The medical examination for life insurance and its associated clinical methods : with chapters on the insurance of substandard lives and accident insurance . es belowthe ensiform cartilage, and blends its dullness with that of thesuperficial cardiac area. Another important area is that included between the lowerborder of the left lung, the spleen, the inferior costal margin,and the left lobe of the liver. This is known as Traubes semi-lunar space, and derives its importance largely from the fact 1 ill I \ \MI\ \ I I >N I I I III < HI - I that it is normally resonanl because of tin- under
The medical examination for life insurance and its associated clinical methods : with chapters on the insurance of substandard lives and accident insurance . es belowthe ensiform cartilage, and blends its dullness with that of thesuperficial cardiac area. Another important area is that included between the lowerborder of the left lung, the spleen, the inferior costal margin,and the left lobe of the liver. This is known as Traubes semi-lunar space, and derives its importance largely from the fact 1 ill I \ \MI\ \ I I >N I I I III < HI - I that it is normally resonanl because of tin- underlying stomach,ami, further, because the pleural border occupies its upper pleurae extend much lower than the lung margin, being two . pleura inclu-s inferior in the mammary line; reaching a maximum offour inches in midaxilla, and one and one half inches in tin- scapu-lar line. It will thus he readily seen that any effusion of fluid intothe left pleural sac will, if free, produce an area of movable orshifting dullness in Traubes space, and that any i: 1 the size of the left lobe of the liver or of the spleen may reduce it-lateral Fig. 16.— by the lung, spleen, and liver, and the costal margin. Shows regionof pleural sinus in which movable dullness may appear in left-sided pleuraleffusion. The spleen lies normally under the ninth, tenth, and eleventhribs, its anterior border corresponding to a line drawn from thesternoclavicular junction to the point of the twelfth rib. Whenenlarged, it encroaches upon Traubes -pate, passing downwardand forward in the direction of its normal axis, and being, likethe liwr, markedly affected by the movement- of the diaphragm,it descends in inspiration, ascends in expiration. From the :it appear- that, excepting the an ial and d cardiac dullness, the whole anterior portion of the U 2i8 THE MEDICAL EXAMINATION FOR LIFE INSURANCE. Relation to sur-face from the apex of the lungs downward to the sixth rib is
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectdiagnosis, bookyear19
