Diseases of the heart and arterial system : designed to be a practical presentation of the subject for the use of students and practitioners of medicine . *S \ Figs. 113, 114.—Showing External Toiour in Case of Aortic Aneurysm(see Fig. 115). necessitate the wearing of a metal shield, lest the tumour be acci-dentally struck and caused to burst. Figs. 113-115 show ananeurysm in this location which had an external diameter ofseveral inches. I vividly recall another man sent to me by Dr. Lydston, who presented a pulsating prominence which oc-cupied the entire prsecordia, extending from one
Diseases of the heart and arterial system : designed to be a practical presentation of the subject for the use of students and practitioners of medicine . *S \ Figs. 113, 114.—Showing External Toiour in Case of Aortic Aneurysm(see Fig. 115). necessitate the wearing of a metal shield, lest the tumour be acci-dentally struck and caused to burst. Figs. 113-115 show ananeurysm in this location which had an external diameter ofseveral inches. I vividly recall another man sent to me by Dr. Lydston, who presented a pulsating prominence which oc-cupied the entire prsecordia, extending from one nipple to theother, and from the upper border of the second rib to the inferior. Fig. 115.—Post-Mortem Specimen of Heart and Aneurysmal Sac from Case figured in Figs. 113 and 114. m 792 DISEASES OP THE HEART extremity of the sternum. As nearly as could be determined bymeasurement with calipers, the tumour projected 4 inches at itshighest point above the level of the surrounding chest, and itsdiameter was 7X8 inches. In places the enveloping skin was sothin and blue that it seemed on the verge of rupture, and mademe actually shudder to touch it. I dared not place a stethoscopeupon it firmly enough to auscultate with accuracy, but so far ascould be ascertained the dull, distant sounds were not accompaniedby murmurs. Where the heart was I could not determine. Howthis man had been able to thread his way through our crowdedstreets without receiving a fatal blow on this thin-walled sac I donot know. He was advised to protect it by wearing strapped tohis chest a framework or cage of woven wire. He was seen by mebut twice, and it is probable that death from external rup
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