. Physical diagnosis . Fig. 172.—Adherent Pericardium, Ascites. evidence of mediastinal or pericardial adhesions, the effect of whichis to arrest completely the slight respiratory movements of this partof the abdominal wall. (/) Adherent pericardium, occurring as a part of a widespread hainof fibrous processes involving the pleura, the mediastinum, and theperitoneum, may give rise in young persons to a train of symptomsand signs suggesting cirrhosis of the liver. Ascites collects, the liveris enlarged, yet there are no signs in the heart, kidneys, or bloodsufficient to explain the condition. I
. Physical diagnosis . Fig. 172.—Adherent Pericardium, Ascites. evidence of mediastinal or pericardial adhesions, the effect of whichis to arrest completely the slight respiratory movements of this partof the abdominal wall. (/) Adherent pericardium, occurring as a part of a widespread hainof fibrous processes involving the pleura, the mediastinum, and theperitoneum, may give rise in young persons to a train of symptomsand signs suggesting cirrhosis of the liver. Ascites collects, the liveris enlarged, yet there are no signs in the heart, kidneys, or bloodsufficient to explain the condition. In any such case adherent peri-cardium should be considered. Fig. 172 shows the appearance incases of this kind in which the diagnosis was verified by autopsy. 262 PHYSICAL DIAGNOSIS Summary. The diagnosis of adherent pericardium with chronic mediastini-tis is suggested by (a) Systolic retraction of the lower intercostal spaces in the leftaxilla and in the left back, followed by a diastolic rebound. (b) The absence of
Size: 1477px × 1692px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectdiagnos, bookyear1912
