CHAPTER V. TOPOGRAPHICAL ANATOMY.
A. The Lines and Regions B, The Organs . F I— © RestEtery (1) Trachea . (2) Lungs . (3) Pleure: 1I1—Circulatory (1) Heart . : (2) Great Vessels and. Valves. IlI—Digestive a one e (1) Stomach (2) Colon and Appendix (3) Liver . Ma (4) Spleen (5) Pancreas IV—The Kidneys .
CHAPTER VI. Tue Respiratory SystEM.
A. Inspection . . . 4 I—The Upper ‘Air Passages é II—The Thorax j (1) Introduction . (2) The Normal Thorax. (3) Symmetrical Abnormalities (a) Phthinoid Chests
(b) Emphysematous Chests.
(c) Rachitic Chests .
(4) Unilateral Abnormalities. (a) Enlargements (b) Retractions.
49
49 53 53 53 53 3a 56
37 59 59 59 60 6r 6x 61
CONTENTS. xiii
(5) Local Changes in Contour . . . 72
(a) Bulgings. . 2 2... 72
(b) Retractions. . .. . 73
(6) Abnormalities of Movement . 73
(a) Expansion... . . . 73
(b) Frequency... ... 74
@) Rhythm a. 2 eee 2 95
on Litten’s SHED ee Fe
B. Palpation .. . 2 si ¢¢@s % FF I—Introduction Bie PT des Ema a DB Il—Vocal Fremitus. . . 2. 2... 78 (1) Normal Fremitus ...... 78
(2) Increased Fremitus . . . . . . 80
(3) Diminished Fremitus . . . . . 81 UWI—Pleural Friction. . . . 2... « « BR Iv—Rales.. . . fe eae ee «BR V—Other Phenomena . , ERR e Gee y BB (1) Tenderness ......... 83
(2) Crepitus. ©... 83
(3) Fluctuation . 2... 2... 83
(4) Suceussion. . .-. 2. 2... 83
(5s) Pulsations. ......... 84
C. Percussion . . eo ewe ame 84 I—Theory ana “Methods seme ew o BR (x) Quality... 2... 2 2. 87
(2) Intensity .......... 87
(3) Pith . 2... 2. 2... 88
(4) Duration .. 2... 2... 88
(5s) Resistance... 2... 2... 88
(6) Tympany ... we wor oe BO TI—Normal Lung Resonance... . . . . 89 IlI—Increased Resonance... ..... 94 IV—Dellness 2.2 2s ea Fee a oe 95 V—Other Pheaoimeéna . & : peas OF (1) Cracked-pot Sound Sa RE - 97
(2) Wintrich’s Sign. . -. OF
xiv CONTENTS.
(3) Friedrich’s Sign (4) Gerhardt’s Phenomenon . (s) Amphoric Resonance (6) William’s Sign . (7) Biermer’s Phenomenon (8) “Boxy” Notes . (9) Grocco’s Triangle . (10) Bydena Thrill D. Auscultation . : [—Introduction 7 II—Normal Breath Sounds I1I—Abnormal Breath Sounds (1) Diminished Intensity . (2) Total Absence
(3) Prolongation of Rupuation:
(4) Cogwheel Respiration . (5) Bronchial Breathing (6) Amphoric Breathing (7) Cavernous Breathing IV—Vocal Resonance . (1) Introduction . (2) Bronchophony . (3) Pectoriloquy . (4) Baccelli’s Sign . (5) Egophony . (6) Amphoric Resonance V—Riles . (1) Crepitant Rales (2) Mucous Rales (3) Ronchi VI—Pleural Friction VIIl—Other Phenomena. . . . (rt) Metallic Tinkling . (2) “Coin” Sound . (3) Splashing . (4) Muscle Sounds .
CONTENTS.
E. Palpatory Percussion
F, Auscultatory Percussion .
G. Mensuration
H. Radioscopy LSS 2 jes I. The Sputum. (See Appendix.)