. Physical diagnosis . Fig. 32.—Branchial Cyst. ing areas in it, but without any distinct lumps or sharp outlines, isstrongly suggestive of actinomycosis, and should always lead to a microscopic examination ofexcised portions or of the dis-charge. Fistulae may form, but are lesscommon than in tuberculosis. VIII. A Cervical Rib, springing from the seventh cer-vical vertebra and ending freeor attached to the first thoracicrib, appears in the neck as anangular fulness which pulsates,owing to the presence of thesubclavian artery on top of rarely produces any symp-toms and is generally encoun
. Physical diagnosis . Fig. 32.—Branchial Cyst. ing areas in it, but without any distinct lumps or sharp outlines, isstrongly suggestive of actinomycosis, and should always lead to a microscopic examination ofexcised portions or of the dis-charge. Fistulae may form, but are lesscommon than in tuberculosis. VIII. A Cervical Rib, springing from the seventh cer-vical vertebra and ending freeor attached to the first thoracicrib, appears in the neck as anangular fulness which pulsates,owing to the presence of thesubclavian artery on top of rarely produces any symp-toms and is generally encoun-tered when percussing the apexof the lung. The bone can befelt behind the artery by carefulpalpation and demonstrated by. Fig. 33.—Mediastinal Neoplasm with CervicalMetastases and Obstructed Vena Cava. radiography. Pain or wasting in the arm, and occasionally throm-bosis may occur. 36 PHYSICAL DIAGNOSIS IX. Inflammatory or Dropsical Swelling of Neck. Venous thrombosis, mediastinal tumors and inflammatoryexudates (see Fig. 33a) may produce oedema in the neck.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectdiagnos, bookyear1912
