. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. aredwith the radials or the apex beat is a less important sign. At the left ster-nal border in the first and secondintercostal spaces there may be dul-ness, with distinct heart sounds,murmurS; and pulsation. Perfora-tion may take place and an externaltumor present in this region—anuncommon event. Aneurisms of the DescendingThoracic Aorta.—The sac is usuallylow down, resting upon the dia-I^hragm and the left side of thebodies of the lower dorsal vertebrse, which are eroded. Among the
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. aredwith the radials or the apex beat is a less important sign. At the left ster-nal border in the first and secondintercostal spaces there may be dul-ness, with distinct heart sounds,murmurS; and pulsation. Perfora-tion may take place and an externaltumor present in this region—anuncommon event. Aneurisms of the DescendingThoracic Aorta.—The sac is usuallylow down, resting upon the dia-I^hragm and the left side of thebodies of the lower dorsal vertebrse, which are eroded. Among the pressure phenomena are dysphagia, intensepain radiating to the left, pleuritic friction, impaired resonance, togetherA;\ith feeble respiratory sounds and small mucous rales in the lower scapularregion near the spine. A pulsating external tumor may present in theback. Pain is usually present, but the other phenomena may be whollyabsent and the condition overlooked. As a rule large aneurisms are sacculated and increase in size ^ithoutinvolving other portions of the aorta than that from which they Fig. 361.—Sphygmograms in aneurism of thedescending arm of aortic arch. I, right radial pulse;II, left radial. Same case as Fig. 360.—Groedel. ANEUIIISM, (i7J
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
