Clinical tuberculosis . reflex spasm of the apical respiratory muscles andreduced expansion on account of the pathological changes in theunderlying pulmonary and pleural tissues. The limited motionmay also affect the base, being due to a localized inflammation ofthe pleura: or inilammation of the lung causing reflex stimulationof the diaphragm through the phreiiics and the other respiratorymuscles through their respective nerves; or to a generally re-duced elasticity as a result of extensive disease in the lung. Thislimited motion of the entire side may be seen either Avhen thedisease is limit


Clinical tuberculosis . reflex spasm of the apical respiratory muscles andreduced expansion on account of the pathological changes in theunderlying pulmonary and pleural tissues. The limited motionmay also affect the base, being due to a localized inflammation ofthe pleura: or inilammation of the lung causing reflex stimulationof the diaphragm through the phreiiics and the other respiratorymuscles through their respective nerves; or to a generally re-duced elasticity as a result of extensive disease in the lung. Thislimited motion of the entire side may be seen either Avhen thedisease is limited to a small pulmonary area at the apex, or dueto a general infection. There is also more or less general limi-tation of the motion of the entire side, even though the cause isa localized pleuritis. It is impossible to discuss changes in contour apart fromchanges in movement; because if tliere is a flattening or bulgingof the ribs it means that there must be a departure from thenormal in the movements of the parts. ) /. ^


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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherstlou, bookyear1922