The medical examination for life insurance and its associated clinical methods : with chapters on the insurance of substandard lives and accident insurance . ithin and one andone-half inches below the male nipple, or, better stated, in thefifth interspace, an inch within the nipple line. The examination of the heart should be completed before thatof the lungs is commenced. THE HEART. INSPECTION. General Inspection.—The visible evidences of poor circula-tion, as afforded by the presence of cyanosis, pallor, pulsation ofvessels, dyspnea, and similar signs, are considered under GeneralInspection
The medical examination for life insurance and its associated clinical methods : with chapters on the insurance of substandard lives and accident insurance . ithin and one andone-half inches below the male nipple, or, better stated, in thefifth interspace, an inch within the nipple line. The examination of the heart should be completed before thatof the lungs is commenced. THE HEART. INSPECTION. General Inspection.—The visible evidences of poor circula-tion, as afforded by the presence of cyanosis, pallor, pulsation ofvessels, dyspnea, and similar signs, are considered under GeneralInspection and the Special Cardiac Lesions. I 111 I XAMINA I ll I ill i 111 l Inspection. In local inspection two things are chiefly to beconsidered a) the presence, position, force, and extenl of pulsations; (b) bulging of the precordial ana. Pulsation. Normally, a visible or palpable pulsation ispri - •p» enl at the apex, and in an insurance examination the beat maybe unduly diffuse and forcible even though the heart In- whollysound. It should properly be represented by a gentle rhythmicuplifting of an area not more than an inch in Fig. 19 // the rib directly overlie the apex, or the applicant bt unusually jdt, the beat oj <i normal heart may be wholly invisibU . Whenpresent, it is essentially a visible pulse, and from it one maydetermine the rate, rhythm, and force of the ventricular con-tractions. Position.—Furthermore, as the heart is movable and capableof dilating or of undergoing hypertrophy, the apex beat by its Hypertrophy. Dilatation. 222 THE MEDICAL EXAMINATION FOR LIFE INSURANCE. displacement may indicate a change in the hearts position or anincrease in its size. Such changes may be thus epitomized:Displacement of the Apex-beat.— / (a) High position of diaphragm. 1 (b) Tympanites. Upward (c) Ascites. I (d) Abdominal growths. \ (e) Pericarditis with effusion. Upward and to left Effusion into right pleural sac j SJ Gaseous. / (a) Aortic aneurysm. I (b) Med
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectdiagnosis, bookyear19
