Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
The organs of the thoracic region hold a certain relation to each other
and to the thoracic walls. The organs of the abdomen hold likewise a
certain relation to each other and to the abdominal parietes. The organs
of both the thorax and the abdomen have a certain relation to each
other, as they lie above and below the diaphragm. In dead nature these
relations are fixed and readily ascertainable, but in living, moving
nature, the organs influence this relative position, not only of each
other, but also of that which they bear to the cavities in which they
are contained. This change of place among the organs occurs in the
normal or healthy state of the living body, and, doubtless, raises some
difficulty in the way of our ascertaining, with mathematical precision,
the actual state of the parts which we question, by the physical signs
of percussion and auscultation. In disease this change of place among
these organs is increased, and the difficulty of making a correct
diagnosis is increased also in the same ratio. For when an emphysematous
lung shall fully occupy the right thoracic side from B to L, then G, the
liver, will protrude considerably into the abdomen beneath the right
asternal ribs, and yet will not be therefore proof positive that the
liver is diseased and abnormally enlarged. Whereas, on the other hand,
when G, the liver, is actually diseased, it may occupy a situation in
the right side as high as the fifth or sixth ribs, pushing the right
lung upwards as high as that level; and, therefore, while percussion
elicits a dull sound over this place thus occupied, such sound will not
be owing to a hepatized lung, but to the absence of the lung caused by
the presence of the liver.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account