File:Practical diagnosis- the use of symptoms in the diagnosis of disease (1899) (14742381906).jpg

Identifier: practicaldiagno00hare (find matches)
Title: Practical diagnosis: the use of symptoms in the diagnosis of disease
Year: 1899 (1890s)
Authors: Hare, H. A. (Hobart Amory), 1862-1931
Subjects: Diagnosis
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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< Emphysema of the lungs. Shows Bulging of the chest-wall, with erosion of ribs, barrel-shaped chest. from aortic and innominate aneurism. Bulging or protrusion of the sternum and the cartilaginous por-tions of the ribs attached to it is called pigeon breast, and isdue either to rickets or to the presence of some obstruction to respi-ration of a more or less chronic character during the time the chest-wall was soft and capable of being moulded. Sometimes on eachside of the sternum, over the costal cartilages, there is seen a groove THE THORAX AND ITS VISCERA. 277
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278 THE MANIFESTATION OF DISEASE IN OBGANS. or depression as the result of rickets. In other cases a depressionor groove extends from the ensiform cartilage back on either sidetoward the spine. This is called Harrisons groove/ and isdeveloped in children with poor bony systems, as the result ofrepeated attacks of asthma or other obstructive respiratory difficulty.When examining the chests of children the physician will oftennotice swellings of the tissues at the costo-cartilaginous junctions,which look and feel to the touch like large beads under the skin.These beaded ribs are indicative of rickets, and are a manifestationof the general tendency to epiphyseal enlargement. This beadingis usually most marked on the lower ribs. (Fig. 119.) Fig. 120. Fig. 121

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