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.

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    of the right supra-spiuous region showed good resonance. The impaired resonance in the regions indicated was very marked, and was repeatedly confirmed by subsequent examinations. Over the right and left infra-cJavicular regions there was vesicular respiration accompanied by sonorous rhonchi and a few simple bubbles. Posteriorly: The respiration was vesicular and accompanied by sonorous rhonchi and a few bubbles, except over the dull area at the right apex where the breathing was distinctly bronchial in character. Over the outer part of the right supra-spiuous region it was, however, of the vesicular type, and not at all bronchial. The rhonchi and Impaired Resonance, but not absolute dulness. Fig. 6. Case 2.—J. M., set, 8. Diagram representing the results of percussion of the chest and abdomen on AprU 8th, 1893. The pyramidal shaded area roprosciits the deep cardiac dulness. The difiference in the depth of the shading over the abdomen does not represent any difference in the per- cussion note. It has been so shaded to give the rounded and distended appearance which the abdomen presented at this date. There was dulness aU over the abdomen the cavity being apparently full of fluid. ' bubbles were much more marked at the lower than the upper part of the chest (see diagram, Fig. 7). The cardiac apex beat could be seen and felt in the fourth intercostal space. The deep cardiac dulness is represented in the accompanying diagram (Fig. 6). As will be seen, it was very much increased, and reminded one of the dulness of pericardial eflfusion or of some cases of enormous dist'jusion of the right side of the heart. On auscultation, the heart sounds were clear and distinct The second sound was more accentuated at the third left than at the second right costal cartilage. There were no murmurs.