None
vesicular, 70 vocal, 88 Respiration, 47 absent, 87 amphoric, 86 bronchial, 85, 86 broncho-vesicular, 85, 86 cavernous, 65 Cheyne-Stokes, 52 cog-wheel, 87, 143 costal, 47 costo-abdominal, 47 frequency of, 47, 52 in acute fibrinous pleurisy, 170 peritonitis, 51 tuberculo -pneumonic phthisis, 133 in ascites, 51 in bronchial asthma, 51, 107 in bronchiectasis, 105 in broncho-pneumonia, 51 m cerebral abscess, 51 hemorrhage, 51 tumor, 51 in chronic adhesive pleurisy, 183 bronchitis, 102 interstitial pneumonia, 131 in diabetes mellitus, 51 in edema of glottis, 51 in emphysema, 51, 159, 160, 162 in laryngeal stenosis, 51, 141 in laryngismus stridulus, 51 in lobar pneumonia, 51, 119 in meningitis, 51 in phthisis, 51, 143 in pleurisy with effusion, 172 in pulmonary congestion, 51 edema, 51 in tonsillar hypertrophy, 51 in tracheal stenosis, 51 in uremia, 51 movements of, 47 normal, 83 pathologic variations, 51, 86 phases of, 47 prolonged expiration, 40, 51, 87 puerile, 87, 105, 162, 185 rapid, 51 slow, 50 stertorous, 51 stridulous, 51 vesicular, 85, 86 Respiratory organs, disease of, 100 examination of, 37 Retraction, local of thorax, 47 unilateral of thorax, 46 Rhagades, 397 Rhonchal fremitus, 63 in acute bronchitis, 63, 101 in bronchial asthma, 63 in chronic bronchitis, 102 Rhonchal fremitus — Cont 'd. narrowing of, 46, 146, 160 retraction of, 40, 51, 155 Traube's semilunar, 332, 338 Spade-hand, 422 Spasm, brachial, 430 choreal, 390 facial, 391 habit, 390 lingual, 402 nodding, 383 of exophthalmic goiter, 390 professional, 426 tetanic, 390 Sphygmogram, arterial, 206 clinical significance, 206 variations in, 206 Sphygmomanometer, Cook's, 243 Erlanger's, 244 Faught 's, 246 Janeway's, 245 Riva-Rocci's, 246 Rogers', 246 Stanton's, 243 Sphygmomanometry, auscultatory method, 249 palpatory method, 248 technic, 246 Spine, iliac, 297 anterior superior, 297 Spiral '8, Curschmann 's, 107 Splashing sounds, 92 Spleen, auscultation of, 367 clinical anatomy of, 363 displacement of, 366 enlargement of, 364 examination of, 363 inspection of, 363 palpation of, 363 percussion of, 366 point, Signorelli 's, 365 8U r face marking, 363 tenderness of, 365 wandering, 366 Spots, cold, 444 heat, 444 milk, 256 Sputum, in bronchial asthma, 106 in bronchiectasis, 105 in broncho-pneumonia, 125 in chronic ulcerative phthisis, 141 in lobar pneumonia, 117 in pulmonary abscess, 165 edema, 112 gangrene, 167 Squint, 455 Stanton's sphygmomanometer, 243 Staphyloma, 394 Station, 440 Stenosis, aortic. 273 (See Aortic stenosis) Stenosis — Cont 'd. mitral, 277 (See Mitral stenosis) of bronchi, 108 of trachea, 108 pulmotlary, 280 (See Pulmonary stenosis) tricuspid, 281 (See Tricuspid sten- osis) Stereo-roentgenogram, 95 Stereoroentgenography, 95 Sternal dullness, 70 line, 33 region, 35 Sterno-mastoids, prominence of, 409 Sternum, as landmark of thorax, 31 length of, 31 prominence of, 44 Stethophone, 82 Stethoscope, 82 binaural, 82 monaural, 82 selection of, 82 Stokes- Adams disease, 228 Stomach, auscultation of, 