This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1916 Excerpt: ...developing dulness it is safe to assume that some dilatation is present. The dulness can be made out both to the left and to the right of the heart. On the right side it is usually first noted in the fifth right intercostal space with an obliteration of the normal acute cardiohepatic angle, an obtuse angle resulting. ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1916 Excerpt: ...developing dulness it is safe to assume that some dilatation is present. The dulness can be made out both to the left and to the right of the heart. On the right side it is usually first noted in the fifth right intercostal space with an obliteration of the normal acute cardiohepatic angle, an obtuse angle resulting. The dulness usually does not extend more than an inch or two beyond the right border of the sternum and a similar distance beyond the left mammary line, but with very extensive effusion there may be dulness to the right of the right mammary line, and as far as the left anterior axillary line. (Figs. 82, 83.) The area of dulness with small effusjons is triangular or pear-shaped with the base below. With large effusions it is almost circular, in which case the cardiohepatic angle again becomes acute. There also may be dulness to the left of the vertebral column behind. When there is considerable effusion, the apex beat is feeble and may be displaced upward. It may be impossible to locate it. The cardiac sounds are diminished in intensity and may be almost inaudible. Of assistance in diagnosis is sometimes the disproportion between the cardiac sounds and the force of the pulse--the latter may be nearly normal when the cardiac sounds can barely be heard. As the result of pressure upon the lung from large accumulations of fluid, bronchial breathing may be heard posteriorly, at and inside the spine of the scapula. In cases terminating fatally the progress of the disease is quite rapid, the entire duration being seldom longer than three or four weeks, and it may be much less. Pneumonia often develops toward the close. When ending in recovery improvement is very slow and it may be two or three months before the patient is out of bed, and a much longer ...
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Add this copy of The Diseases of Infancy and Childhood to cart. $58.57, new condition, Sold by West Coast Bookseller rated 4.0 out of 5 stars, ships from Moorpark, CA, UNITED STATES, published by Gryphon Editions Ltd.
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Seller's Description:
New. New book bound in full leather. Raised bands on spine, silk ribbon marker, gilded page edges, and moire end-papers. Stamped with owner's invisible embossed seal.
