. Physical diagnosis . Fig. 33.—Mediastinal Neoplasm with CervicalMetastases and Obstructed Vena Cava. radiography. Pain or wasting in the arm, and occasionally throm-bosis may occur. 36 PHYSICAL DIAGNOSIS IX. Inflammatory or Dropsical Swelling of Neck. Venous thrombosis, mediastinal tumors and inflammatoryexudates (see Fig. 33a) may produce oedema in the Fig. 33a.—Anthrax Infection of the Neck. CHAPTER ARMS AND HANDS; THE ARMS. Most of the lesions of these parts are joint lesions and are dealtwith in the section on joints. Others fall under the province of theneurologi
. Physical diagnosis . Fig. 33.—Mediastinal Neoplasm with CervicalMetastases and Obstructed Vena Cava. radiography. Pain or wasting in the arm, and occasionally throm-bosis may occur. 36 PHYSICAL DIAGNOSIS IX. Inflammatory or Dropsical Swelling of Neck. Venous thrombosis, mediastinal tumors and inflammatoryexudates (see Fig. 33a) may produce oedema in the Fig. 33a.—Anthrax Infection of the Neck. CHAPTER ARMS AND HANDS; THE ARMS. Most of the lesions of these parts are joint lesions and are dealtwith in the section on joints. Others fall under the province of theneurologist or the dermatologist, but must be briefly mentioned here. /. Paralysis of One Arm. Paralysis of most or all the muscles of one arm occurs oftenest in:(a) Hemiplegia—with paralysis of the leg and often of the face onthe same side, (b) Pressure neuritis—traumatic or from new growths.(c) Obstetrical paralysis—neuritis from injury during parturition.{d) Lead or alcoholic neuritis—extensors of wrist especially, and oftenin both arms, (e) Anterior poliomyelitis—infantile paralysis. (/)Hysteria and traumatic Pressure Neuritis.—The history of the case is of the greatest im-portance. During surgical anaesthesia the brachial plexus or themusculo-spiral nerve may be compressed, and paralysis is noted assoon as the patient comes out of an
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