Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . ortic (double) of diastolic at apex, in mitral stenosis; adhesive rhythm, in heart-failure (, incipient diphtheritic paralysis).Metallic ringing, in pneumopericardium; pneumothorax; large pulmonary cavity; intense — Systolic, loudest at apex and transmitted to axilla and angle of left scapula, in mitral , loudest at base (midsternum) and trans-mitted to the arteries upward and sometime
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . ortic (double) of diastolic at apex, in mitral stenosis; adhesive rhythm, in heart-failure (, incipient diphtheritic paralysis).Metallic ringing, in pneumopericardium; pneumothorax; large pulmonary cavity; intense — Systolic, loudest at apex and transmitted to axilla and angle of left scapula, in mitral , loudest at base (midsternum) and trans-mitted to the arteries upward and sometimes overthe whole sternum, in aortic obstruction;Systolic, at base, but not transmitted upward, in pul-monic , loudest at ensiform cartilage, in tricuspidregurgitation. 3 ;;i EXAMINATION OF THE PATIENT. Diastolic, loudest at base, and transmitted to apex and ensiform cartilage, in aortic or presystolic, loudest at apex, in mitral «ibstructii friction, superficial, limited to precordium, not influenced by respiration (as in pleuritis sicca), in fibrinous Fig. 16.—Topography of Cardiac Valves. Points ofTransmission of Heart-murmurs. A. O., Aortic O. and R., Pulmonic Obstruction and Regurgitation. A. R.,Aortic Regurgitation. T. O. and R., Tricuspid Obstruction andRegurgitation. M. O., Mitral Obstruction. M. R., Mitral Re-gurgitation. (Sheffield.) Areas of heart-dullness—Enlarged— To the left, in hypertrophy or dilatation of the left the right, in hypertrophy or dilatation of the right ventricle. THE PULSE. 35 Bilaterally, in pericardial effusion. The area of dull-ness is larger in sitting than in recumbent posture;it is often triangular, wider below than above. Reduced— In pulmonary emphysema; pneumopericardium. Displaced— In congenital malpositions, , dextrocardia, meso- cardia, diaphragmatic acquired affections, such as pneumothorax; pleurisywith effusion
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
