. Essentials of diagnosis. Arranged in the form of questions and answers prepared especially for students of medicine . The relations of the heart, hings, liver, stomach and spleen, as seen from thefront (Weil). The deeply-shaded areas represent the portions of the heart, liverand spleen not covered by the lungs; the lightly-shaded areas represent portionscovered by the lungs, b, c,d, boundary between lung and heart; e /, lower bound-aries of lungs ; (/ /), upper boundaries of lungs; I, lower limit of hepatic dulness ;m, area of splenic dulness; ?i, greater curvature of stomach; ^, upper limit


. Essentials of diagnosis. Arranged in the form of questions and answers prepared especially for students of medicine . The relations of the heart, hings, liver, stomach and spleen, as seen from thefront (Weil). The deeply-shaded areas represent the portions of the heart, liverand spleen not covered by the lungs; the lightly-shaded areas represent portionscovered by the lungs, b, c,d, boundary between lung and heart; e /, lower bound-aries of lungs ; (/ /), upper boundaries of lungs; I, lower limit of hepatic dulness ;m, area of splenic dulness; ?i, greater curvature of stomach; ^, upper limit ofdeep hepatic dulness. costal arch on the other. The left lobe extends into the lefthypochondrium and the dulness to which it gives rise is practi-cally inseparable from the cardiac percussion-dulness. Floating Liver. To what symptoms does a floating liver give rise ? Occasionally the coronary ligament of the liver becomes length-ened and the organ acquires an abnormal freedom of movement. 224 ESSENTIALS OF DIAGNOSIS. FiP. Sho-sving the relations of the kings, liver, spleen and kidneys, as seen from behind(Weil-Liischka). The deeply-shaded areas represent portions of the liver andspleen not covered by the lungs; the lightly-shaded areas represent portionscovered by the lungs, a b, lower border of the lungs; e d, boundaries of comple-mentary pleural spaces ; f/jr, divisions bet-sveen lobes of lungs; ;, lower marginof liver. That such an unusual tumor in the abdomen is the liver is de-termined by the size and conformation of the organ, by the per-cussion-resonance in the normal region of the liver and by theabsence of the phenomena of malignant disease. Congestion of the Liver. What are the symptoms of congestion of the liver ? Coiujestion of the liver results from derangement of the circula-tion dependent upon disease of the heart or lungs, or upon com- ACUTE HEPATITIS. 225 pressioii of the hepatic vessels ; it may result from constant irri-tation of the hepatic cells by


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectdiagnos, bookyear1892