None
Hip-joint, liiuilalion of iiiolioii in, -194 HoilnKin's disease, glands in, oO, o7.") di,sease, inguinal glands in, 4.k') disease, redema of arm in, 38 disease, spleen in, 414-410 Housemaid's knee, diagnosis of, 460 Hydafid disease, blood in, 481 Hydrocele. 440 Hydrocephalus. 5 bulging of fontanels in. 6 delayed closure of fontanels in. (1 Hydrochloric acid, absence of, in can- cer of stomach. 384 Hydronephrosis. 417 Hydropericardivuii , 272 Hydrothorax. 330 Hymen, imperforate. 448 Hyperacidity, gastric. 385 painful digestion in. 385 Hyper;i?sthesia. tests of, .^12 Hyperchlorhydria (see IIiiiKmciilil;/). pain in, 305 Hyi-iertropihic arthritis, features of, 500 arthritis, hip-joint in, 500 arthritis, kyphosis in, 54 arthritis, limitation of motion in, 503-,')04 arthritis, nerve pain in, 503 arthritis, psoas spasm in, 495 arthritis, signs in, ,500 arthritis, spine in, ."lOI. ."i02, .503, 504 Hypertrophy, cardiac. 203. 205, 208. 210. 231. 233. 277 of lung. 07 Hypoacidity, .stomach trouble, .385 Hypochlorhydria (sec Hypoacidity) Hypospadias, 445 Ilyjiostatic congestion. 302 Hysteria, ana-slhcsia in. 512 atrophy in. 37 choreiform movements in. 45 coma in. 521 hemiana^sthesia in, 512 hypera^sthesia in. 512 paralysis in, 30, 458, 508 ptosis in, 10 spasm in, 13 tremor of hands in. 44 Idiocy, mouth in. 18 Im|)ul.se. cardiac (see Canliac) Incidence of diseases of the bladder, 439 of diseases of the intestine. 399 of di-seases of the kidney. 410 of diseases of the li\er. 3.S0 of diseases of the pancreas. 398 of diseases of the stomach. 384 Indicanuria, 399 Infancy, examination of chest in. 522 jaundice in. 15 Infantile atrophy, inaliuitrition in, 2 Infections, acute, arthritis in, 495 acute, chills in, 3 arthritis in, 494 crippled joints in. 497 fever in, 3 leucocytosis in, 480 Inflammation, oedema of arm in, 38 Influenza, arthritis in, 495 with conjunctivitis, 14 with nasal discharge. 17 Insomnia, 2 emaciation duo to, 2 in painful disea.ses, 2 Inspection of normal thoracic |iu! sations, 82-87 of apex beat, 79 of cardiac movements. 79 INDEX. 557 Inspection of detormities of chest, G2 of peripheral vessels, 87 of respirator}' movements, 69 of skin and mucous membranes, 92 of thorax, 60, 96 Intestinal colic, 420 contents, examination of, 404 obstruction, acute and chronic, 403 obstruction, by gall-stone, 397 obstruction, causes of, 403, 404 obstruction, chronic, \'isible peri- stalsis in. 403 obstruction, face in, 12 obstruction, physical signs in, 403 obstruction, symptoms in, 403 parasites, 406 tenderness, 400 tenesmus, 400 Intestines, cancer of, signs and symp- toms of, 404 disea.ses of, constitutional mani- festations, 400 diseases of, data for diagnosis, 399 diseases of, statistics on, 399 gaseous distention in, and its sig- nificance, 400 pain, 400 parasites in, eggs, diagnosis of, 408-409 Iritis, with regular outline of pupil, 1.5 Ischio-rectal abscess, 443 Jack.sonian epilepsy, 44 epilepsy, spasms of hand, causes of, 44 Jaundice, 14, 93, .392 catarrhal, 393 Jaundice, causes of, 14, 392 congenital, .394 diagnosis of cause, 393 in acute yellow atrophy, 394 in biliaiy cirrhosis, 393 in cancerous obstruction of gall- duct, 396, 397 in cholelithiasis, 393 in new-ljom, 393 in portal cirrhosis, 393 in syphilis, 393 in toxtemia, 392 in urine, 393 in Weil's disease, 394 itching in, 14 malignant, 393 mental depression in, 14 of eye, distinguished from suli- conjunctival fat, 14 of malaria. 15 of mucous membrane. 14 of new-born, 15 of pernicious anaemia, 15 of sepsis, 15 of ,skin, 14 results of, on body, 393 secondary, in septicuemia, 394 slow pulse in, 14 stools in, .393 with bile in urine, 14 with bile-stained sweat, 14 with catarrh of bile-ducts, 14 with hepatic cirrhosis, 15 with obstruction by stone, 15 with syphilis, 1.5 with toxiemia, 1.5 with tumors obstructing bile- ducts, 15 Jaw in acromegalia, 10 Jaw-jerk, test for, 516 Joints, ankylosis of, 493 558 INDEX. Joints, arthritis of, 494 arthritis of, order of frequency in, 494 bony outgrowths, 490 capsular thickening and atlhe- sions of, motion in, 492 chronic diseases of, knee-jerks in, 515 creaking in, 493 crepitus in, 493 diseases of, 493 diseases of, general spasm in, 490-491 diseases of, psoas-spasm in, 490 diseases of, shortening of limb in, 493 diseases of, symptoms of, 489 enlargement of, 489 examination of, 488 excessive motion in, 493 exudates in, 490 fluctuation in, 489 free bodies in, 493 hip, hypertrophic arthritis of, .500 in atrophic arthritis, 499 in hiemophilic arthritis, .505 in rheumatoid arthritis, 499 inspection of, 488 irregul-rities of contour, 490 lesions of, relative frequency in, 506 lesions of, statistics on, 506 limitations of motion, tests of, 491 muscular spasm, tests for, 491 palpation of, 488 radioscopy, 489 sacro-iliac, hypertrophic arthritis of, 53 .sacro-iliac, tuberculosis of, 53 Joints, spindle, in atrophic arthritis, 47 symmetrical invoh'ement of, in arthritis, 499 to distinguish muscular spasm from bony outgrowth, 492 Keratitis, syphilitic, 16 Kemig's sign, test for, 515 Kidney, 416 abscess of, 418 abscess of, etiology, 419 abscess of, signs of, 419 contracted, urine in, 438 cyst of, 417, 418 cyst of, distinguisheil from hy- dronephrosis, 418 diseases of, 417 diseases of, evidence of, 416 diseases of, pain in, 420 diseases of, urine in, 420, 425, 428 floating, 419 floating, pain in, 395 floating, tenderness in. 417 malignant disease of, 417 movable, 419 palpation of, 368, 417 statistics on, 416 tumors, characteristics of, 417 tumors of, 417 tumors of, method of examina- tion. 417 tumors of. urine hi, 425 Knee, 460 housemaid's, diagnosis of, 460 tuberculosis of, distinguished from sarcoma, 457 Knee-jerk, absence of, 513 Knee-jerks, increased, differential di- agno.sis in, 514 INDEX. 