Remarks on some of the clinical features of tricuspid stenosis / by G. A. Gibson.
- Date:
- [1893?]
Licence: Public Domain Mark
Credit: Remarks on some of the clinical features of tricuspid stenosis / by G. A. Gibson. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![propagated as far as tlie ensiform cartilage, slightly diminishing in loudness for a certain distance, and, after that point had been passed, increasing in intensity and altering in character as the lower end of the sternum was approached. Tire systolic murmur was conducted as far as the axilla on the one hand, and to the xiphisternum on the other, but, as in the case of the presys- tohc murmur, there was a decrease of intensity on auscul- tating across the space from the apex to the sternum, fol- lowed by a gain in loudness when the ensiform process was reached. Tliere were, in short, presystolic and systolic murmurs ]la^dng maximum in- tensity both in the mitral and tricuspid areas. At the base of the heart the first sound was very feeble, and the second sound reduplicated, the pulmonary part of it being at once louder and later than tlie aortic. The position and extent of the abnormal sounds are shown on Fig. 1, in which the presystolic murmur is represented by vertical, and the systolic by horizontal lines. The respiratory system had but moderate deviations from the standard of healthy conditions, there being a little mutliing of the percussion sound, a slight increase in the roughness of the respiratory murmur, and a few scattered crepitations ovei the whole of the thorax. Neither the integumentary nor urinary functions were in any way affected. With regard to the nervous system, it was found that there was no alteration in sensibility, ordinary or special. The right leg and arm were able to perform most movements, but in a weak and sluggish manner, and the toes and fingers moved](https://iiif.wellcomecollection.org/image/b21969693_0008.jp2/full/800%2C/0/default.jpg)
