Albany medical annals . The right apex is contracted and the expansion is diminished at theleft base. Examination of December 23, 1912. 86 PNEUMOTHORAX, WITH A REPORT OF THREE CASES. MALCOLM DOUGLAS 87 Examination of his chest showed (see Fig. I) on percussion, a dullnote anteriorly on both sides of his chest extending down to the secondinterspace with corresponding increase of vocal resonance and bronchialbreathing. In the back the same condition existed down as far as thesixth vertebral spine on both sides. There were many rales on quietbreathing especially on the left side and posteriorly o


Albany medical annals . The right apex is contracted and the expansion is diminished at theleft base. Examination of December 23, 1912. 86 PNEUMOTHORAX, WITH A REPORT OF THREE CASES. MALCOLM DOUGLAS 87 Examination of his chest showed (see Fig. I) on percussion, a dullnote anteriorly on both sides of his chest extending down to the secondinterspace with corresponding increase of vocal resonance and bronchialbreathing. In the back the same condition existed down as far as thesixth vertebral spine on both sides. There were many rales on quietbreathing especially on the left side and posteriorly on the left sidewere heard a few pleuritic rubs. The sputum was positive and thealbumen test the usual moderate. Urine and blood examinations werenegative. The blood pressure on fourteen readings averaged, systolic 122mm., diastolic 57 mm. His temperature range was from F. to 97 F.,his pulse range from 128 to 76, and his respirations 28 to 20 a minute.


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