File:Physical diagnosis (1905) (14740223266).jpg

Identifier: physicaldiagnosi1905cabo (find matches)
Title: Physical diagnosis
Year: 1905 (1900s)
Authors: Cabot, Richard C. (Richard Clarke), 1868-1939
Subjects: Diagnosis Chest Diagnosis
Publisher: New York : William Wood and Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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t of all diseases ofthe chest—phthisis. It is also seen in certain varieties of cardiacdisease. Pallor of the mucous membranes, as seen in the lips andconjunctivae, is much more apt to be a sign of real anaemia than ispallor of the skin. At best, pallor is only a sign which suggests tous to look further into the case in one or another direction, and ofitself proves nothing of importance. (4) Jaundice.The yellowish tint which appears in the skin, and especially in 94 PHYSICAL DIAGNOSIS. the conjunctivae, when the escape of bile from the liver is hindered,is sometimes to be seen in connection with uncompensated heartdisease when the liver is greatly distended by passive congestionPneumonia is occasionally complicated by jaundice; but beyondthis I know of no special connection between this symptom anddiseases of the chest. (5) Scars and Eruptions. In cases of suspected syphilis of the lung or bronchi the pres-ence of scars and eruptions suggestive of syphilis may be useful indiagnosis.
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Fig. 63.—Sarcoma of Sternum and Cervical Glands. (Curschmann.)XI. Enlarged Glands. Routine inspection of the chest may reveal the presence of en-larged glands in the neck or axilla?, and may thereby give us a clew INSPECTION. 95 to the nature of some intrathoracic disease; for example, the pres-ence of enlarged glands in the neck, especially if there are anyscars, sinuses, or other evidence that suppuration is going on orhas formerly taken place in them, suggests the possibility of pul-monary tuberculosis or of an enlargement of the bronchial and me-diastinal glands. Again, malignant disease of the chest is some-times associated with the metastatic nodules over the clavicle (seeFig. 63), and a microscopic examination of them may thus revealthe nature of the intrathoracic disease to which they are secondary.Very large and matted masses of glands above the clavicle, whichhave never suppurated and have been painless and slow in theirgrowth, suggest the presence of similar deposits in t

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