Licence: Public Domain Mark
Credit: Physical diagnosis / by Richard C. Cabot. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![1V. (Edema of the Arm.l Causes.—1. Thrombosis of axillary or brachial vein, usually the result of heart disease. 2. Pressure of tumors—aneurism, can- cer of axillary glands, Hodgkin's disease, sarcoma of lung or medi- astinum. 3. Nephritis, when the patient has lain long on one side. 4. Inflammation, usually with evidence of lymphangitis spreading up the arm from a septic wound on the hand. The diagnosis of the cause of oedema is usually easy in the light of the facts brought out by the general physical examination (heart, urine, local lesions, etc.). [The arteries of the arm (brachial and radial) are to be investi- gated for changes in the vessels (see page 90) and for the evidence given by their pulsations as to the work of the heart (see page 103).] V. Tumors of the Tipper Arm.. In the upper arm we have: 1. Fatty tumors. 2. Sarcoma of the humerus. 3. Ruptured biceps. 4. Syphilitic nodes on the humerus. 5. Tuberculosis of the humerus. 6. Gouty deposits in the triceps tendon. Fatty tumors are recognized by the history of long duration and very slow growth, by their superficial position, usually external to the muscles, and soft, lobulated feel. Sarcoma forms the only large tumor springing from the hu- merus. It is usually hard and obviously deep seated (see Fig. 22). Ruptured biceps. The lower half of the biceps projects sharply when the muscle is contracted, looking as if the biceps had slid down from its normal site. This appearance suddenly following a wrench or strain of the biceps is diagnostic. Syphilitic nodes are flattened elevations on the bone, usually about the size of a half-dollar, and feel like the callus after a fract- ure, but project only from one side of the bone. There are pain, 1 Distinguished, like all oedema, by the fact that a dent made by pressing with the finger does not at once disappear when the pressure is removed,](https://iiif.wellcomecollection.org/image/b21175895_0072.jp2/full/800%2C/0/default.jpg)
