. Essentials of diagnosis. Arranged in the form of questions and answers prepared especially for students of medicine . ^ anarea ol tympanitic resonance. Tabes Mesenterica. What are the symptoms of tabes mesenterica ? In predisposed children the glands of the mesentery some-times become tuberculous, and there occur derangement ofhealth, anemia, and wasting. On palpation it may be possible todetect the enlarged glands. In other respects, the symptoms arelike those of subacute peritonitis and chronic enteritis. There ismuch confusion and dispute concerning the existence of a non-tuberculous tabe
. Essentials of diagnosis. Arranged in the form of questions and answers prepared especially for students of medicine . ^ anarea ol tympanitic resonance. Tabes Mesenterica. What are the symptoms of tabes mesenterica ? In predisposed children the glands of the mesentery some-times become tuberculous, and there occur derangement ofhealth, anemia, and wasting. On palpation it may be possible todetect the enlarged glands. In other respects, the symptoms arelike those of subacute peritonitis and chronic enteritis. There ismuch confusion and dispute concerning the existence of a non-tuberculous tabes mesenterica, of which the principal objectivesymptom is the tumid abdomen. THE LIVER. What are the normal limits of the liver as determined byphysical examination ? Under normal conditions the area of hepatic percussion-dul-ness (Figs. 29 and 30) is included between the sixth rib on theright, in the nipple line, the lower margin of the sixth ribon the right in the axilla, and the tenth rib posteriorly on theright, on the one hand, and the inferior border of the right FLOATING LIVER. Fig, 29. 223. The relations of the heart, hings, liver, stomach and spleen, as seen from thefront (Weil). The deeply-shaded areas represent the portions of the heart, liverand spleen not covered by the lungs; the lightly-shaded areas represent portionscovered by the lungs, b, c,d, boundary between lung and heart; e /, lower bound-aries of lungs ; (/ /), upper boundaries of lungs; I, lower limit of hepatic dulness ;m, area of splenic dulness; ?i, greater curvature of stomach; ^, upper limit ofdeep hepatic dulness. costal arch on the other. The left lobe extends into the lefthypochondrium and the dulness to which it gives rise is practi-cally inseparable from the cardiac percussion-dulness. Floating Liver. To what symptoms does a floating liver give rise ? Occasionally the coronary ligament of the liver becomes length-ened and the organ acquires an abnormal freedom of movement. 224 ESSENTIALS OF DIA
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectdiagnos, bookyear1892
