The Library of Congress

Text Appearing Before Image:

gely overcome is apparently normal in size(13 cmJ and position, though markedly displaced originally. Patient slender and smallboned, but otherwise of exceptionally good physique. (.Compare with Fig. 145.) a large communicating opening exists, the signs may be merely those of anenormous open pulmonary cavity with firm nails. * In the most extreme cases of this kind ever encountered by the author, theentire right lung, save for a few shreds, had been destroyed and very imperfectphysical signs of pneumothorax were present. The opposite lung, also the seatof multiple tuberculous foci, had so hypertrophied as to encroach upon its emptyair-filled fellow, and thrust the heart so far into that cavity as to give the appearance of asills inversus. DISEASES OF THE LUNGS AND PLEURA 38l Metallic gurgling and bubbling may result, if a patent fistulous openingenters below the level of the fluid. (See above.) /;/ diaphragmatic hernia the history, the X-ray, borborygmi (rumbling, Diaphragmatichernia.

Text Appearing After Image:

Fig; 146.—Apparently causeless pneumothorax. Case quoted in text occurring ab-ruptly in man of perfect health, robust physique, and extraordinarily clean family andpersonal history. Absolutely well up to this time (ten years). This picture was takentwo weeks after onset. Note expanding left lung. Heart showed a decided reduction insize a few weeks later (total transverse measurement n cm.). Modified drop. Suchhearts are apparently almost invariably associated with a symptomless gastroptosis, anassociated asthenic stigma less readily remedied structurally than the cardiac stigma.Initial small exudate promptly absorbed in this instance. (See Fig. 144.) cooing,) and the change of note on taking large quantities of water into thestomach or colon may assist in differentiation. Such hernias are almost invariably left sided, which fact goes far to rulethem out when the right half of the thorax is found air-filled. Roentgeno- 382 MEDICAL DIAGNOSIS graphy after the ingestion of a bismuth mea

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1922

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