339 auscultatory percussion of, 338 clinical anatomy of, 332 fundus of, 332 greater curvature of, 332 hour-glass, 339 inflation of, 338 inspection of, 333 lesser curvature of, 332 orifice, cardiac, 332 pyloric, 332 palpation of, 336 percussion of, 338 peristalsis of, 335 pit of, 31 relations of, 332 succussion sounds of, 337 surfaces of, 332 tumor of, 336 tympany of, 338 decreased, 339 increased, 339 Stomatitis, catarrhal, 406 gangrenous, 406 ulcerative, 401 Stone-cutter's phthisis, 153 Strabismus, 445 Stridulous respiration, 51 Subclavian artery, auscultation of, 241 murmur in, 241 Subcostal line, 304 Subcrepitant rale, 91 Subcutaneous nodules of forehead, 391 Submaxillary lymph nodes, enlarged, 413 496 INDEX Suceussion, fremitus, 63, 186 in pneumo- thorax, 63, 186 pulmonary cavity, 63 Hippocratic, .337 pericardial, 240 * sound, 337 Sulcus, Harrison's, 44 Supra-clavicular fossa, 39 region, 35 recession of, 40 Supra-scapular fossa, 36 region, 36 Supra-sternal notch, 31, 35 Surgical kidney, 373 Sutures, open, 380 Symphysis pubis, 297 Syphilis, pulmonary, 148 acquired, 148 hereditary, 148 pathology, 148 physical signs, 149 Syphilitic broncho-pneumonia, 148 fibrosis of lung, 148 Systole, auricular, 196 ventricular, 244 Systolic jugular pulsation, 196, 280 murmurs, 231 aortic, 234 arterial, 240 mitral, 233 pulmonary, 237 tricuspid, 236 plateau, 207 pressure, 244 pulsation, epigastric, 195 retraction of thorax, 198 venous pulse, 197 Tachycardia, 210, 227 paroxysmal, 227 Talipes, equinus, 432 valgus, 432 varus, 432 Teeth, delayed, 400 early decav, 400 examination of, 400 grinding, 401 Hutchinson *s, 401 loosening, 400 premature, 400 Tenderness of abdomen, 326 points of, 327 of thorax, 63 Tension of pulse, 212 Test, Barany's, 460 caloric, 462 Gairdner's, 81, 185 Holmgren, 450 pointing, 464 rotation, 463 Thermoanesthesia, 445 Thermo-hypercsthesia, 445 Thigh, edema of, 436 tumor of, 436 Third costal line, 35 Thomson's, 451 Thoracometry, 94 Thorax, abnormalities of expansion. 53 alar, 40 bi-lateral deformities of, 40 clavicles as landmark of, 31 clinical anatomy of, 17 contour of, 39 diameter of. 39, 40, 43, 94, 158, 160 edema of, 38, 54 elongation of, 40 emphysematous, 40, 158 enlarged veins of, 38 eruptions of, 38 examination of, 37 expansion of, 53, 55, 94 flat, 40 fluctuation of, 64 funnel, 46 inlet, 31 inspection of, 37 intercostal spaces as landmarks, 32 landmarks of, 29 local deformities of, 47 enlargement of, 47 retraction of, 47 localized pulsations, 54, 64, 194 mammary glands as landmarks, 32 mensuration of, 94 movements of, 94 musculature of, 38, 39 wasting of, 38, 40 nipples as landmarks, 32 normal, 39 cross-section of, 39 landmarks of, 29 of child, 39 cross-section of, 39 palpation of, 55 paralytic, 40 percussion of, 65 phthisical, 32, 40 pigeon, 44 cross-section of, 44 pigmentation of, 38 rachitic, 40 cross-section of, 43 regions of, 33 ribs as landmarks of, 32 scapula? as landmarks of, 32 scars of, 38 shortening of, 40 size of, 39 skin of, 38, 39 spine as