559 Knee-jerks, in paralysis, 520 test for, 513 Knocii-knee. 460 Koplik's spots in measles, 25 Kyphosis, 54 in emphysema, 54 in hypertrophic arthritis, 54 in Paget's disease, 54 in Pott's disease, 54 in rickets, 54 Lajiblia intestinalis, 407 Lavage, of stomach, method, 379 Lead-colic, pain in, 396 Lead-Une, 24 Lead-poisoning, paralysis in, 36, 37 respirator}' movements of belly in, 366 Legs, bowed, 460 chronic ulcers of, 460 in cretinism, 10 in hysteria, 459 in multiple sclerosis, 459 in spastic paraplegia, 459 in tabes dorsalis, 459 cedema of, causes of, 461 osteomyelitis in, 461 parah'sis of, causes, 458 paralysis of, differential diagno- sis in, 459 sarcoma of, 461 tenderness of, in neuritis, 461 tenderness of, in trichiniasis, 461 varicose veins of, 460 Leprcsv. H face in, 11 hand in, .50 skin in, 11 Leucocyte-count in general peritoni- tis, 374 Leucocytosis, diagnostic value of. 4.S0 Leucocytosis. in appendicitis, 402 in local peritonitis, 373 in osteomyelitis, acute, 456 occurrence of, 4.S0 LeukiEmia. inguinal glands in, 455 liver in, 391 lymphatic, blood in, 481-483 myelogenous, blood in, 481-482 myelogen(jus, x-ray in, 482 nosebleed in. 17 .spleen in, 414—415 ' tonsils in, 28 Leukoplakia Iniccalis, 23 Line;r albicantes, 363 Lipoma of arm, 38 Lipomata of back. 55 Lips. 18 angioneurotic oedema of, 19, 20 cancer of, glands in, 30 chancre of, 19 color of, 18 epithelioma of, 19 in cretinism, 1.8-20 in heart disease, 18 in lung disea.ses, 18 in methaemoglobinfemia. 18 in myxoedema. 20 in poisoning by acetanilid. 18 in poisoning by coal-tar anti- pyretics, 18 Litmus-test. 426 Litten's sign, 76, 78. .306 Liver, abscess of, distinguished from .syphilis or malignant disease, 390 abscess of, .symptoms in, 390 acute yellow atrophy of, 391 amyloid, disease of, 390 atrophy of, 391 cancer of. 389 cancer of, diagnosis of, 390 560 IXDEX. Liver, cancer of, emaciation in, 390 cirrhosis of, i!S9 cirrhosis of, aluloniinal 'veins in, :«'.5 cirrhosis of, amcniia in, 478 cirrhosis of, atrophic. 391 cirrliosis of, emaciation in, 2 cirrliosis of, latent, 3S9 cirrhosis of, portal obstruction in, 3S9 cirrhosis of, uncompensated. 389 congestiiMi of, 3,S9 diseases of, :->,S7 diseases of, cerebral symptoms in, 39.") diseases of, .signs in, 387 enlargement, 388 enlargement, causes of, 389 enlargement, condition.s with which confounded, 388 enlargement, diagnosis of, 388 enlargement, in obstructive jaun- dice, 390 fatty, 389 growth of, in cancer. 390 hydatid disease of, 391 in leuka-mia, 391 malignant disease of, symptoms in, 39-1 pain and tenderness in, 387 palpable normally. 368 portal obstruction in, 391 .statistics on, 3Sli sypliilis of, 390 syphilis of, distinguished from cirrho.sis or malignant di.sease, 390 tumors of. 377 Locomotor ataxia, atrophic arthritis hi, 499 Lonlo.sis, ,54 Lordosis in muscular dystrophy. 54 in tuberculosis, 54 with abtlominal tumors, 54 with pregnancy, 54 Lumbago, 53 Lung, ab.scess of, 21, 3,')9 acute miliary tuberculosis of, 316 adventitious ,sounds (see Rdtcs) anatomy of. 57 atelectasis of, S2, 163, 304. 361 auscultation of. 149-165 cancer of, 67, 3tiO chronic interstitial jinctimonia, 83, 315, 324 cirrhosis of, 324 collapse of (see Atclcitasis) congestion of (see U^ilcma) consolidation of (.see Solidifica- ti<in) disea.ses of, 292-329 diseases of, fingeis in. 47. 49 diseases of. lips in. 18 emphysema of. 317-321 fibroid di.sea.se of. 83. 315. 324 fistula sound. 170 gangrene of. 21. 3,59 hypertroiihy of. 67. 321 malignant disea.sc of. 67. 3(i0 miliary tuberculosis of. 316 oedema of. 362 palpation of. 98 perciLssion of. 131-131) phthisis. 304-316 pneumonia. 296. 302. 303, 362 position of, 58 radiosco|iy of, 534 rales in disease of, 161, 306 reflex, 136 llontgen ray examination of, 57, 359 sarcoma of, 30, 38, 360 INDEX. 561 Lung, solidification of, 298, 311, 323 sputa in diseases of, 324 syphilis of, 323 tuberculosis of, 304-316 Lupus erj'thematosus, nose in, 17 Lymphangiectasis, filarial, 4.55 Lymphatic leukiemia, blood in, 481 glands in, 30 Lymphocyte cells, in blood, 473 cells, in pleural fluid, 355 Lymphocytosis, 481 in debility, 481 Malaria, aneemia in, 478 chills in, 3 jaundice of, 394 parasites in, 484 spleen in, 414 mth jaundice. 15 Malignant disease, anseniia in. 478 Malnutrition, 2 emaciation in, 2 in anorexia nervosa. 2 in chronic diarrhcea, 2 in chronic dyspepsia, 2 in diabetes, 2 in gastric cancer, 2 in gastric dilatation, 2 in gastric ulcer, 2 in infantile atrophies. 2 in oesophageal stricture. 2 Massage, leucocytosis in, 480 Mast cells, in blood, 473 Measles, conjunctivitis in. 14 Koplik's spots in, 25 oedema of face in, 10, 14 Mediastinal glands, tubercidosis of, 526 pressure, signs, 284, 523 tumors, .38, 290 Mediastinitis, 276, 278. 526 36 Mediastinum, diseases of, 523-527 Megaloblasts. 472. 477, 479 Mela^na, 385 Meningitis, bulging fontanels in, 6 strabismus in, 16 tuberculous, optic neuritis in, 16 Mensuration, 56 Mental symptoms in myxoedema, 10 Meralgia parajsthetica, 457 Mesenteric thrombosis, 375 Mesenterjf, enlarged glands of. 373 Metallic tinkle, 170, 232 Metatarsalgia, 465 Meteorism, respiratory mo^-ements of belly in, 366 MethfemoglobinEemia, lips in, 18 test of. 18 Microcephalia, 5 Migraine, aphasia in, 518 Mind, depression of, in jaundice, 393 in general peritonitis, 373 Mitral disease, 210. 