. Medical diagnosis for the student and practitioner. iver dulness begins atthe lower border of the lung and extends downward to the costal lower border crosses the epigastrium from the tip of the tenth rightcartilage to the tip of the eighthleft and meets the left extrem-ity of the organ in the fifth leftintercostal space at a pointclosely approximating the loca-tion of the normal heart Semilunar Space.—This is included between thelower border of the left lung,the spleen, the inferior costalmargin, and the left lobe of theliver, and is normally hyper-resonant because o


. Medical diagnosis for the student and practitioner. iver dulness begins atthe lower border of the lung and extends downward to the costal lower border crosses the epigastrium from the tip of the tenth rightcartilage to the tip of the eighthleft and meets the left extrem-ity of the organ in the fifth leftintercostal space at a pointclosely approximating the loca-tion of the normal heart Semilunar Space.—This is included between thelower border of the left lung,the spleen, the inferior costalmargin, and the left lobe of theliver, and is normally hyper-resonant because of the under-lying stomach. Loss of resonance meanspleural effusion or adhesions,enlargement or tumor of the liveror spleen, or massive growths ofthe stomach, kidney or Pleurae.—The inferior folds of the pleural extend practi- _ n . a . ,. . e ,,a , . , J J r r Fig. 92.—Regional divisions of the chest (posterior cally to the costal margin and, surface-verticals), a, a. Scapular lines. Axillary andscapular lines. Inferior Absolute liverdulness. Tracing theborder. Normallytympanitic. Clinical value. 28o MEDICAL DIAGNOSIS


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922