. Medical diagnosis for the student and practitioner. ssion, but the student who has seen the bodies of markedly deformed crowding and ., , , , . _ . ... .. displacements. persons (hunchbacks) upon the autopsy table will realize the importance, to THE EXAMINATION OF THE LUNGS AND PLEURA 283 diagnosis and prognosis, of the extraordinary displacement and crowding oftheir thoracic viscera. Unilateral Enlargement or Shrinkage.—Unilateral enlargement may bedue to vicarious emphysema, tumors, effusions, or congenital or juvenileheart disease. Unilateral shrinking indicates pleuritic adhesions, cirrh
. Medical diagnosis for the student and practitioner. ssion, but the student who has seen the bodies of markedly deformed crowding and ., , , , . _ . ... .. displacements. persons (hunchbacks) upon the autopsy table will realize the importance, to THE EXAMINATION OF THE LUNGS AND PLEURA 283 diagnosis and prognosis, of the extraordinary displacement and crowding oftheir thoracic viscera. Unilateral Enlargement or Shrinkage.—Unilateral enlargement may bedue to vicarious emphysema, tumors, effusions, or congenital or juvenileheart disease. Unilateral shrinking indicates pleuritic adhesions, cirrhosis, pulmonarycollapse or cancer. Harrisons Grooves.—These are zones of retraction frequently encounteredin delicate asthenic children who, by reason of congenital asthenia combinedwith the obstructive effect of adenoid disease or hypertrophied tonsils, havepersistently imperfect lung expansion leading to partial atelectasis (air-lessness) of the lung margins and chronic retraction of the chest along the lineof the diaphragmatic Fig. 98—1. Normal chest. 2. Pigeon breast. 3. Rickets.{Gee; modified.) 4. Emphysema. General Deformities.—(Chiefly congenital.)—Among these are the rachiticchest, the transversely constricted chest, the flattened chest, pigeon breastand the trichterbrust (funnel breast). Emphysema.—The true barrel-shaped chest of advanced emphysemais ordinarily manifest only when the compensatory curve of the spinal column A commonstigma. The barrelchest. 284 MEDICAL DIAGNOSIS Obscurantspinal curve Chest of forcedinspiration. Overdistendedinelastic lungs. The wingedchest. Opposite of thebarrel chest. Commonforms. Rachiticrosary Funnelbreast. is straightened out by placing the patient in the dorsal recumbent positionon a table or firm mattress. Such a chest often appears flattened anteriorlywhen the patient is erect, the shoulders being rounded and slightly stooped. The chest outline in emphysema is that of permanent forced inspiration,the epiga
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922
