. Medical diagnosis for the student and practitioner. Fig. 374.—Mitral Stenosis Uppershading.—Area of audibility of simu-lated doubling of second sound. Lowershading.—Unusual area of murmurtransmission. See authors note underFig. 308. {Sansom-Bramwell.) Fig; 373.—Mitral Stenosis. Point •of maximum intensity and transmissionin pure mitral stenosis. The murmursmay be heard quite clearly at the leftback and outward from the apex beatinto mid-axilla in certain unusual in-stances, if the murmur is loud and theleft auricle greatly enlarged. Eventhese do not often carry completelythrough the axillary

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. Medical diagnosis for the student and practitioner. Fig. 374.—Mitral Stenosis Uppershading.—Area of audibility of simu-lated doubling of second sound. Lowershading.—Unusual area of murmurtransmission. See authors note underFig. 308. {Sansom-Bramwell.) Fig; 373.—Mitral Stenosis. Point •of maximum intensity and transmissionin pure mitral stenosis. The murmursmay be heard quite clearly at the leftback and outward from the apex beatinto mid-axilla in certain unusual in-stances, if the murmur is loud and theleft auricle greatly enlarged. Eventhese do not often carry completelythrough the axillary space but suffer lossof audibility at the posterior axilla.{Sansom-Bramwell.) The murmur is at times completely lacking, yet the presence of the lesionis often definitely suggested in silent cases by the peculiar accent and qualityof the first mitral tone alone. It has been suggested that inhalations of nitrite of amyl may be usedto develop a latent concealed bruit of mitral stenosis and the procedureis not without value if carefully appl

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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922