. A practical treatise on medical diagnosis for students and physicians . k, ordevelops insidiously if tuberculous. Physical Signs. Chronic jileurisy causes great deformity of the chestfrom contraction, and compensatory emphysema of the healthy lung. Theheart is dislocated or can not be found on physical examination, because itis overlapped by lung or is drawn behind the sternum. There is con-siderable spinal curvature, dislocation of the scapula, deformity of theshoulder, and indrawing and overlapping of the ribs at the base of thechest. Chronic Pleurisy with Effusion. This results from an ac
. A practical treatise on medical diagnosis for students and physicians . k, ordevelops insidiously if tuberculous. Physical Signs. Chronic jileurisy causes great deformity of the chestfrom contraction, and compensatory emphysema of the healthy lung. Theheart is dislocated or can not be found on physical examination, because itis overlapped by lung or is drawn behind the sternum. There is con-siderable spinal curvature, dislocation of the scapula, deformity of theshoulder, and indrawing and overlapping of the ribs at the base of thechest. Chronic Pleurisy with Effusion. This results from an acute attackof pleurisy, in which the fluid remains unabsorbed, or from a series ofattacks. Symptoms. So far as subjective symptoms go it may remain latent;patients so affected not infrequently go about their Movk with compara-tively little dyspnoea. There may be an evening rise of temperature andacceleration of the pulse. Chronic effusions are more likely to be puru-lent in children than in adults. When empyema results, the fever PLATE XXIX. FIG. 1. — Anterior mj^ \4 FIG. 2.—Posterior Aspect. \ \ y
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