Studies; Reprints Volume 16

Studies; Reprints Volume 16

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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. 1913 edition. Excerpt: ...protrusion of the abdomen make a peculiarly characteristic late clinical picture (see figure 16). In some cases there has been an association of intercostal paralysis with edema of the lungs. The presence of coarse, moist tales in both lungs in the absence of fever and of cardiac weakness, and in the absence of evidence of a bronchopneumonia at autopsy have made us feel that the process may possibly be one of vasomotor origin. The diagnosis of paralysis of the intercostal muscles is less simple than that of the diaphragm, for in many children the normal type of respiration is almost wholly diaphragmatic and suggestive of weakness of the intercostals. I11 typical paralysis of the intercostal muscles, respiration is wholly abdominal, the thorax moves very slightly, its movement on inspiration being downward and backward instead of forward and upward. There is sometimes a sucking inwards of the intercostal spaces and, in children with flexible chest walls, of the lower part of the chest on inspiration (figures I6 and I7). Pressure over the abdomen does not induce a thoracic type of respiration, but it causes rapid, labored breathing, an effect not produced by compression of the chest. Both intercostal and diaphragmatic paralyses predispose to the development of bronchopneumonia (cases I4, I5, and 16, pages 145, I47, and I49). Paralysis of the Abdominal M uscles.---The statements of various observers show a great divergence of opinion as to the frequency of paralysis of the abdominal muscles. From a study of our own cases, we have felt that an accurate estimation of its occurrence is extremely difficult, for the diagnosis in an acutely sick child of a transient weakness or paralysis of the abdominal wall is by no means easy. It is readily...
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Product details

  • Paperback | 198 pages
  • 189 x 246 x 11mm | 363g
  • United States
  • English
  • black & white illustrations
  • 1236892518
  • 9781236892515