229 (see also Heart) regurgitation, 210 stenosis, 220 Monoplegia, 508 leg in, 459 Morbus coxEe senilis, 500 Morton's disease, 465 Morvan's disea.se, .50 Motion, disorders of, 507 Mouth, canker-sores of, 19 fissures in. 18 herpes of, 18, 19 in adenoids, 10-18 in cretinism. 18-20 in dyspncea, 18 in idiocy, 18 mucotis patches in, 18-25 syphilitic ulcers of. 18 Movements, respiratory, 69 562 INDEX. Mucous luenibrnue in javuidicc, 14 Mucus in feces. 405 Multiple sclerosis, intestinal trouior of. 44 sclerosis, knee-jerks in, 515 sclerosis, nystagunis in, 16, 44 sclerosis, paraplef;ia in, 459 sclerosis, speech in, 44 sclerosis, tremor in, 44 sclerosis, with spastic gait, 44 Mumps, 30 "accidental," 194 orchitis in. 446 Murmurs, arterial, 198 at apex, 212 at xiphoid, ISS cardiac, 1S4-19S cardio-respiratory, 197 conduction of, 188 diagnostic interpretation of, 190, 249 diastolic, 187. 234-236 diastolic, in aniemia, 196 diastolic, in aneurism, 286 diastolic, in aortic area, 286 diastolic, in aortic regurgitation, 234 diastolic, in ensiform cartilage, 234 diastolic, in mitral area, 235 diastolic, in mitral stenosis, 224 diastolic, in pulmonary area, 251 diastolic, in pulmonary regurgi- tation, 251 disappearance of. 191, 225 effects of exercise on, 193 effects of position on , 193 effects of respiration on, 193 from pressure, 198 finictional, 194, 195, 196, 244 h;pmic (see Functional) Murmurs in aortic aneurism, 285 in aortic area, 235, 239, 240-246 in aortic regurgitation, 235 in aortic roughening. 219, 238, 244 in aortic .steno.sis, 240 in back, 212 in mitral area. 212, 21S, 222, 226 in mitral regurgitation, 212. 21S in mitral stenosis, 222-225 in neck, 196. 198 in pulmonary area, 196, 251 , 252 in pulmonary regurgitation. 251 in pulmonary stenosis. 252 in relative insulhciency. 239. 244 in tricuspid area, 188. 247 in tricuspid regurgitation. 247 in tricuspid stenosis. 247 length of, 193 maximvmi intensity of. 190 metamorphosis of, 194 musical, 192 of an;eniia, 196. 244 of Flint. 227. 239 organic, 190, 196 position of. 187 prcsy.stolic. 187 production of, 184 quality of, 192 significance of, 190 systolic, at apex, 212 systolic, at base, 240 systolic, in tricuspid area, 18S, 247 systolic, over arteries, 198 terminology of, 184 time of, 186 transmission of, 188 vascular, 198 venous, 198 INDEX. 563 Muscle, ilio-psoas, when palpable, 368 sounds, 146, 295 Muscular dystrophy, lordosis in, 54 Mydriasis, causes of, 15 Myelitis, acute, bedsores in, 519 sexual power in, 517 transverse or diffuse, paraplegia in, 459 Myocarditis, acute, 257 chronic interstitial, 258 diagnosis of, 2,59 hot feet in, 464 in acute rheumatism, 257 physical signs in, 258 Myoma of uterus, 4,50 Myxoedema, 10 changes of nails in, 52 diagnosis by palpation, 10 diy skin in, 10 face in, 10 hand in, 46-48 increase of weight in, 1 infantile form, 10 infiltration with mucin in, 1 lips in, 20 loss of hair in, 8, 10 mental dulness in, 10 nose in. 17 onset of symptoms in, 10 pufEness of face in, 10 subnormal temperature in, 10 temperature in, 3 tongue in, 24 Nail.?, 52 capillary pulse, 52 changes, in chronic skin diseases, 52 changes, in hemiplegia, 52 changes, in myxoedema, 52 changes, in neuritis, 52 Nails, changes, in pulmonary osteoar- thropathy, 47-49 changes, in syringomyelia, 52 disturbed nutrition of, 52 grooved, after acute disease, 52 in anaemia, 52 in cyanosis, 52 incurvation of, 47, 49, 52 indolent sores around, 52 Navel, inflammation or thickening of, 369 Neck, 29 abscess of, 29-31 actinomycosis of, 34 disea,ses of, 29-35 in emphysema, 29 in paralysis agitans, 11 in phthisis, 29 length of, 64 pulsations in, 33, 34 scars of, 29-31 Necrosis, anesthetic, in leprosy, 50 of bone, in tuberculous arthritis, 494 Nephritis, acute, urine in, 437 chronic diffuse, face in, 12 chronic glomerulo-, anaemia in, 478 diagnosis of, 1'4 face in, 12 glomerular, chronic, urine in, 437 glomerular, polyuria in, 438 cedema of arm in, 38 oedema of eyelids in, 14 optic neuritis in, 16 parenchymatous, 437 retinal hemorrhage in, 16 symptoms, 425 temperature in, 3 urine in, 425 564 INDEX. Nephrolithiasis, symptoms in, 42.') urine in, 425 Nervousness, tremor of lianils in, 4:i Nervous system , M7 Neuralgia, Tri red, of extremities, 4(14 Neurasthenia, fibrillary twitchings in, 510 knee-jerk in, 51H with ptosis, 10 Neuritis, anaesthesia in, 36 atrophy of arm in, :i7 changes of nail in, 52 due to pressure, 35 hysterical, paralysis in, 36 multiple, paralysis in, 37 obstetrical, paralysis in, 36 optic, 16 pain in, .36 panipsthesia in, 36 (laralysis of leg in, 458 postdiphtheritic, 29 pressure, paralysis in, 35 pressure, test for, 36 tenderness of leg in, 461 toxic, paralysi.siin, 36 with partial paralysis of l)oth legs, 4.59 New-born, jauntlice in, 3!i3 Nodes, bony, in syjihiiis, on leg, 161 Heberden's, 47-.50 in hypertrophic arthritis, .5()t) OJi forehead, 9 syphilitic, 9-3S Noma, 26 Normoblasts in blooil, 472, 477, 479 Nose, 17 epithelioma of, 17 falling of bridge in, 17 hemorrhage of nuicous mem- brane in, 17 Nose, in acne rosacivi. 17 in acromegalia, 10, 17 in adenoids, 17 in alcoholism, 12, 17 in dyspnoea, 17 in hipus erytlieniatosus, 17 in myxcx'dema, 17 local diseases of, 17 significance of dried blood in, 17 size and sliajie, 17 tuberculosis of, 17 Nosebleed , 1 7 in fever, 17 in htemophilia, 17 in leuk;T?mia, 17 in purpura, 17 in trauma, 17 Nutrition of chest , 65 Nystagnuis, 10-44 nuiltipic sclerosis with, 16 Ohrsitv, 1 Olistruction, laryngeal, 7() Ocular motions, 10 (Edema, 93, 217 angioneurotic, 461 diagnosis of cause, 3S in ani^mia, 461 in deficient local ciieul;ition, 401 in flat-foot, 4()1 in hemiplegia. 