Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . Fig. 17.—The Thoracic and Abdominal Regions. 1. Hypo-chondriac. 2. Lumbar. 3. Inguinal. {Sheffield.) Normal boundaries of the liver (as determined by percussion) :Upper border, midsternal line, base of ensiform line, sixth line, eighth line., tenth border, parasternal line, seventh rib. Mammary line, about half an inch below free border ofribs. 38 EXAMINATION OF THE PATIENT. Midaxillary line., tenth rib. Scap
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . Fig. 17.—The Thoracic and Abdominal Regions. 1. Hypo-chondriac. 2. Lumbar. 3. Inguinal. {Sheffield.) Normal boundaries of the liver (as determined by percussion) :Upper border, midsternal line, base of ensiform line, sixth line, eighth line., tenth border, parasternal line, seventh rib. Mammary line, about half an inch below free border ofribs. 38 EXAMINATION OF THE PATIENT. Midaxillary line., tenth rib. Scapular line, eleventh border, joins lower absolute border, joins the right kidney. Its position varies greatly with the ascent and descent ofthe diaphragm—rises with expiration and descends with deep. Fig. 18.—Topography of the Liver and Spleen. (Slicffield.) inspiration. In the same manner it rises with intestinalmeteorism, and descends with overdistention of the lungsthrough disease, , emphysema or pneumothorax. The spleen lies in close contact with the diaphragm, andextends from the left midaxillary line to a point near the leftborder of the spinal column. Its upper border follows theninth rib, its lower border the eleventh rib, for the most partbounding the left kidney. Normally the spleen cannot be out-lined by percussion, but during deep inspiration it can some- THE KIDNEYS. 39 times be palpated at the free borders of the tenth and eleventhribs. The kidneys are situated upon the right and left sides column, and extend from the levels of the twelfth dorsalto the second lumbar vertebras. The uppermost end of theright kidney (the suprarenal capsule) is slightly overlapped bythe liver and that of the left kidney by the spleen. Normal
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
