. A practical treatise on medical diagnosis for students and physicians . CJk Pericarditis with Syst. retr. Adherent Pericardium. Chronic Left-sided Pleurisy. DIAGNOSIS OF PERICARDITIS WITH EFFUSION. 927 ctend below the eighth rib in this region, whereas in pleural effusionllness always extends to the bottom of the pleural sac. In a large peri-,rdial effusion the semilunar space of Traube is The heart-sounds are feeble and distant. They may» scarcely heard at all over the precordial region. The sounds at theise of the heart are diminished in intensity. If a
. A practical treatise on medical diagnosis for students and physicians . CJk Pericarditis with Syst. retr. Adherent Pericardium. Chronic Left-sided Pleurisy. DIAGNOSIS OF PERICARDITIS WITH EFFUSION. 927 ctend below the eighth rib in this region, whereas in pleural effusionllness always extends to the bottom of the pleural sac. In a large peri-,rdial effusion the semilunar space of Traube is The heart-sounds are feeble and distant. They may» scarcely heard at all over the precordial region. The sounds at theise of the heart are diminished in intensity. If a friction-sound was;ard at the beginning, it disappears entirely as the effusion is poured moderate effusions the friction may be heard when the erect posture issumed. It must not be forgotten that the physical signs, and especially thelange in impulse and the area of precordial dulness, are modified by the)sition of the effusion. Accumulations occur behind the heart or above it,id in these situations interfere least with the displacement or the enfeeble-ent of the apex-beat. The area of dulnes
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