landmark of, 32 INDEX 497 Thorax— Cont 'd. sternum as landmark, 38 subcutaneous tissues of, 38 surface of, 38 systolic retraction of, 198 tenderness of, 63 uni-lateral contraction of, 46 deformities of, 46 enlargement of, 46 vibrations of, 58 Thrill, 203 at apex, 204, 275 aortic area, 204, 275 base of heart, 204 pulmonary area, 204 cardiac, 203 diastolic, 203 hemic, 203 in mitral stenosis, 278 over carotids, 204 presystolic, 203, 276 systolic, 203, 276 Thrush, 405 Thyroid gland, atrophy of, 412 enlargement, 411 fluctuation of, 411 murmur over, 411 thrill over, 411 Tic, convulsive, 390 Tinkle, metallic, 89, 91 Tinnitus, 460 Toes, examination of, 431 gangrene of, 431 in gout, 431 perforating ulcer of, 431 Tone, tracheal, Williams', 79 Tongue, atrophy, 401 color, 405 cysts, 405 examination of, 401 geographical, 404 hypertrophy, 401 acquired, 401 congenital, 401 indentations, 405 in pellagra, 405 leukoplakia, 404 movements, 402 paralysis, 402 size of, 401 smoker's patch, 404 spasm, 402 strawberry, 406 thrush, 405 tremor, 402 ulceration, 402 Tonsillitis, follicular, 407 Tonsils, enlargement of, 408 examination of, 407 inflammation of, 407 Tonsils— Cont'd, pseudo-membrane on, 408 ulceration of, 408 Tophi, 384, 419 Torticollis, congenital, 409 rheumatic, 382 spasmodic, 409 Tortuosity of abdominal veins, 310 Toxemic dyspnea, 53 Tracheal tone, Williams, 79 tug, 241, 411 Trachea, clinical anatomy, 19 deflection of, 409 surface markings, 29 Tracheobronchial stenosis, 108 diagnosis, 109 pathology, 108 physical signs, 108 Traube's semilunar space, 332, 338 decrease of, 339 dullness of, 257, 260 increase of, 131, 339 Tremor, convulsive, 443 intention, 425, 443 of tongue, 402 pill-rolling, 426, 443 Tricuspid insufficiency diagnosis, 281 pathology of, 280 physical signs, 280 pulse in, 281 relative, 280 murmur, 236 presystolic, 236 systolic, 236 stenosis, 281 pathology of, 281 physical signs, 281 valve, 187 anatomic site of, 220 auscultatory area of, 220 Tuberculo-pneumonic phthisis, acute. 132 Tuberculosis, pulmonary, 132 (See Phthisis) Tug, tracheal, 241, 409 Tumor, intra-abdominal, 328 of stomach, 336 pulmonary, 114 Tussile, fremitus, 63 Twelfth dorsal line, 35 Tympanites, respiration in, 48 Tympany bell, 81 gastric, 338 decrease of, 339 increase of, 339 in ascites. 323 in bronchiectatir* cavities. 78, 104 in pneumo-thoiax, 78 in pulmonaiy favities, 78 ! on percussion, 78 498 INDEX U Ulcer, carcinomatous, 395, 404, 408 corneal, 394 of leg, 432 nasal, 395 perforating, of foot, 431 simple, 402 syphilitic, 395, 403, 407 tuberculous, 395, 403, 407 Ulceration, peritonsillar, 408 Umbilical hernia, 313 notch, 353 region, 305 Umbilicus, eruptions of, 313 inflammation, 313 protrusion of, 313 retraction of, 313 Uni-lateral bulging of thorax, 46 contraction of thorax, 46 Unrest, pupillary, 454 Ureters, examination of, 378 palpation of, 378 surface marking, 378 tenderness of, 378 Uvula, elongation of, 407 Vagus neuritis, tachycardia in, 210 Valsalva, sinus of, 187 Valve aortic, 1S7 anatomic