401 in inflanunation, 401 in nephritis, 401 in neuritis, 461 in obesity, 461 in pressure, 461 in thrombosis, 401 in uncompensated heart lesions, 401 in varicose veins, 461 of arm in mediastinal di.sease, 523 INDEX. 565 CEdema of eyelids, 13, 14 of lungs, 294, 362 CEsophagus, .stricture of, 2 Oliguria. 421 Omentum, tubercular deposits in, 377 Opium-poisoning, coma in. 521 shaking of head in, 13 Optic atrophy, 16 atrophy, as result of optic neuri- tis, 16 neuritis, 16 Orchitis, 446 Osteitis deformans, 6, 458 deformans, bony thickening in, 6 Osteoarthritis, 501 Osteo-arthropathy, pulmonary, hy- pertrophic, 40-43, 47 Osteoma of thigh, 456 Osteomyelitis, acute, leucocytosis in, 456 acute septic, 455 acute septic, diagnosis from ar- thritis, 456 chronic tuberculous, 456 tibia in, 461 Ovarian disease, diagnosis of, 4.52, 453 Ovaries, 451 abscess of, 451 cyst of, 451-452 cyst of, with twisted pedicle, 452 tumors of, 452 Ovaritis, 451 Oxaluria, 435 Oxyuris vermieularis, 407 Paget's disease, 6, 458 disease, arm in, 40 disease, bony thickening in, 6 disease, enlargement of skull in, 6 disease, with kyphosis, 54 Pain, in cancer of stomach, 384 Pain, in intestinal diseases, 400 in kidney disease, 420 in liver disease, 387 in local peritonitis, 373 in lumbago, 53 in obstetrical neuritis, .36 in osteomyelitis, 461 in pressure neuritis. 35 in syphilitic nodes of humerus, 38 in toxic neuritis. .36 Palate, paralysis of, absence or di- minished reflex in, 29 soft, adhesions, 29 soft, perforation of, 29 Pallor, 93 in phthisis, 12 Palpation, 96-103 and dipping, 371 and friction, pleural or pericar- dial, 100 in aneurism, 280-282 ' in myxcBdema, 10 of abdomen, methods of, 366 of apex-beat, 96 of normal abdomen, 368 of rales, 101 of the pulse, 103-111 of thrills, 97 of voice vibrations, 98 (see also Fremitus) Palpitation, 264 Pancreas, 397 cancer of, diagnosis of, 397 cancer of, jaundice of, 396, 397 cyst of, 398 diseases of, 397 diseases of, aids in diagnosis of, 398 diseases of, diabetes in, 398 diseases of, diagnosis of, 397 diseases of, stools in, 397 rm INDEX. r:iiu'icns, iliseases of, uiiiii' in, .'i!)7 statistics Mil, ittIS tunioi' ol', 'A7 !>-'A':)7 tumor of, {^all-bladder in, ili)7 I'aiicroalilis, acute, 398 Pariesthcsia, 512 in neuritis, 36 Paralyses, cerebral, knee-jerk in, 514 Paralysis, 508 afiitans, 11-13 ai;ilan.s, face in, 11 afj;itans, gait in, 508 agitans, hands in, 13 agitans, rigidity of neck in, 11 agitans, tremor of hands in, -44 btdbar, 29 congenital, choreiform move- ments in, 45 in acute anterior poliomyelitis, 36 in anterior ].)olioniyeliti.s, 458 in chorea, 459 in diseases of s])inal cord, 37 in hemiplegia, 458 in hysteria, 36, 458, 4.59, .508 in lead-poi,soning. 36, 37 in multiple neuritis, 37 in midtiple sclerosis, 459 in neuritis, 458 in obstetrical neiuitis, 36 in pres.stire neuritis, 36 in tabes, 4.59 in toxic neuritis, 30, 37 in transverse myelitis, 4.59 in trarmiatic neurosis, 36 infantile cerebral, athetosis in, 45 of brain, .508 of cord, 508 of cranial nerve, 508 of interossei and lumbricalcs, claw-hand in. 46 Paralysis of intesliues, in general p(.'ritinHlis, 373 of leg, 458 of meilian oi' ulnar nerves, claw- hand in, 16 of palate, test for, 29 of ])eripheral nerve, 508 serratus, sGipula in, 55 with contraction of pupil, 15 Paralytic thorax, 63 Paraphimosis, 445 Paraplegia,, 457, 508 spastic, 4,59 Parasites, animal, diseases due to, blood in. 481 in feces, 406 in the blood, 484 intestinal, ana-mia in, 478 intestinal, eggs of, 40.S-409 Paresis, 508 Paronychia , 52 Parotid gland, cancer of, 30 gland, enlargement of, 30 , Parttu'ition, leucoeyto.sis in, 4,'-0 Passive congestion, in liver enlarge- ment, 389 Patella, floating of. test for, 4<)0 Pectus carinatmu, 62 Pediculi in hair, 8 Penis, 445 cancer of, 446 chancre of, 445 chancroid of. 445 dischai'ge from, 44.5 intlanuuation of glands of, 445 nialfcu'mations of, 435 Peptic \ilcer, pain in, 395 Percussion, ausodtatory, 125 force of. 122 innnediate, 1 18 mediate, 119-136 INDEX. 567 Percussion of abdomen, 371 of lung borders. 133 outlines of thoracic organs, 58, 128 palpatory, 136 resonance, 127 resonance, amphoric, 135 resonance, cracked-pot, 134 resonance, dull, 128 resonance, flat, 128 resonance, tympanitic, 130 resonance, vesicular, 128 technique of, 118 Pericardial friction (see Pericarditis) Pericarditis, acute plastic, 268 diagnosis of, 270, 275 dry. 268 fibrinous, 268 friction, diagnosis of, 270 friction in, 268 with effusion, 271 with effusion, diagnosis of, 275 Pericardium, adherent, 276 diseases of, 268-280 Perinephritic abscess, 54, 418 abscess, psoas spasm in, 495 Perineum, ruptured, 448 Periostitis, 461 Peripheral nerve lesions, aneesthesia in, 512 nerve lesions, hyperfesthesia in, 512 nerve paralysis, 508 neuritis, knee-jerk in, 514, 515 I'eristalsis, visible, gastric. 377 ■visible, in intestinal obstruction, 403 Peritoneum, cancer of, antemia in, 374 cancer of, ascites in, 374 cancer of. emaciation in. 374 Peritoneum, cancer of, signs in, 374 cancer of, tumors in, 374 diseases of, 372 tuberculosis of, anaemia in, 374 tuberculosis of, ascites in, 374 tuberculosis of, emaciation in, 374 tuberculosis of, signs in, 374 Peritonitis, 372 causes of, 373 general, 373 general, facial expression in, 374 general, fever. in, 373 general, intestinal paralysis in, 373 general, leucocyte count in, 374 general, mind in, 373 general, pulse in, 373 general, swollen belly in, 373 general, tenderness in. 373 general, vomiting in, 373 local, albuminuria in, 373 local, anorexia in, 373 local, constipation in, 373 local, fever in, 373 local, leucocytosis in, 373 local, muscular spasm in, 373 local, pain in, 373 local, symptoms in, 373 local, tenderness in, 373 local, tumor in, 373 respiratory movements of belly in, 366 with thickening or inflammation of navel , 369 Peri-urethral abscess, 445 Pernicious anjemia, blood in, 478 ansemia, jaundice of, 394 angemia, remissions in, 479 anemia, with jaundice, 15 568 INDEX. Pharyngitis, general redness in, 2(i of smokers, L'i) Pharynx, 20 abscess of, 28 in diphtheria, 26 in pharyngitis, 26 in sciirlet fever, 26 methoil of examination, 26 Phimosis, 445 Phlebitis, 457 Photophobia, 15 Phthisis, 11, 304-316 acute, 316 advanced, 311 chronic. 