Diseases of the chest and the principles of physical diagnosis . er thesymbol which stands for the type of breathing. normally be somewhat harsh, must be borne in mind, and examination ofthe supracla%icular and suprascapular portions of the lung as well as theapex of the axilla must not be omitted. A diagnosis of incipient tuberculosis based upon a single examinationis always a questionable procedure. Repeated examinations and fur-ther observation are usually advisable. In really early pulmonary tuber-culosis, abnormality^ in the physical signs is veiy slight and may be careful consid
Diseases of the chest and the principles of physical diagnosis . er thesymbol which stands for the type of breathing. normally be somewhat harsh, must be borne in mind, and examination ofthe supracla%icular and suprascapular portions of the lung as well as theapex of the axilla must not be omitted. A diagnosis of incipient tuberculosis based upon a single examinationis always a questionable procedure. Repeated examinations and fur-ther observation are usually advisable. In really early pulmonary tuber-culosis, abnormality^ in the physical signs is veiy slight and may be careful consideration of the patients history and an observation of histemperature and pulse are often more reHable than slight abnormalityof his physical signs. The physical signs of pleural effusion and pulmonary consohdationare variable, and the classical text-book method differentiation oftenfallacious. Consolidation may yield absent breath sounds; an effusion,bronchial breathing, bronchophony and fremitus. The reasons for this 148 THE EXAMINATION OF THE LUNGS Resonance. Heart and Abdominai, Vw-Cvvvovvvc. i. i-
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1920
