Cyclopaedia of the diseases of children, medical and surgical / The articles written especially for the work by American, British, and Canadian authors. Ed. by John M. Keating.

  • John Marie Keating
Date:
[1889-99]
Catalogue details

Licence: Public Domain Mark

Credit: Cyclopaedia of the diseases of children, medical and surgical / The articles written especially for the work by American, British, and Canadian authors. Ed. by John M. Keating. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    928/1148 (page 856)
    tbat the layer of fluid was very tliin all over this upper portion of the effusion in the region of the fourth rib and fourth interspace, while the Fig. 3. Represents Fii;. 2 with the Lungs removed (Rotcli).—^^ A, portion of the normal heart enclosed in the pericardium ; |]]|]] B. liver; ^a D, effusion as it appeared in the sac, the cacao-butter being in small amount, and the lungs having been removed after the butter had hardened ; S. sternum ; (g), nipple; 1, 2, 3, 4, 5, 6, ribs. thickest mass of the effusion was, as would be expected from the laws of gravity and the shape of the pericardium, in the lower part of the sac on each side of the sternum in the fifth interspaces, the cast riding tlie arched diaphragm like a saddle, and the larger part of the mass being on the left side. These points should be carefully noted, as they are significant for diagnosis and treatment. The same result as to the area of dulness was obtained with a ])iopor- tionately small amount of fluid in an infant about two weeks old, and out of eighteen injections, mo.stly of infants of various ages, the percussion-areas of dulness were identical, and in all these cases the lungs were normal and there were no pulmonary or other adhesions. Fig. 4 represents the jwsition assumed by the margins of the lungs, ana the resulting area of absolute dulness, where the pericardium was distended Avith a large amount of fluid, covering the entire heart: it need not be described, as it speaks for itself Fig. 5 is drawn directly from the same subject with the lungs removed, and represents also the heart and great