File:Albany medical annals (1918) (14782935362).jpg

Identifier: albanymedicalann3919medi (find matches)
Title: Albany medical annals
Year: 1918 (1910s)
Authors: Medical Society of the County of Albany (N.Y.) Albany Medical College. Alumni Association
Subjects: Medicine
Publisher: Albany, N.Y. : Burdick & Taylor
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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:
and spongy. The buccal mucous membrane is violaceous, numerousdilated capillaries are visible. No varices or telangiectases are present. Lungs Increased vocal fremitus and dulness in left supraclavicular and infra-clavicular regions, broncho-vesicular breathing and numerous sub-crepi-tant rales, otherwise the note is vesiculo-tympanitic throughout with pro-longed low pitched expiration. H eart Distinct epigastric pulsation. The apex is not visible or palpable, nofriction or thrills. The cardiac area is entirely effaced by a hyper-resonantnote. No adventitious sounds are discernible, the pulmonic and aorticsecond sounds are distinctly accentuated. The vessels of the neck are full,but the veins appear to show no abnormal pulsations. The radial andtemporal arteries are of equal volume and size but distinctly thickened;an occasional premature beat occurs accompanied by a long compensatory To Illustrate Dr. Gordiniers Article on Unilateral Hypertrophy.Albany Medical Annals, February, 1918.
Text Appearing After Image:
HERMON C. GORDINIER 53 pause. The x-ray picture shows a moderate increase in size of the wholeheart. Abdomen Is greatly distended, the veins are very prominent; percussion revealstympany in the epigastric and upper half of umbilical region with change-able flatness in the loins; a very distinct fluctuation wave is present;inguinal herniae are present on both sides. No disparity in size seems toexist in regard to the testicles. Liver Owing to the abdominal distention it was not possible to outline accurate-ly the liver dulness. After paracentesis abdominalis and the removal ofeight quarts of fluid, the liver dulness was found to extend from thesixth interspace six centimeters below the costal border. At about theposition for the gall bladder or possibly a little to the left, a mass wasdiscovered which was somewhat irregular in outline and apparently tookits origin from the right lobe close to its (junction with the left. Other-wise the lower border though firm, did not feel irregular.

Note About Images