The practice and applied therapeutics of osteopathy / by Charles Hazzard.

  • Hazzard, Charles
Date:
1901
Catalogue details

Licence: Public Domain Mark

Credit: The practice and applied therapeutics of osteopathy / by Charles Hazzard. 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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    VI. Enlargement or wasting of the thyroid gland or ■enlargement of the cervical lymphatic glands must be noted. VII. The sterno-mastoid muscle is made prominent by- causing the patient to turn his head to the opposite side. Pres- sure deep behind the anterior border of this muscle impinges upon t]iQ pneiunogastric nevYQ. Tenderness in it upon pressure may accompany liver or stomach disease. Its superior laryngeal branch is located by pressure behind the greater cornu of the hyoid bone. Note whether the hyoid muscles are contractured in such a way as to draw this bone back upon the nerve. Its recurrent laryngeal branch may be impinged by pres- sure near the anterior border of the sterno-mastoid muscle at the level of the cricoid cartilage. This pressure irritates the larynx and causes the patient to cough when the nerve is ten- der, as in various throat affections. Note the condition of irritability of the nerve. VIII. ^\vQphrenic nerve arises from the third, fourth, and fifth cervical nerves, and may, at its points of origin, be pressed backward against the bony column. It may be reached also by deep pressure with the thumb or finger in the angle formed by the posterior edge of the sterno-mastoid mus- cle with the upper margin of the clavicle. This pressure must be directed from above diagonally downward and forward toward the sternum. IX. Pressure of the head diiectly downward upon the spinal column with rotation, will sometimes discover deep pain at points of lesion. X. The posterior structures of the neck may be tested for abnormal tension by flexing the head upon the thorax, the patient upon his back. XI. The palms of the hands may be passed evenly over the surface of the neck to examine for variations of tempera- ture. Hot or cold areas may be found. It is common to find an area of increased temperature at the base of the skull behind.