Outlines of surgical diagnosis

9780217246064: Outlines of surgical diagnosis

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated.1864 Excerpt: ... applied to it during inspiration, and it can by pressure be kept reduced. The finger may on its disappearance make out the aperture in the parietes through which it passed. There is an impulse communicated to it on coughing; and on passing the hand over its surface, if the tissues are not much thickened, there will be a sensation of fine crepitation perceived. The percussion is clear, and the respiratory movement strong, especially during expiration. The skin over it retains its natural colour. It is only with pointing empyema that pneumatocele can be confounded; but the former affection will be distinguished by the dulness on percussion, the absence of respiratory murmur and thrill, and the presence of fluctuation. If the collection contain both pus and gas, then an emphysematous crackle observed in such cases might mislead; but there will be, when such a tumour is reduced, a distinctive gurgling, which is not noticed in hernia of the lung. An abscess external to the thoracic wall will have no impulse communicated to it by the cough, nor will it possess a vesicular murmur, and it cannot be reduced by pressure; Fluctuation, too, will be marked in it. Clavicle. See Fracture and Dislocation. Concussion. See Brain and Spine. Coraooid Process. See Fracture. Coronoid Process. See Fracture. CORD, SPERMATIC. See Groin for the diagnosis of hydrocele and hematocele of the cord. Varicocele occurs very seldom before puberty, and is met with in the great majority of cases on the left side. It forms slowly and insidiously, and presents a tumour, which varies much in size; but which, when it is at all large, is of a pyramidal shape, the base being on the testicle, and the apex extending towards, and occasionally even into, the inguinal canal. It has no regular outline, i...

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