Lessons in physical diagnosis / by Alfred L. Loomis.

  • Loomis, Alfred L. (Alfred Lebbeus), 1831-1895.
Date:
1887, ©1872
Catalogue details

Licence: Public Domain Mark

Credit: Lessons in physical diagnosis / by Alfred L. Loomis. Source: Wellcome Collection.

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    ous with the outer border of the mfra-clavicular region. Tou wiU find this region to differ materially in its contents on the two sides. On the right side the lung is found extending in front, down to the sixth rib, where its thin, sharp border very nearly corresponds to the lower boundary of the region. The right wing of the diaphragm, though not attached higher than the seventh rib, is usually pushed up by the liver as high as the fourth interspace; a portion of the right auricle of the heart, and the superior angle of the right ventricle, lie close to the sternum, between the third and fifth ribs. On the left side, the lung is in front as far as the fourth stemo-costal articulation, where its anterior border passes outwards, until it reaches the fifth rib (leaving an open space for the heart); then it crosses forwards and downwards as far as the sixth rib ; a small portion of the apex of the right ventricle is also found within this region. The Infra-Mammaiy region is bounded above by the sixth rib ; below by a curved Hue corresponding to the edges of the false ribs ; inside by the inferior portion of the ster- num ; and outside by the continuation of the outer bouudary of the mammary region. This region contains, on the right side, the liver, with a portion of the lung in front, on a full inspiration. On the left, lying in front, near the median Hue, you have a portion of the left lobe of the liver, the stomach, and the anterior border of the spleen. The stomach and spleen usually i-ise to a level with the sixth rib. The Supra-Sternal region is the space which lies immedi- ately above the notch of the sternum, and is bounded on either side by the sterno-mastoid muscle. It is occupied chiefly by the trachea, by the arteria innominata at its lower right angle, and by the arch of the aorta, which sometimes reaches to its lower border, where, on firm downward pressure with the end of the finger, you will often be able to feel it. The Upper Sternal region is the space bounded by that