File:Physical diagnosis (1912) (14586491168).jpg

Identifier: physicaldiagnosi12cabo (find matches)
Title: Physical diagnosis
Year: 1912 (1910s)
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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ower half of the biceps projects sharplywhen the muscle is contracted, looking as if the biceps had slid downfrom its normal site. This appearance suddenly following a wrenchor strain of the biceps is diagnostic. Syphilitic nodes are flattened elevations on the bone, usually aboutthe size of a half-dollar, and feel like the callus after a fracture, butproject only from one side of the bone. There is pain, especiallyat night, and moderate tenderness. A history or other and more 1 Distinguished, like all cedema, by the fact that a dent made by pressing with thefinger does not at once disappear when the pressure is removed. THE ARMS 41 characteristic lesion of syphilis or a Wassermann reaction may benecessary for diagnosis. Tuberculous lesions1 are much more common on the forearm bones,but are occasionally seen on the humerus near the epiphyseal ends.They usually involve and perforate the skin, leaving an indolent, sup-purating sinus leading to necrosed bone. The evidence of tuberculosis
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Fig. 35.—Sarcoma of Humerus. in other organs and the slow, cold progress of the lesion assist thediagnosis. In doubtful cases the local reaction after the subcutaneousinjection of tubercu in may be of distinct value. Pain, tenderness,oedema, redness and heat may appear or may be increased if alreadypresent. Gouty tophi are sometimes seen along the fasciae covering the tricepstendon. They are hard and painless. The diagnosis depends upon 1 A rare disease clinically identical with tuberculosis, but due to a wholly differentorganism, an animal parasite resembling a coccidium, has been described by Rixford,Gilchrist, Montgomery, and other Californian physicians. 42 PHYSICAL DIAGNOSIS the peculiar situation of the lesions and their association with otherevidences of gout.1 VI. Miscellaneous Lesions of the Forearm. Bowing of the forearm bones occurs in rickets and in Pagets disease (see Fig. 229). The lesions in the other parts of the body make the diagnosis clear-Local lesions of the bon

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