Auscultation and percussion : together with the other methods of physical examination of the chest / by Samuel Gee.

  • Gee, Samuel (Samuel Jones), 1839-1911.
Date:
1870
Catalogue details

Licence: Public Domain Mark

Credit: Auscultation and percussion : together with the other methods of physical examination of the chest / by Samuel Gee. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    a few cases. Passive dilatation of the right heart is a constant accompaniment. Mitral regm-gitant murmurs may sometimes be mistaken for tricuspid : the diagnosis, in a difficult case, depends chiefly upon the fact that obstruction is often associated with regurgita- tion at the mitral orifice, but very rarely at the tricuspid. So that if a murmur be at all prse- systolic it is probably mitral. Moreover a tricuspid murmur is usually very soft in cha- racter. Parrot has sought to show that the so-caUed anaemic murmurs, which have been commonly regarded as produced in the pulmonary artery or in the aorta, are really due to tricuspid regurgitation, consequent upon relaxation of the heart's tissues.^ He maintains that these mur- murs are heard loudest at the left side of the sternum, in the fourth interspace (sometimes third or fifth) and that they are inaudible higher up. Certainly this is the seat of tri- cuspid murmurs, but I cannot agree that it is the ordinary seat of anaemic murmurs. How- ever, it is not only possible but probable that a ^ Etude clinique sur le siege et le m^canisme des mur- miires cardiaques dits an^miques. Arch. Gen. de Med. 1866.