The student's guide to medical case-taking / by Francis Warner.

Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: The student's guide to medical case-taking / by Francis Warner. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    AORTIC KEGURGITATION. Inspection.—Left ventricle hy- pertrophied; apex-beat dis- placed outwards and down- wards ; much precordial impulse seen. Pulse seen locomotor. Falpation. — Tkrill diastolic, distinct at base; great hy- pertrophy of left ventricle, precordium thrust forward at systole, etc. Pulse full and coUapsiag. AORTIC OBSTRUCTION. Left ventricle hypertro- phied, but less dilated than with regurgitation. Thrill systolic over aortic valves. Sig-ns of hypertro- phy ; impulse strong, heav- ing. Pulse small or not abnor- mal. Auscultation. — Diastolic bruit at aortic cartUage and con- ducted down left side of sternum. Co-existing mitral disease common. SystoHc bruit over aortic cartilage conducted to right sterno-clavicular joint. Exclude anaemic bruit. Fereussion.—Area of duLaess increased downwards and outwards, from hypertrophy of left ventricle.