File:Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood (1911) (14595016829).jpg

Identifier: moderndiagnosis00shef (find matches)
Title: Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood
Year: 1911 (1910s)
Authors: Sheffield, Herman Bernard, 1871- (from old catalog)
Subjects: Children Children
Publisher: Philadelphia, F. A. Davis company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
Fig. 18.—Topography of the Liver and Spleen. (Slicffield.) inspiration. In the same manner it rises with intestinalmeteorism, and descends with overdistention of the lungsthrough disease, e.g., emphysema or pneumothorax. The spleen lies in close contact with the diaphragm, andextends from the left midaxillary line to a point near the leftborder of the spinal column. Its upper border follows theninth rib, its lower border the eleventh rib, for the most partbounding the left kidney. Normally the spleen cannot be out-lined by percussion, but during deep inspiration it can some- THE KIDNEYS. 39 times be palpated at the free borders of the tenth and eleventhribs. The kidneys are situated upon the right and left sides of.thespinal column, and extend from the levels of the twelfth dorsalto the second lumbar vertebras. The uppermost end of theright kidney (the suprarenal capsule) is slightly overlapped bythe liver and that of the left kidney by the spleen. Normal
Text Appearing After Image:
Fig. 19.—Topography of Kidneys, Spleen, and Liver. S.Spleen. L. Liver. K. Kidneys. (Sheffield.) kidneys are occasionally palpable, but can never be outlined bypercussion. The urinary bladder is situated underneath the symphysispubis, but when fully distended rises above it, eliciting dullpercussion resonance.Abnormal size and shape of abdomen— Large and uniform, in flatulence; acute and chronic gas-tro-enteritis; acute peritonitis from various causes;intestinal atony or paralysis; extensive ascites. 40 EXAMINATION OF THE PATIENT. Large and irregular, in gastrointestinal disease (congenitalmegacolon, pyloric stenosis, intussusception, appen-dical tumor or abscess, fecal impaction, strangulation,helminthiasis, tuberculosis) ; in peritoneal or omentalaffections (chronic peritonitis, tuberculosis, sacculatedabscess, sarcoma, cysts); in liver disease (congestion,abscess, syphilis, rachitis, fatty or amyloid degenera-tion, leukemia, pseudoleukemia, hypertrophic cirrhosis,neoplasms) ; in

Note About Images