How to examine the chest : a practical guide for the use of students / by Samuel West.

  • Samuel West
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: How to examine the chest : a practical guide for the use of students / by Samuel West. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    In disease they are often dilated and frequently unsymmetrically so. When this occurs^ the direction in which the blood is travelling should be determined. This is done by placing two fingers upon the most prominent vein, and then drawing them apart along the vein in order to press the blood out. By raising first one finger and then the other^ it will be clear from which direction the vein fills most easily. This will be then the direction in which the blood is travelling.^ THE MOVEMENTS OF THE CHEST ON RESPIRATION. These are alternately movements of expansion and contraction^, i. e. inspiratory and expiratory. On ins]3iration the chest expands in all directions. The sternum moves forward^ the ribs rise,, the intercostal spaces widen, and the diaphragm descends. These movements are freest in the lower parts of the chest. They are partly thoracic and partly diaphragmatic. In women the ribs ntove most, and the respi- ration is called Thoracic or Costal. In men and in young children the diaphragm ^ Enlarged subcutaneous veins over the mammse and upper part of the chest are usual in women who are suckling, or who have had children. This is, of course, physiological.