Physical diagnosis, including diseases of the thoracic and abdominal organs : a manual for students and physicians .. . Impaired Normal Variation in sound caused by changes in pulmonary tissue as elicited by the force of percussion blow. duced by forcible percussion in the normal lung whenthe thorns is very elastic, as in children. PERCUSSION. 95 Decrease in Size.—As the pulmonary resonance isdue to the air contained in the lung, diminution in theamount will be attended by a corresponding decrease of Fig. Oeep Seated Consolidation masked by V Empliysematous Lung Localized EmphysemaCompens


Physical diagnosis, including diseases of the thoracic and abdominal organs : a manual for students and physicians .. . Impaired Normal Variation in sound caused by changes in pulmonary tissue as elicited by the force of percussion blow. duced by forcible percussion in the normal lung whenthe thorns is very elastic, as in children. PERCUSSION. 95 Decrease in Size.—As the pulmonary resonance isdue to the air contained in the lung, diminution in theamount will be attended by a corresponding decrease of Fig. Oeep Seated Consolidation masked by V Empliysematous Lung Localized EmphysemaCompensatorytoConsolidation(Dulness) Dulness withTympanitic quality resonance. If the displacement of the air is completethen percussion of that portion of the lung will be sim- 96 TEE RESPIRATORY SYSTEM. ilar to that obtained over any solid, airless tissue, as thethigh or liver, and the sound will be designated as flat, It is necessary that a clear distinction be made be-tween dullness and flatness. As long as any resonancecan be detected, the term dullness must be used withsome qualifying word denoting its degree. Flatnessmeans that the sound is absolutely devoid of any reso-nance. Fig. 30.


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