. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Fig. 163.—Effusion over the left side rpm|wor,mi /^^n^ ^fiy ) DISEASES OF THE PLEURA 639 this quality over the whole diseased side of the chest behind, or thetubular sound may be conducted to the healthy side. The voice maybe normal above and heard faintly below, toward the base of the before exploratory puncture rests mainly on (a) com-plete absence of fremitus; (b) absolute flatness on percussion withresistance to percussion; (r) bronchial voice and breathing over thewhole
. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Fig. 163.—Effusion over the left side rpm|wor,mi /^^n^ ^fiy ) DISEASES OF THE PLEURA 639 this quality over the whole diseased side of the chest behind, or thetubular sound may be conducted to the healthy side. The voice maybe normal above and heard faintly below, toward the base of the before exploratory puncture rests mainly on (a) com-plete absence of fremitus; (b) absolute flatness on percussion withresistance to percussion; (r) bronchial voice and breathing over thewhole chest behind; (c/) hyperresonance over the apex, and displace-ment of viscera, and of the pleural fold in Fig. 164.—Empyema confined to the upper region of the left pleural ca\ity.(Roentgen ray.) X-rays.—In cases in which there is difficulty in diagnosing fluid inthe chest, especially if physical signs indicative of fluid exist and theneedle fails to establish its presence .i-rays will aid in locating the exactlocation of the fluid. This is especially the case in apical accumulationor interlobar forms of empyema. \CEMENT OF ViscERA.—Liver.—In infants and young childrenthe presence of fluid may be indicated by displacement of the liverdownward on the right side. I have been able to verify the dis-placement in cases in which large amounts of fluid were present. Ininfants the liver is so large and the projection below the border ofthe ribs so undetermined, that it is difficult to estimate the exactamount of displacement. The chest is so easily dilated that an ordi-nary amount of fluid accommodates itself without markedly displac-ing so heavy an organ as the liver. In children
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Keywords: ., bookcentury1900, bookdecade1910, bookpublish, booksubjectchildren
