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. 1842 edition. Excerpt: ... irregular, the heart at times suddenly receding from the ribs, and sinking down into the chest, a sort of back stroke;-while, in other cases, its contact with the ribs seems successive and gradual. In extreme cases it produces the sensation of a large mass of flesh revolving beneath the cylinder. The ...
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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. 1842 edition. Excerpt: ... irregular, the heart at times suddenly receding from the ribs, and sinking down into the chest, a sort of back stroke;-while, in other cases, its contact with the ribs seems successive and gradual. In extreme cases it produces the sensation of a large mass of flesh revolving beneath the cylinder. The first sound is loud, rather clear, and widely diffused; varying in character and extent with the relative preponderance of hypertrophy or dilatation. The second sound is often obscure over the heart itself, but is very distinct at a distance under the sternum and the larger vessels. The pulse is full, strong, and vibrating. The shock of the heart's action is often transmitted to the whole person of the patient, and to the bed on which he is lying. DIFFERENTIAL DIAGNOSIS BETWEEN DISEASES OF THE RIGHT AND LEFT CAVITIES. When the left ventricle is affected, the pulsation, impulse, loss of sound, &c. are most intense over the cartilages of the fifth, sixth, seventh, or eighth ribs, to the left of the sternum. The sounds are more distinct throughout the left than the right side of the chest, and in the larger vessels. The pulse is also modified and the arterial circulation generally. If the right ventricle is diseased, the symptoms are most strongly marked under the sternum, and to the right of that bone, as well as in the epigastrium. The sounds are most distinct on the same side, and the hepatic, pulmonary, and venous systems are also more obstructed. As a general rule it may be stated, that if on receding from the point where the morbid sounds are at their maximum, we find them replaced by healthy sounds either to the right or left, we have a clear indication of the affected side. Precautions. In estimating the amount of impulse or dulness...
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Add this copy of A Bedside Manual of Physical Diagnosis to cart. $44.63, good condition, Sold by Bonita rated 4.0 out of 5 stars, ships from Newport Coast, CA, UNITED STATES, published 2018 by Palala Press.
Add this copy of A Bedside Manual of Physical Diagnosis to cart. $61.95, good condition, Sold by Bonita rated 4.0 out of 5 stars, ships from Newport Coast, CA, UNITED STATES, published 2015 by Palala Press.
