Manual of clinical diagnosis / by Otto Seifert and Friedrich Müller ; translated by William Buckingham Canfield.

  • Otto Seifert
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Manual of clinical diagnosis / by Otto Seifert and Friedrich Müller ; translated by William Buckingham Canfield. Source: Wellcome Collection.

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    a fossa infraspinata. Between the inner border of each scapula is the inter-scapular space. In order to determine the height of the thorax in front, we must follow the ribs by beginning to count at the second ; and behind the landmarks are the spinous pro¬ cesses, beginning with the seventh cervical, the vertebra prominens. The Harrison furrow has a horizontal direction at the level of the xiphoid process, and corresponding to the normal attachment of the diaphragm. The region be¬ low this furrow to the angle of the ribs is called the hypochondrium. In order to determine the breadth of the thorax, we make use of the following perpendicular lines : (1) The median line. (2) The parasternal line, drawn half-way between the border of the sternum and the nipple. (3) The mammary line, drawn through the nipple, which, in healthy adults, lies between the fourth and fifth ribs, 10 cm [4 inches] distant from the border of the sternum. (4) The anterior, middle, and posterior axillary line ; the former drawn through the anterior, the latter through the posterior, boundary of the axilla. (5) The scapular line, drawn through the lower border of the scapula. The costo-articular line is a line drawn from the sterno¬ costal articulation to the tip of the eleventh rib. Size of the Thorax. The sterno-vertebral diameter of the thorax measures, in healthy men, 16.5 cm. [6 J inches] above, and 19.2 cm. [7-J- inches] below, and in women it is somewhat smaller. The broad diameter of the chest is, in men, at the height of the nipple, 26 cm. [10 inches].
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