A treatise on the principles and practice of medicine . I II Fig. 36.—I. Left-sided effusive pleurisy, showing relative heart dulness (A), effusion(B), liver flatness (C), and fluid impinging on Traubes half-moon space, of which but asmall part remains resonant (D). In larger effusions reaching, e. g., up to the dotted blackline, the relative heart dulness may be pushed over to the dotted line (over C). II. Left-sided pneumothorax marked by tympany (T, T), pushing over the mediastinum and alsothe heart to the right, and pushing down the left lobe of the liver and the spleen. attitude is charac
A treatise on the principles and practice of medicine . I II Fig. 36.—I. Left-sided effusive pleurisy, showing relative heart dulness (A), effusion(B), liver flatness (C), and fluid impinging on Traubes half-moon space, of which but asmall part remains resonant (D). In larger effusions reaching, e. g., up to the dotted blackline, the relative heart dulness may be pushed over to the dotted line (over C). II. Left-sided pneumothorax marked by tympany (T, T), pushing over the mediastinum and alsothe heart to the right, and pushing down the left lobe of the liver and the spleen. attitude is characteristic; the patient most often lies on the affected sideto afford ample play to the sound lung; sometimes there is orthopneaand if the point of rupture opens into the lung or bronchus a peculiardecubitus may be assumed in order to drain the pleura. (/) The .T-raysshow the lung flattened near the spine, the diaphragm depressed andmotionless, and the shadow of the effusion. 2. Palpation.—(a) Vocal fremitus is absent, unless adhesions hold thelung
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Keywords: ., bookcentury1900, bookdecade1910, bookpublisherphiladelphialeafeb
