Clinical tuberculosis . a the accessory musclesof respiration, particularly the sternocleidomastoideus and scalenimay show increased tone because of the extra work thrown uponthem. Extremely rarely this may cause some confusion in thaithe increased tone is taken as indicating inflammation of the un-derlying apex. Careful analysis of all conditions present willusually make the diagnosis plain. Atrophy of the soft parts,must be looked upon as being expressive of a chronic, or it maybe healed, inflammatory process in the underlying lung or may also lie due to occupational change in the
Clinical tuberculosis . a the accessory musclesof respiration, particularly the sternocleidomastoideus and scalenimay show increased tone because of the extra work thrown uponthem. Extremely rarely this may cause some confusion in thaithe increased tone is taken as indicating inflammation of the un-derlying apex. Careful analysis of all conditions present willusually make the diagnosis plain. Atrophy of the soft parts,must be looked upon as being expressive of a chronic, or it maybe healed, inflammatory process in the underlying lung or may also lie due to occupational change in the muscles; and atthe time of observation may be caused by a general wasting. Closeobservation will usually reveal the nature of the atrophy, whetherregional or general. Regional atrophy is most easily observed in the tissues of thesupraclavicular notch and those between the nipple and theclavicle, anteriorly ; and tlie tissues above the sjiine of the scapulainiuiing up on the ucck, and those of the inters(a]iular and sub-.
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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherstlou, bookyear1922
