Indurative mediastino-pericarditis / by Thomas Harris.

  • Harris, Thomas.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Indurative mediastino-pericarditis / by Thomas Harris. Source: Wellcome Collection.

    18/78 (page 12)
    1^ dulness vesicular respiration obscured by numerous fine bubbles; in the same region over the area of dulness, between the left sterno-clavicular joint and the second rib expiration was of bronchial type, and accompanied by sonorous rhonchi ; below the second costal cartilage the bronchial character was lost, the breathing being vesicular and accompanied by a few fine bubbles. Right infra-clavicular region : Exaggerated respiration accompanied by sonorous rhonchi. Posteriorly (see diagram, Fig. 4) : On the right side there was absolute dulness at the base to a point one finger's breadth above the inferior angle of the scapula ; above that there was fairly good resonance, but, perhaps, somewhat impaired. On the left side there was absolute dulness to the inferior angle of the scapula, but above that point up to the Fio. 3. Case 1.—J. L., ajt. 14. Diagram showing area of dulness (cardiac, mediastinal, pleuritic, and hepatic) on April 28th, 1891. apex of the lung the left side showed only impaired resonance. Auscultation behind revealed as follows :—Right supra-scapular region: Bronchial respiration accom- panied by sonorous rhonchi. Left supra-scapular region : Bronchial breathing, with a few fine bubbles. Right supra-spinous region : Vesicular respiration and sonorous rhonchi. Left supra-spinous region : Weak, distant bronchial respiration, and sonorous rhonchi. Right iuter-scapular region : Opposite the spine of the scapula bronchial respiration and sonorous rhonchi, below that point in the inter- scapular region respiration was vesicular. Left inter-scapular region : Opposite the spine of the scapula bronchial respiration with fine bubbles. Right sub-scapular region : Vesicular respiration in many parts ; at others, however, breathing was