The medical examination for life insurance and its associated clinical methods : with chapters on the insurance of substandard lives and accident insurance . tnal. d. Hyperresonance (emphysema), b, c. Heavy and lightover ?- ,1 «f > Dullness from thick wall (a), (b) pleural adl . Norm -»*fn4 > IMormat Resonance. *Hf^ * Increased Resonance •H > Outness. 73- Flatness. The absolutely dead or toneless note is qu te characteristic of liquid pleural effusions or sohd((intact with the ry examiner should carefully study the sound, as it Is frequently of ential diagnosi puzzling
The medical examination for life insurance and its associated clinical methods : with chapters on the insurance of substandard lives and accident insurance . tnal. d. Hyperresonance (emphysema), b, c. Heavy and lightover ?- ,1 «f > Dullness from thick wall (a), (b) pleural adl . Norm -»*fn4 > IMormat Resonance. *Hf^ * Increased Resonance •H > Outness. 73- Flatness. The absolutely dead or toneless note is qu te characteristic of liquid pleural effusions or sohd((intact with the ry examiner should carefully study the sound, as it Is frequently of ential diagnosi puzzling i pleural effusion in which the breath- and voice-sounds h of those heard in pulmonai olidation. 1- 276 THE MEDICAL EXAMINATION FOR LIFE INSURANCE. pound is by no means a difficult matter to distinguish the two ordinary clinical work the physician has a positive means ofdifferentiation in the exploratory puncture.•cracked-pot- Special Modifications of the Percussion Note.—Bruit depot file.—This sound is precisely like the chinking producedwhen the palms of the hands are placed lightly together andstruck against the knee. It may be present normally in the thin,elastic chests of children if percussion be made
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