A manual of auscultation and percussion / Principally composed from M. Laennec's edition of Laennec's great work.

  • Sharpe, James Birch
Date:
1839
Catalogue details

Licence: Public Domain Mark

Credit: A manual of auscultation and percussion / Principally composed from M. Laennec's edition of Laennec's great work. Source: Wellcome Collection.

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    little distance from the space occupied by the lesions which produce them; and this is particu- larly so in the mucous and crepitant rattles. The sonorous and sibilant rattles may be heard at a distance, and on that account are often compli- cated with other rattles. 93. The rattles take place in coughing as well as in breathing, and are then generally more evident. 94. In the auscultation of rattles the stethos- cope should be used \vithout its obturator. Of Metallic Tinkling. 95. By metallic tinkling is meant that sound which may be lierfectly imitated by gently strik- ing a piece of metal, glass, or china, with a pin ; or by dropping grains of sand or pins into a glass. 96. Metallic tinkling is heard when the patient breathes, speaks, or coughs ; but more feebly in the former than in the two latter cases ; some- times the reverse of this happens, but that is an extreme case. 97. When pectoriloquy exists at the same time this metallic tinkling and the voice traverse the tube of the stethoscope ; hut, when pectoriloquy is