Am J Med Sci Volume 101

Am J Med Sci Volume 101

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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. 1891 edition. Excerpt: ... and distended, especially in the hepatic region. Palpation: Soft liver-edge felt distinctly about two and three-quarter inches below costal margin, in right nipple-line. In the left hypochondrium a hard body is felt coming out from below the ribs. It seems continuous with the liver, but its edge is much harder. It reaches one and a half inches below the edge of the ribs, in the left nipple-line. (When the abdominal distention subsided a little, this was found to be the enlarged spleen.) Extending downward from the left hypochondrium, a large, oblong, solid mass is felt: the lower end is rounded and superficial, and extends fully an inch below the anterior superior spine, while the upper end is deeply situated, and cannot be touched by the hand. (It was found afterward that this tumor did not move with respiration; and it turned out, post-mortem, to be the left kidney.) No enlarged glands felt; no ascites. Percussion (Fig. 2): Liver dulness begins above at the upper margin of the fifth rib in the right nipple-line, becomes absolute at the sixth rib, and extends down about seven inches, to two and three-quarter inches below the costal margin. I/ymphatic glands: Almost all those which can be felt are more or less enlarged. They are soft, separate, and painless. Those in the parotid region form a prominent tumor on each side of the face, like half a small Tangerine orange. Several of the submaxillary lymphatic. glands on each side are enlarged to the size of a hazel-nut. The sub occipital, mastoid, supra-hyoid, superior cervical, and both sets of deep cervical glands, are enlarged, varying in size from that of a pea to that of a large bean. Those in both axillae are large, and the right supracondyloid is the size of a large pea. There are...show more

Product details

  • Paperback | 330 pages
  • 189 x 246 x 18mm | 590g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 123699051X
  • 9781236990518