308-316 dilatation of pupils in, 15 eyelashes in, 12 eyes in, 12 fibroid, 66 flush in, 12 hair in, 12 incipient, 304 neck in , 29 pallor in, 12 pupils in, 12 skin in, 11 thoracic deformity in, 64 with fatty liver, 389 (sec also Tuberculosis) Pigmentations in buccal cavity, 26 " Pink-eye," 14 Pin-worm, in faices, 407 Platelets in blood, 474 Pleura, cancer of, 355-360 diseases of, 330-358 Pleural adhesions, 78 cancer or hydatid of lung, 355 effusion, 70, 76, 338-3,50 effusion, diagnosis from pleural thickening, 353 Pleural effusion, diagnosis from pneu- monia, 362 eff'usion, diagnosis from sub- diaphragmatic effusions, 354 effusion, encapsulated, 350 effusion, signs during absorption of, 350 exudate, cells in, 356 friction, 100, 165, 337 friction, distinction from muscle soimds, 338 friction, distinction from pericar- dial friction, 270 friction, distinction from rales, 338 friction, means of eliciting. 166, 167 thickening, 3.50, 353 Pleurisy, 330-350 clubbed fingers with, 47, 49 iliaphragmatic, 337 dry, 336 egophony in, 169 heart in, 343, 344 pain in, 336 plastic, 336 pulsating, 87, 352 radioscopy of, 535 restrained breathing in, 75 tuberculous, 356. 357 Plumbisni, blood in, 472 gums in, 24 paralysis in, 36, 37, 4,58 Pneumococcus infection, arthritis in, 495 Pneumonia, 296-304 aspiration, 302 broncho-, 303 catarrhal, 303 central, 296, 531 chronic interstitial, 324 IXDEX. 569 Pneumonia, crepitant rales in, 299 croupous (or lobar), 290 croupous, blood in, 4SU croupous, diagnosis from pleur- isy, 302 croupous, diagnosis of, 301 croupous, egophony in, 299 croupous, signs in, 296 croupous, sputa in, 326, 328 hypostatic, 362 inhalation, 302 lobular, 303 massive, 296 migratory, 300 resolution of, .300 tuberculous, 302, 304 Pneumopyothorax, 332 Pneumoserothorax, 3.32 Pneumothorax, 67, 70. 330 Poikilocytosis in blood smears, 472, 477 Poisoning by gas, coma in, .522 by illuminating gas, breath in, 22 by mercury, gums in, 2.5 by potassic iodide, gums in, 2.5 lead, lead-line in, 24 opivmi, coma in, 521 Poisons, ansemia in, 478 glucosuria in, 429 Poliomyelitis, anterior, 458 atrophy in, 37 chronic, claw-hand in, 46 Polychromasia in blood smears, 472, 477 Polynuclear cells in blood. 473 Polyuria, 421 Portal obstruction, causes of, 392 obstruction, signs of, 391 stasis, ascites in, 374 Postepileptic coma, 322 Pott's disease, 66 disease, cervical, symptoms of, 33 disease, cer\ical, with abscess, 31 disease, diagnosis of, 495 disease, vertebrae in, 33 disease, with kyphosis. 54 Pregnancy, choreiform movements in, 45' glucosuria in, 429 lordosis in, 54 spasm in, 13 tubal, 451 Pressure, arterial, 111-117 arterial, methods of measuring, 111 diastolic, 108, 116 media.stinal, 523 systolic, 106, 114 Presystolic murmur (see Murmur) Primary polyarticular atrophic ar- thritis, diagnosis of, 499 Procidentia, 449 Progressive muscular atrophy, fibril- lary tmtchings in, 510 muscular atrophy, reaction of de- generation in, 518 Prominence, local, 68 of chest, 68 Prostate, hypertrophy of, distended bladder in, 440-441 Prostatitis, acute, retention of urine in, 441 Pseudo-leukfemia, tonsils in, 28 P.soas abscess, 455-457 spasm in disease, 495 Psychic fvmctions, examinations of, 519 Ptosis, 16 in hysteria, 16 in neurasthenia, 16 ilt 0 INDEX. I'insis ill .sy|illilis, l() I'uliiioiiary ilisrn.sc, 292-32!) (see Liiiifl) hemoriiia,!;"e, 'M)!i cviU'iua, 2!)-l, :'.{V2 osteoartl\ropathy, -11—13, 47 regui'gitatiou, 251 stenosis. 2r>2 syphilis, 323 tympanites, 321 Pulmonic area. 171, 178, 196, 251, 252 seeonit soinul , 1 7S Pulsatin.i; pleui-isy, ,S7 Pulsation, almoinial. 82-87, 280 capillarj-, 91, 232 epigastric. S.") venous, 88, 247 venous, in tricuspid disease, 247 visible, 85 Pulse, 103-117 anacrotic, 107 bounding, 107 capillary, 52, 232 coiuprcssihility of, Ult) (see also Arterial firtssitrc) Corrigan's, 233 dicrotic. 107 frequency of, 105, 261 in aneurism, 104 in aortic regurgitation, 233 in aortic .stenosis, 104, 242 in peritonitis, 373 irreguliirity of, 105, 263 method of feeling, 104 rate, 105 rhythm or regul.'irily. 105 slow. 262. 393 (see Iirn,liir,ir,li„) tension, 108 value of, 103 venous, 88 volume, 106 I'ulse, water-hanunei', 233 wave, size and shape of, 106 (sec alsi) ,1 rhriiil trulls) (see also ArUrlal prcxsiire) Pupil. 15 Argyll- Robert son, 15 contraction of, 15 dilatation of, 15 irregularity of, 15 Pupils, in phthisis, 12 reflexes 15, 5bl tests of reflexes of. 15 with sluggish reaction, 15 Purpura, nosebleetl in, 17 Pus in fa>ces, 406 tube. 450 lube, cause of peritonitis, 373 Pylephlebitis. 3i)0 Pyloric stenosis, in cancer of stomach. 384 Pylorus, stenosis of, gastric peristalsis in, 377 stenosis of. ]ieristalsis in. 366 Pyonephrosis, 418 Pyorrhcpa alveola ris, 25 Pyuria, 423. 424 CjuiNSV sore throat, 28 1! M'uriis, effects on chest, 60-63 e]iiphyses in, 40 head in, 6 teeth in, 20 (.see also l\'ifkrls) Radio.scopy, 79, 287, 529-536 Hales, 161-165 bubbhng, 161 cousonating, iU I cracklmg, 162 cre))itant. 163, 299 (.liagnosis of, 167 INDEX. 