Phthisis and the stethoscope : a concise practical guide to the physical diagnosis of consumption / by Richard Payne Cotton.

  • Cotton, Richard Payne, 1820-1877.
Date:
1851
Catalogue details

Licence: Public Domain Mark

Credit: Phthisis and the stethoscope : a concise practical guide to the physical diagnosis of consumption / by Richard Payne Cotton. Source: Wellcome Collection.

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    low, from one arm having been more used than the other. In tailors, also, the same thing may be occasionally observed, arising from their habit of leaning on one side, and using the right-hand set of muscles more than the left. Other in- stances might be adduced, but these will serve as illustrations. We may also, as in the confor- mation of the chest, occasionally meet with a slight difference in movement of a perfectly natural kind. It follows, therefore, that deficient action of either side cannot be of much use in diagnosis, unless it be as confirmatory evidence ; and, con- sequently, it should never be considered apart from other physical signs. The condition both of thoracic vibration (as felt by the hand) and resonance, (as communi- cated to the ear,) produced by the patient speak- ing or coughing, f vocal or tussive,) may be often employed in the detection of tubercular deposi- tion: hence, it is essential to bear in mind their healthy characters. 3. a. The} vary both in extent and degree, in different individuals. //. They are generally greater throughout the right, than the left lung; but con-