Indurative mediastino-pericarditis / by Thomas Harris.

  • Harris, Thomas.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Indurative mediastino-pericarditis / by Thomas Harris. Source: Wellcome Collection.

    24/78 (page 18)
    and 32^in. midway between that point and the xiphoid cartilage (see Fig. 5.) The boy was fairly well nourished, had somewhat rosy cheeks, somewhat prominent eyeballs, and there was no blueness of the lips or of the extremities. There was a mere trace of oidema in the neighbourhood of the ankles. The right elbow joint presented a fusiform swelling, and two drainage openings led into the joint, and through them exuded a little thin purulent discharge. One or two slightly enlarged glands could be felt in each axilla, more marked in the right than in the left. There was no enlargement of the glands in the neck or in the groin. The temperature on the morning of admission was subnormal, in the evening of the same day it was 99°. During the following week it was very irregular, on some days it was normal both in the morning and evening, but usually, whilst it was subnormal in the morning it rose in the evening to about 100°F. The pulse was 108, regular, and showed no variations in size during inspiration. The external jugular veins were very much distended and pulsated markedly. They showed, however, no increased distension Fio. 5. Case 2 J. M., set. S. From a photograph showing the distendod condition of the abdomen, and the fusiform swelling (tubercular) of the right elbow. during inspiration. There was no appreciable change in the size of the veins during inspiration or expiration. The respirations were 30. There was a somewhat troublesome cough, but no expectoration could be obtained during his stay in the hospital, although the boy was repeatedly urged to spit out and not to swallow any phlegm which might come up. There was slight orthopnoja, but he did not complain of shortness of breath. The chest was well shaped—no flattening and no bulging of any part. There was no absolute dulness over the front of the chest apart from the pre- cordial dulneas. The resonance over the left infra-clavicular region was less marked, however, than over the right, but that region was not absolutely dull. Posteriorly: There was no dulness, except in the right supra-scapular and upper part of the right inter-scapular regions, whilst the adjoining part