571 R:"iles, ■dry," 162 ■ moist," 161 musical, 164 palpable, 101 \arieties of, 161 Raynaud's disease, 49, 464 disease, gangrene in, 49, 465 disease, syncope in, 49, 519 Reaction of degeneration, 517 Recti, separations of, 369 Rectum, abscess of, 443 cancer of, 444 fissure of, 443 fistula of, 443 hemorrhoids of, 443 methods of examination, 443 symptoms which suggest exami- nation, 442 Reflex, lung, 136 Reflexes, 512-513 deep, 515 exaggerated pharyngeal, 29 in bulbar paralysis, 29 in postdiphtheritic neuritis, 29 of pupil, 513 superficial, 516 Regurgitation, aortic, 234 mitral, 212, 218 pulmonary, 251 tricuspid, 188, 247 Penal calculus, 419 calculus, symptoms, 425 calculus, urine in, 425 cohc, 395, 419 disease, ascites in, 374 disease, diuresis in, 1 disease, sweating in, 1 disease, weight in, 1 Resistance, sense of, 136 Resonance (see Percussion resonance) Respiration (see Breathing) Respiratory mo\'ements, 69-71 sounds, 151-161 (see Breathing) rhythm, 74 Restriction of thoracic movements, 70 Retina, 16 hemorrhage of, 16 hemorrhage of, in anicmia, 16 hemorrliage of, in dialietes, 16 hemorrhage of, in nephritis, 16 Retraction of thorax, 70, 73 causes of, 76 causes, lung, 291, 317 Retrocele, 448 Rheumatoid arthritis, 495, 498 Rickets, arm in, 40 delayed closure of fontanels in, 6 epiphyses in, 40, 463 head in, 6 rubbing off of hair of head in, 7 spleen in, 414 sweating of head in, 7 teeth in, 20 with kyphosis, 54 Romberg's sign, 511 Rosary, rachitic, 63 Rose spots, diagnosis of, .365 Round-worm in fseces, 407 Sahli's test for hcemoglobin, 467 Salpingitis, 450 Sarcoma of arm, 38, 39 of belly wall, .369 of femur, 456-457 of leg, 461 of lung, cedema of arm in, 38 of mediastinum, oedema of arm in, .38 of scapula, 55 of testis, 446 of thyroid gland, 32 of tonsil, 27 572 INDEX. Swipula, iingel-winj;, r).") ])romiiient, G') sarcoma of, 55 Skii' from syphilitic ulcers on leg, 461 Scarlet fever, pharynx in, 20 fe\-er, tonsils in, '26, 27, 28 Scars of foreheail, S significance of, 31 Scoliosis, with twisting of spine, 54 Scrotum, 446 hernia of, 447 hydrocele of, 446 Scurvy, giuns in, 25 Senility, tremor of hands in, 43 Sensation, delayed, 512 disorilers of, 511 dissociation, 512 Sepsis with jaundice, 15 SepticaMnia with jaimdice, 394 Serratus paralysis, scapula in, 55 Sexual power, 517 Shock, diastolic, 284 Sigmoid, c^mcer of, 404 Skin, diseases of, chronic, lilooil in, 481 in jaundice, 14 in leprosy, 11 in myxoedenia, 10 in phthisis, 11 itching of, in jaundice, 393 lesions of, trophic, in atrophic ar- thritis, 499 Skull, enlargement of, 6 Sleep, loss of, 2 Smallpox, eruptions on forehead in, 9 throat in, 27 Snuffles, syphilitic, 17 Sordes, 25 Sounds, cariliac, 171-179 (see also Heart) Sounds in lung fistvda, 170 respiratory, 151-161 (see also Brcalkinij) Spade-hand, 46 Spasm, muscular, 373, 490-492, 494 psoas, 495 tonic, 509-510 Spasms, clonic, 509-510 hands in, 44, 45, 46 of face, 13 Spastic paraplegia, knee-jerk in, 512 Speech, loss of, 518 Sphincteric reflexes, 517 Sphygmograph, 535 Sphygmometer, 111 (see Bhiinl press- ure) Spina bifida, 55 Spinal cord, pressure on, ]iara])legia in, 459 cord, severing of, knee-jerk in, 514 curvature, 54, 66, 70 curvature, scapula in, 55 Spine, chronic diseases of, sphincteric reflexes in, 517 in hypertrophic arthritis, 501, 502, 503, 504 normal flexibility of, 504 tuberculosis of, 495 Spleen, diseases of, .59, 412 enlarged, distinguished from other tumors, 415 enlargement of, 412, 414, 415 palpation of, 412-414 jiercussion of, 414 in portal obstruction, 392 Splenic anaemia, 414, 415 Spondylitis deformans, 501 Sputa, appearance of, 324 examination of, 324-329 odor of, 325 INDEX. 573 Sputa, origin of, 324 staining of, 326 Squint, 16 Starvation, breath in, 21 Statistics on bladder, 439 on gall-bladder and liile-ducts, 387 on diseases of liver, 399 on joint lesions, 506 on kidney, 416 on liver disease, 386 on pancreatic disease, 378 on thigli disease, 455 on thigh tumors, 456 Stenosis, aortic, 239 mitral, 220 of a bronchus, 73, 286, 323 pulmonary, 252 tricuspid, 250 Stethoscope, choice of, 138 use of, 143 varieties of, 138 Stomach, 376 cancer of, .384, 385 cancer of, glands in, 30 cancer of, statistics, 384 cancer of, vomitus in, 385 contents, acetic acid in, 382 contents, acidity of, 381 contents, blood in, 381 contents, blood in, tests for, 381 contents, chemical tests of, 382 contents, color of, 381 contents, determination of total acidity of, 382 contents, free hytlrochloric acid in, tests for, 382 contents, general appearance, 381 contents, in achylia gastrica, 382 contents, in fermentation, 382 Stomach, contents, in stasis, 310 contents, inspection of, 382 contents, lactic acid in, 383 contents, lactic acid in, test for, 383 contents, method of obtaining, 381 contents, mucus in, 382 contents, nitric acid in, 382 contents, normal quantity ef , 381 contents, odor of, 381 contents, sediment in, 384 contents, significance of organic acids in, .384 contents, total acidity, 383 dilatation of, 378 dilatation of, causes and symp- toms, 385 dilatation of, diagnosis, 386 dilatation of, statistics of, 384 diseases of, incidence and diagno- sis of, 384 distention of, methods, 380 estimation of size and po.sition, .378, 380 fluid in, palpation of, 368 hj'peracidity in, 385 hypoacidity in, 385 hypogastric bulging of, 378 inspection and palpation, 376 methods of examination, 376 normal splash sound in, 378 passing of tubes, .378 secreting and motor power of, 378 test meal for examination of, 379, .381 tumor in cancer of, 377 ulcer of, statistics of, 384 vi.sible peristalsis in, 377 washing of, method, 381 574 IXDEX. Stomatitis, breath in, 21 gangrenous, 26 Stools in gastric ulcer, 3S5 in jaundice, 14, 39o in pancreatic disease, 397 Strabismus, 16 Stridor, respiratory, 523 Strongyloides intestinalis, 407, 412 Strycluiine poisoning, spasm in, 510 Subsultus tendininn, 43 Succussion, 169, 332 Sugar, 42.S (see Gtuvosuria) Sunstroke, coma in, 522 fe\er in. 3 Suppurations, clironic, anaemia in, 478 Sweat, in jaundice, 14 Syncope. 