site, 220 auscultatory area, 220 areas, 219 ileocecal, 339 mitral, 187 anatomic, site, 220 auscultatory- area, 220 pulmonary, 188 anatomic site, 220 auscultatory area, 220 shock, 202, 278, 287 tricuspid, 187 anatomic site, 220 auscultatorv area, 220 Valves, cardiac, 1S7 diseases of, 264 excrescences of, 265 of heart, 187 perforation of, 270 Valvular disease, chronic, 268 effects of, 269 incidence of, 269 Varicose* veins, 432 Vascular dullness, 218 murmurs, 240 Vegetation, adenoid, 395 Vein, common iliac, surface marking, 302 external iliac, surface marking, 302 portal, obstruction, 38, 310 caput medusa1 in, 38, 310 Veins, cervical engorgement of, 25C distended, of thorax, 38, 310 fluid, 203, 229, 240 jugular, diastolic collapse, 196 pulsation of, 237 pulmonary, 189 varicose, 432 Vena cava, inferior, surface markings, 301 superior, 189 Venous hum, 241 murmurs, 241 pressure, 251 pulse, auricular, 196 centripetal, 198 negative, 196 physiologic, 196 positive, 197 presystolic, 196 systolic, 197 Ventricles, clinical anatomy, 187 Ventricular, diastole, 244 svstole, 244 Vermiform, appendix, 343 palpation of, 346 Vertebra prominens, 32 Vertebrae, method of counting, 32 Vertigo, 460 Vesicular emphysema, acute, 162 resonance, 70 respiration, 86 Vincent's angina, 408 Viscera, abdominal, clinical anatomv, 295 examination of, 332 thoracic, clinical anatomy, 19, 187 Visceral pleura, 17, 20 Visceroptosis, abdominal contour in, 323 Vision, color, 450 field of, 451 Vocal fremitus, 58 absence of, 62 decrease of, 62 in atelectasis, 155 in chronic ulcerative phthisis, 62, 142 in emphysema, hypertrophic, 62, 158 in lobar pneumonia, 62, 119 in pneumothorax, 62, 185 in pulmonary cavitv. in acute fibrinous pleurisy, 170 in bronchial asthma, 107 in bronchiectasis, 105 in chronic bronchitis, 103 ulcerative phthisis, 143 in emphysema, 159 in pulmonary congestion, 111 edema, 112 in sero-fibrinous pleurisy, 175 increased, 88 modified, 89 Volume of pulse, 211 Von GraeftVs sign, 393 W Wall, abdominal, 295 edema, 326 palpation, 324 rigidity of, 326 suppuration, 326 thickness, estimation of, 324 arterial, 207 Wandering kidney, 373 spleen, 366 Water-hammer pulse, 213, 272 Wave, dicrotic, 206 fat, 327 fluid, 326 post-dicrotic, 206 Wernicke's reaction, 452 Whispering pectoriloquy, 89 White spots, of nails, 4JL7 Williams' sign in phthisis, 95 tracheal tone, 79, 174 Wintrich's change of sound, 79, 105, 142, 165 in bronchiectasis, 105 chronic ulcerative phthisis, 42 interrupted change of sound, 79 Woillez's disease, 123 Woody phlegmon, 416 Wrist drop, 425 Wry-neck, 382 Xanthelasma, 405 Xanthoma, 391 Xerostomia, 406 X-ray, 95 (See Roentgen r*ys) [,.\xr MEDICAL LIBRARY To avoid line liii- bunk stvnihl In- returned on 1 nr before Ihe date test itainped below. OCT 24 1911 (BUG 12 24 ..„ HUG 25 M DEC 7 1 lift JAN 10 MU D X 1 9 24 ( n I 7i 1921 APR 27 1?21 MAR 3 U 192 1 M WAY J 8 19ZI 1 Ec^0 30 J FtB • "*1 H*.** P reB-8-23 JUN 20 74 L76 Fose,".D. 44 B79 PJiyelonl di>ignosip 1S17 *< >* _?£« HEM »S#c-, ■*. • *•. 