A handbook of physical diagnosis of diseases of the organs of respiration and heart, and of aortic aneurism / by R.C.M. Page.

  • Page, Richard Channing Moore, 1841-1898.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: A handbook of physical diagnosis of diseases of the organs of respiration and heart, and of aortic aneurism / by R.C.M. Page. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    to attempt to commit isolated facts to memory, only to be forgotten. For tlie sake of convenience the chest walls are marked ont into different regions, the limits of which, though arbitrary, should always be made with due re- gard to the anatomy of the underlying thoracic organs. There are an anterior, posterior, and two lateral regions of the chest, and each of these is subdivided into other regions. Anterior Region.—This is divided into two similar parts, right and left, and a middle part. The right and left parts comprise, each from above down, the following regions: 1, suxDra-clavicular; 2, clavicular; 3, sub-clavicular (infra-clavicular, supra- mammary); 4, mammary, and 5, sub-mammary (infra- mammary, hypochondriac). The middle part is di\'ided into the, 6, supra-sternal; 7, superior (upper) sternal, and 8, inferior (lower) sternal regions. The supra-clavicular region is triangular in shape and is situated above the clavicle. It is bounded below by the upper border of the clavicle, within by the lower 2Dortion of the sterno-mastoid muscle, and without by a line drawn from the inner end of the outer fourth of the clavicle to a point on the sterno-mastoid muscle cor- responding with the upj)er ring of the trachea. On both sides the aj^ices of the lungs rise into the neck above the sternal ends of the clavicles, according to Gray, about an inch and a half, but in persons with long necks as much as two inches; in women rather higher than in men, and on the right side than the left. The clavicular region corresponds to the inner three- fourths of the clavicle. The sub-clavicular region (also called infra-clavicu-