521 local, in Raynaud's disease, 49 Syphilis, arthritis in, 495 breath in, 21 chancre of penis in, 445 congenital, teeth in, 20, 21 coryza in, 17 dactylitis in,4S-50 eruptions on forehead in, 9 glands of neck in, 30 hereditaiy, delayed closiu-e of fontanels in , 6 inguinal glands in, 454 jaundice in, 393 keratitis in, 16 loss of hair in, 7 mucous patches in, lS-25 nodes on luunerus in, 38 no.se in, 17 of frontal bone, 7 of li\cr, 390 of huig, 325 of tongue, 23 orchitis in, 446 Syphilis, palate in, 29 periostitis in, 461 periostitis, scars on forehead re- sulting from. 8 ptosis in. 16 sores about nails in. 52 strabisnuis in, 16 tonsils in, 27 Syringomyelia, changes of nails in, claw- hand in, 46 felons in, 50 Morton's disease in, 50 with atrophic arthritis, 498 Systolic murmiu' (see ^fllrlllul■) T.vBES dorsalis, ataxia in, 510 dorsahs, knee-jerk in, 514 dorsiilis, opitic neuritis in, 16 dors:Uis, para^sthesia in, 512 dorsiilis, paraplegia in, 459 dorsalis, reaction of pvipil in, 15 dors;ilis, Rouilierg's sign in, 511 dors;\lis, sexual power in, 517 dorsalis, spliincteric reflexes in, 517 ulcer of toe in, 4(i5 with atropine arthritis, 49,8 with contraction of pupil, 15 Tachycardia, 261 Tactile fremitus. 98, 297, 308, 318, 350 TaMiia .s;iginata, 407, 408 solium, 407, 409 nana, 407, 410 Tallqvist's test for lupmoglobin, 46t) Tape- worm in fa'ces, 407, 411 Teeth, 20 grinding of, 21 in congenital sypliilis, 20 in cretinism, 20 in rickets, '20 INDEX. Teeth, time of appearance, 20 Temperature, 2 in myxcedema, 3, 10 in nephritis, 3 in osteomyelitis, acute, 456 in pathological conditions, 3 in uncompensated heart disease, 3 malingering in, 2 significance of, 2 subnormal, 3 Tenderness in general peritonitis, 373 in intestinal diseases, 400 Li peritonitis, 373 Tenosynovitis, 41 of Achilles tendon, 463 Tension of pulse, 108 Testes, 446 absence of one or both, 447 cancer of, 446 hsematocele of, 447 retained, 455 sarcoma of, 446 Tetany, spasms in, 46 Thigh, 455 cancer, metastatic, 4.57 cramps in, causes of, 458 diseases of, statistics on, 455, 456 intermittent claudication of, 458 meralgia, paraesthesia of, 457 miscellaneous lesions of, 457 osteoma of, 456 sarcoma of, 456 significance of scars on, 456 tumors of, statistics, 456 Thoma-Zeiss blood counter, 475 Thoracic aneurism (see Aneurism) deformities, 62-68 disease, 199-363 disease, methods of diagnosis in, 56-198 Thorax, paralytic, 63 tender points on, 102 Thrill, 97 in aortic aneurism, 2S2 in aortic .stenosis, 243 in congenital heart lesions, 265, 266 in mitral regurgitation, 217 in mitral steno.sis, 222 in pulmonary stenosis, 252 Throat, in chickenpox, 27 in diphtheria, 26 in smallpox, 27 in pharyngitis, 26 in scarlet fever, 26, 27, 28 methods of examination, 26 with streptococcus infection, 27 Thrombosis, cedema of arm in, 38 of mesentery, .375 of vein, 460 Thrush, 27 Thyroid gland, atrophy of, 31 gland, malignancy of, 32 Tis.sues, accumulation of fluid in, 1 Tobacco, shaking of head in, 13 Toe-drop gait, 508 Toes, 465 le.sions of, 465 tender, after typhoid fever, 465 Tongue, 22 cancer of, 23 cancer of, glands in, 30 canker of, 22 coating of, 22 cyanosis of, 22 dry brown, 22 fis.sures of, 23 geographic, 23 herpes of. 22 hypertrophy of, 24 in alcoholism, 22 576 INDEX. Tongue, iii cretinism, 10, 24 in dementia paralytica, 22 in facial paralysis, 22 in gastric fermentation, 22 in hyperacidity or gastric ulcer, 22 in myxoedema, 24 ill typhoidal states, 22 in weakness, 22 --' indentation of, 22 , jaundice in, 22 leukoplakia buccalis, 23 syphilis of, 23 tremor of, 22 tuberculosis of, 23 ulcers of, 23 Tonometer, Gaertner's, 112 Tonsil, abscess of, 28 Tonsillitis, acute, 28 follicular, 28 with enlarged glands, 30 Tonsils, 26 enlargement of, 28 general redness of, 26 in adenoids, 28 in diphtheria, 26, 27 in leukaemia or pseudo-leukfemia, 28 in pharyngitis, 26 in scarlet fever, 26, 27, 28 malignant disease of, 27 membrane on, 27 method of examination, 26 sarcoma of, glands in, 30 syphilitic ulcerations of. 27 tuberculous ulcerations of, 27 yellowish- white spots on, 27 Ttipfer's reagent, .382 Tophi, gouty, diagnosis of, 50.5 in gout, test for, 490 Tort'collis, congenital, 32 Torticollis with spasm, 32 Toxeemias, fever in, 3 in hepatic cirrhosis. 2 in tuberculosis, 2 in typhoid, 2 leucocytosis in, 478 tremor of hands in, 43 with jaundice, 15 Toxaemias, emaciation in, 2 Tracheal tug, 283 Tracheitis, 292 Transverse myelitis, ana?sthesia in, 512 Traube's semilunar tympanitic space, percussion of. 371 Trauma, nosebleed in, 17 scars on forehead resulting from, 8 Traumatic neuro.ses, paralysis in, 36 Tremor, 510 Tremors of hand, 43 of hands in alcoholism, 44 of hands in cold, 43 of hamls in fever. 43 of hands in Graves' disease, 44 of hands in hysteria, 44 of hands in multiple sclerosis, 44 of hands in nervousness, 43 of hands in old age, 43 of hands in paralj'sis agitans, 44 of hands in toxa-mia, 43 of tongue, 22 Trichiniasis. blood in. 481 cedema of eyelids 'u, 14 tenderness of leg in. 461 symptoms of, 14 Trichiuris trichiura, 407, 411 Trichomonas intestinalis. 407 Tricuspid disease. 188. 247-251 regui'gitation. 24G stenosis, 2.50 INDEX. 