. Transactions of the American Climatological and Clinical with scant expectoration oz. in twentv-four hours), andthis raised with difficulty. No throat symptoms. Appetiteverv poor. Digestion impaired. Bowels regular. No nightsweats or chills. Both cheeks flushed. Sleep poor,averaging from one to five hours, and not refreshing. Men-struation absent for three months prior to admission. Examination. Patient greatlv emaciated. Expression drawn andanxious, skin sallow, mucous membranes pale; markedanaemia. Teeth in good condition, tongue red, tonsilsnormal; nose, throat, and ears neg
. Transactions of the American Climatological and Clinical with scant expectoration oz. in twentv-four hours), andthis raised with difficulty. No throat symptoms. Appetiteverv poor. Digestion impaired. Bowels regular. No nightsweats or chills. Both cheeks flushed. Sleep poor,averaging from one to five hours, and not refreshing. Men-struation absent for three months prior to admission. Examination. Patient greatlv emaciated. Expression drawn andanxious, skin sallow, mucous membranes pale; markedanaemia. Teeth in good condition, tongue red, tonsilsnormal; nose, throat, and ears negative; voice clear. Oralrales absent, breath sweet, no odour. Fingers clubbed, nailscurved and cvanotic. Depression above right and leftclavicles marked. Atrophy of right and left scapularmuscles marked. Lateral spinal curvature in dorsal region. Glands.—Right and left cervical glands enlarged, varv-ing in size from a bean to a hickory nut. The enlargementsof the right and left axillary glands varied in size from ahickory nut to a small egg (see diagram). Xo thyroid. 102 G. W. HOLDEN change nor enlargement of inguinal glands. The enlargedglands were freely movable under the skin and not tenderto the touch. Chest.—Long, flat chest, with limited motion over theright lung. Chest measurement, 2<SJ in.; expansion, 2 in. Right Lung Examination. — Retracted apex, motionlimited. Vocal fremitus, and resonance greatly increased,front and back, from apex to base. Dillness over upperportion of lung down to fourth rib, flat from there to breathing down to fourth rib; breath soundsabsent from fourth rib down to base. No rales heard infront. A few moist clicks heard from apex to mid-scapularregion behind, after cough only, but not constant. Left Lung Examination.—Apex slightly retracted. Dul-ness down to third rib front and angle of scapula tactile fremitus over this area. Slight bronchialbreathing over this area. Breath sounds faint and expirationp
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectmedicine, bookyear191
