15. =Thorax.= Shape, length, breadth and depth, angle of Louis,
epigastric angle, symmetry of sides, prominence or depressions,
pigeon-breast, shoemaker’s or funnel breast, rachitic rosary,
character of ribs and interspaces, mammæ, degree of hairiness,
eroding tumors or aneurisms, etc.
16. =Abdomen.= Depressed, scaphoid or elevated, distended,
tympanitic, presence of fluctuation, symmetry, results of palpation
(neoplasms), character of abdominal wall (tightly stretched or lax,
wrinkled), presence of linea fusca or lineæ albicantes (pregnancy,
ascites, tumor). The existence of enteroptosis or gastroptosis can
often be told by inspection of the abdomen.
17. =Back.= General build and contour, bedsores, etc. Spine should
be carefully examined (anterior, posterior or lateral curvatures,
evidences of trauma, etc.).
18. =Anomalies.= Malformations and anomalies of any region should
be thoroughly examined and carefully described. The most common
ones found in adults are hare-lip, cleft palate, branchial
cysts, bifid sternum, accessory ribs, malformations of fingers
and toes, hypertrophy of great toe, hypospadias, cryptorchidism,
pseudohermaphrodism, congenital dislocations, particularly of
hip, lumbosacral meningoceles and dermoid cysts, microcephalus,
club-foot and hernia, its variety, location, size and condition.
Under anomalies may be considered the stigmata of degeneracy and
the _homo delinquens_ type. These should also be mentioned in the
identification of the cadaver.
19. =Deformities.= Location, degree, character, probable cause, etc.
Most commonly caused by tuberculosis, rachitis, gonorrhœa, syphilis,
osteitis deformans, trauma, burns, osteomalacia, tabes, muscular
atrophies, gout, rheumatism, tumors, aneurism, diseases of the
lung causing asymmetry of the thorax, acromegaly, etc. Most common
forms are Pott’s disease, spondylitis, ankylosis, spinal curvature,
contractions and retractions of parts, bow-leg, knock-knee, changes
in the pelvis, dwarfism, shortening of extremities, exostosis,
drumstick or clubbed fingers, flat foot, loss of bones, amputations,
occupation deformities, swelling of joints, tophi, Charcot’s joint,
hygroma, ganglion, etc.
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