577 Trigeminal neuralgia, baldness in, 7 Trophic disorders, .519 disturbances, 48 Trypanosomiasis, blood in, 481 parasite in, 48.5 'I'ulierculosis, arthritis in, 494 dactylitis in, 48-.50 emaciation in, 2 epididymitis in, 446 in ankle bones, 463 of belly wall, 369 of lione of arm, 38-40 of cervical glands, 30 of hip, lordosis in, 54 of knee, distinguished from sar- coma., 457 of mediastinal glands, 526 of nose, 17 of omentum, 377 of peritonenra, 372, 374 of peritoneum, anipmia in, 374 of peritoneum, emaciation in, 374 of peritoneum, signs in, 374 of sacro-iliac joint, 53 of spine, 495 of spine, lordosis in, 54 of the lungs, 304-316, 534 of the lungs, acute, 316 of the lungs, advanced, 311 of the lungs, cavity formation in, 313 of the lungs, chronic, 308-316 of the lungs, cough in, 305, 306 01 the limgs, diagnosis of, 304- 316 of the lungs, emaciation in, 310 of the 1 ings, fever in, 304 of the lungs, hemorrhage in, 305 of the langs, hoarseness in, 305 of the lungs, Litten's signs in, 307 37 Tulierculosis of the lungs, physical signs in, 304, 316 of the lungs, rales in, 306 of the lungs, tuberculin in, 304 of the lungs, with emphysema, 315 of tongue, 23 of wrist joint, 40 orchitis in, 446 sores about nails in, 52 spinal paraplegia in, 459 ton.sils in, 27 vertebral, abscess in, 55 Tul)ereulous peritonitis, ascites in, 374 Tug, tracheal. 283 Tumors, 'AS abdominal, 78, 370 abdominal, lordosis in, 54 abilominal, respiratory mo\'e- nients of belly in, 3(55 aneurismal, 281 congenital, of back, 55 in cancer of peritoneum, 374 in cancer of stomach, 377 in epigastrium, 377, 384 in local peritonitis, 373, 374 mediastinal, 290 cedema of arm in, 38 of back, 54 of liver, 377 of pancreas, 377 of spine, 66 Tympanites, ]iulmonaiy, 321 Typhoid fever, breath in, 21 fever, nosebleed in, 17 fever, rose spots in, 365 fever, spleen in, 414, 415 fever, tender toes after, 465 fever, toxaemia in, 2 fever, Widal reaction in, 483 o , .s /.VD/:.Y. I LiKi; in tuberculous lUunylitis. id of leg. 4li(.l of stoin:icli. statistics of. :iS4 of tongue. 2:i perforating, of toe. 4ti.i Uncinaria aniericana. 4tl7. 409 eggs of. 410 Uncinariasis, blooil in. 4S1 Uraemia, aphasia in. olS breath in. 21 distinguished from apoplexy. ,)L!0 Urate of soditini in gouty deposits. .30:^ I'rethra. abscess of. 445 caruncle of. 449 discharge from. 44.3 jrlands. abscess of. 449 stricture of. distended bladder in. 440 I'rine. acetone in. 4:!0 aciUe retention of. 440 albmnin in. 427. 42S albumin in. Esliach's test. 420 allnunin in. significance of. 427. 42.S albumin in. tests for. 420 amount. 419 animal parasites in. 4.'-!o. 4:^0. 4:^7 bile in. :i9:-! blood in. 424. A.VA casts in. 4i-!l-4.'^:-> chemical examination of. 42.i color of, 422 crystals in -iediment. 4:i.'i di;icetic acid in. 4:^0 diazo reaction. 4:!0 eggs of Hilharzia haanaloliiuin in. 412 glucose in, 428 glucose. Feliliiig's t»st Inr. 42s Uruie. glucose, fermentation test for, 429 in bladder disease. 441 in cystitis. 423 in diseases of pancreas. 397 in jaundice. 14 in kitlney disease. 420. 42.3. 42S in renal suppm-ation. 423 optical properties of. 422 overcoiicentration of. 441 pus in. 423. 434 pus in. diagnosis of origin. 42,'i. 424 reaction of. 42o retention of. in acute prostatitis. 441 sediment of. 421 sediment of free cells in. 433 sciliment of. microscopic exami- nation of. 431 sediments, signiticance of. 423 slireds in. 422 significance of free cells in, 434 specific gra\ ity of. 421 siiermatozoa in. 434 total solids in. 421 tiu'bidity of. 422 lu-ate sediment in. 423 Uterus. 449 cancer of, 4,30 endometritis. 4.30 erosions of cervix. 449 fibro-myoma if. 4,30 lacerations of cer\ ix. 449 malpositions of, 449 prolapse of, 449 Uvula. 2,S Vvi.oi s, 4ti2 \alve areas. 171 Valvtilar heart lesions. 2Ut-2,3G INDEX. 579 Valvular lesions, oombined, 25.3 Varicocele, 447 Varus, 402 Vascular phenomena, 87, 92 phenomena in aortic regurgita- tion, 230-2154 sounds, 182, 183 tension, 108 Vasomotor disease, 519 Veins, abdominal, 365 inspection of, 88, 247 pulsations in (see Pulsnti'on) sounds in, 183 thrombosis of, 4fiO varicose, 460 Ventricle, dilatation of, 209 hypertrophy of, 206-208 Ventricular .septum, defects of, 266 Vertebrse, cer^■ical, dislocation of, 32 deviations of, 33 deviations of, due to haliit or oc- cupation, 33 deviations of, due to intracranial diisease, 33 deviations of, in astigmatism, 33 when palpable, .368 \'cjcal fremitus, 167-169 fremitus, in i)leuri,sy with effu- sion, 345, ■■','>() fremif\is, in pneumonia, 298, 299 fremitus, in pneumothorax, 332 fremitus, in pulmonary tubercu- losis, 308, 311 fremitus, .spoken, 16.S fremitus, whispered, 167, 298, 350 Voice sounds (see Vocal fremitus) Vomiting, in ga.stric cancer, 384 in gastric ulcer, 385 in general peritonitis, 373 Vomiting, in intestinal obstruction, 403 Vomitus, •' coffee-groiuid," .3.X4 Vuh'a, eczema of, 448 (edema of, 448 varico.se veins, 448 Vulvo- vaginitis, 448 Wa.stiN(; liiseases, depressed font.a- nels ill, 7 Weeping sinew, 41 Weight, gain in, 1 in infectious fe"\'ers, 2 in in.somnia, 2 in malnutrition. 2 in myxnedema, 1 in old age, 2 in toxa'inic slates, 2 iucrea.sed after wasting iliseases, 1 increa.sed in drop.sy, 1 loss ...f. 2 physiological changes in, 2 Weil's di.sease, .jaundice in, .394 Whooping-cough, blood in, 481 oedema of eyeliils in, 14 AMdal reaction in tj-phoiil. 483i \\'inking reflex, 517 Wrist , enlargement of bones in pulmo- nary osteoarthnjpatliy. 42, 43. 47 in atrophic aithritis, 47 Wrist-drop in lead-poisoning, 36 Wry-neck, 32 X-UAY in diagnosis of Pott's di.sea.se, 495 in hypertrophic arthritis, 501 in joint examination, 489, 490- 493, 494 YeTjLow fever, with conjunctivitis. 14 fe\'er, jaundice of, 394. 