File:Physical diagnosis (1905) (14576724757).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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by their superficial position, usually external tothe muscles, and soft, lobulated feel. Sarcoma forms the only large tumor springing from the hu-merus. It is usually hard and obviously deep seated (see Fig. 22). Ruptured biceps. The lower half of the biceps projects sharplywhen the muscle is contracted, looking as if the biceps had sliddown from its normal site. This appearance suddenly following awrench or strain of the biceps is diagnostic. Syphilitic nodes are flattened elevations on the bone, usuallyabout the size of a half-dollar, and feel like the callus after a fract-ure, but project only from one side of the bone. There are pain, 1 Distinguished, like all oedema, by the fact that a dent made by pressingwith the finger does not at once disappear when the pressure is removed, THE ARMS. 39 especially at night, and moderate tenderness. A history or otherand more characteristic lesion of syphilis is necessary for diag-nosis. Tuberculous lesions1 are much more common on the forearm
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Fig. 2:2.—Sarcoma of Humerus. bones, but are occasionally seen on the humerus near the epiphysealends. They usually involve and perforate the skin, leaving an in-dolent, suppurating sinus leading to necrosed bone. The evidence 1 A rare disease clinically identical with tuberculosis, but due to a whollydifferent organism, au animal parasite resembling a coccidium, has been de-scribed by Rixford, Gilchrist, Montgomery, and other California!! physicians. 40 PHYSICAL DIAGNOSIS. of tuberculosis in other organs and the slow, cold progress of thelesion assist the diagnosis. Gouty tophi are sometimes seen along the fasciae covering thetriceps tendon. They are hard and painless. The diagnosis de-pends upon the peculiar situation of the lesions and their associationAvith other evidences of gout. VI. Miscellaneous Lesions of the Forearm. Bowing of the forearm bones occurs in rickets and in Pagets dis-ease (see Fig. 204). The lesions in the other parts of the body make the diagnosis clear. Loca

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