Clinical pocket-book : an aid to the study of clinical medicine for the use of students of the Manchester Royal Infirmary.

  • Manchester Royal Infirmary
Date:
1874
Catalogue details

Licence: Public Domain Mark

Credit: Clinical pocket-book : an aid to the study of clinical medicine for the use of students of the Manchester Royal Infirmary. Source: Wellcome Collection.

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    —and in long-chested persons the vertical measure¬ ments—are relatively greater than in the diagrams. Allowances must he made for pigeon-breasted and ricketty persons, and for certain (so-called) physio¬ logical hulgings and sinkings-in of the framework of the thorax, which can he best pointed out.and appre¬ ciated at the bed-side. Keeping in mind these precautions, the student will derive much instruction from the study of these diagrams. A correct, though fluent, ideal of the normal size and position of the organs will gradually form in his mind, which will serve as a standard of comparison when he comes to appreciate the devia¬ tions produced by disease. The following are the most important particulars to fix in the memory in regard to the position and limits of the thoracic and abdominal organs. Lungs.—Their outlines are indicated by the blue lines in Plates III. and IV. The ci'pices rise about a finger’s-breadth above the clavicles—the right usually a little higher than the left. The inner borders of the two lungs meet in the middle line behind the first piece of the sternum, and continue in close proximity as low as the level of the fourth interspace. Here the border of the left lung turns outwards and down¬ wards, uncovering a portion of the heart (supeificial
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