. Diseases of the heart and thoracic aorta. Fig. 26. — Displacement of the heart to the right as the result of effusion into theleft pleural cavity. (Modified from Sibson,) these cases the apex beat not unfrequently corresponds tothe right nipple. Extreme displacement to the right mayalso be due to retraction of the right lung. Sibson quotesseveral cases of this description,^ and I have seen more thanone case in which the pulsation of the heart was situated justabove the right nipple. Russell Reynolds System of Medicine, vol. iv. p. 143. Displacements of the Heart. 109 Displaceinent of the hea
. Diseases of the heart and thoracic aorta. Fig. 26. — Displacement of the heart to the right as the result of effusion into theleft pleural cavity. (Modified from Sibson,) these cases the apex beat not unfrequently corresponds tothe right nipple. Extreme displacement to the right mayalso be due to retraction of the right lung. Sibson quotesseveral cases of this description,^ and I have seen more thanone case in which the pulsation of the heart was situated justabove the right nipple. Russell Reynolds System of Medicine, vol. iv. p. 143. Displacements of the Heart. 109 Displaceinent of the heart and apex beat to the left maybe due to: 1. Accumulation of fluid, gaseous, or solid matter in theright pleural cavity ; or solid enlargements of the right lungor right lobe of the liver. 2. Retraction of the left lung (see fig. 27).. Fig. 27.—Displacement of the heart to the left, in consequence of retraction{cirrhosis) of the left Inrtg. {Modified from Sibson.) The displacement, which results from this cause is seldomso great as in the following case, in which the pulsations ofthe heart were observed in the left axilla. Case II.—Pleurisy: Cirrhosis (f) of the left Lutigj great displacement ofthe heart to the left. J. M,, St. 21, a fireman, was admitted to the Newcastle-on-TyneInfirmary, under my care, on 3d December 1874, complaining of palpita-tion, shortness of breath, cough, spit, and great debility. Previous history.—The patient, who has always been very roundshouldered, stated that he had enjoyed excellent health until four yearsago, when he had an attack of rheumatic fever, which laid him up forfourteen weeks : he does not know whether his heart was affected or this attack he enjoyed good health for some years, when he caughta severe cold, in consequence of exposure to cold and wet, and was
Size: 1730px × 1445px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, booksubjectheart, bookyear1884
