. The diagnosis and treatment of diseases of women. he local plastic or irritative peritonitis that not infrequently takes place when atumor lies against the abdominal wall. The hand is pressed oA^er the mass duringforced respiration. Occasionally the friction rub may be obtained over the liver orspleen, when there is a local peritonitis there. 28 THE PHYSICAL EXAMINATION PERCUSSION OF ABDOMEN. AREAS OF DULLNESS. Percussion over the abdomen serves to confirm tlie information obtained by pal-pation, and also brings out some new facts—for example, by outlining accurate^the area of dullness it sh
. The diagnosis and treatment of diseases of women. he local plastic or irritative peritonitis that not infrequently takes place when atumor lies against the abdominal wall. The hand is pressed oA^er the mass duringforced respiration. Occasionally the friction rub may be obtained over the liver orspleen, when there is a local peritonitis there. 28 THE PHYSICAL EXAMINATION PERCUSSION OF ABDOMEN. AREAS OF DULLNESS. Percussion over the abdomen serves to confirm tlie information obtained by pal-pation, and also brings out some new facts—for example, by outlining accurate^the area of dullness it shows at what portion of the abdominal wall the tumor orfluid lies against the wall, and at what portion there is intervening intestine. Itshows also whether the mass or fluid changes relations when the patient changesposition. In a ventral hernia (intestinal), it shows that the large mass, which mightbe taken for a tumor or inflammatory mass, is resonant—i. e., it contains air, andtherefore must, under ordinary circumstances, contain
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