ffl£m;L>$-«-J& mm?i k££ w. A SYNOPTICAL TABLE $ THORACIC PERCUSSION AND AUSCULTATION. *$ C. h. MITCHHLL, M.l). PBECl »»!»>• 0,««mrf bv "A^bnw.. in 1761, >>"'*'^«* VTSC t'LTATION. pERCfSSlOX OF THE rHEST IN THE NORMAL STAT.:.___________ Rifl.iSidc. Iji^^u^i'.Jror^il.i---- __ II both "rnnTked ,„ the muscle* are thicker. ,i:,"mr ■ ■ kcd 1,1m ftlir ri.. It side. Or the biionciii. 7. 'tiirhral Rlionckus. 1 —tatii ^ooicai^ * 'nssnau of nir through muci Sttlfocu ng cntarrl AUSCULTATION II'-ARTS ACTION OV,ntr..clion ..f lUc ventricle. Isaohmnou. with shock again-l the wall* of the d-t. 3^ exirnMoii of the uiinoultvrcntrraiUr mlm, depmuiwi of the sigmoid valve*, pu|. , !'!' tl(>„ of the nrtenw, nnd <1..- first l(1..nd of the heart. Hurauoi., half of lh. , >Ji DiluUit.......I" I'"' ventricle.. lsoelir.,1.....* v. ill) .■xl..1.>,<1„ „. Hi.- si.-m-.id vm^iTde-S? pr.■>-!.......'ll"' i.iinc.ln-vcr.tricoli.r viilv.-,, influx of Mood from the nitric I.., ■,,„] £* tlw w-cond sound of the henrl. Derail......pmn.-r ,.■■'- •=-- Pn«..gc of uir through bill..u..i,?l' ,-l.-.,l'|.. rnlly henrd throughout Second sing* of acute hronchiti*,!) Of miildlirnr si/.c oficncM. (Second stnge of acute hi 11,.,„in ..,»....-.- m ml volume. PiiMHBfi.fuiriltroti(fli the mucin ; or Chrome bronchitis. Of unequal number, which fills the larger bronchi. Softening of tubercle* Henrd in inipiration, nnd in ex- | I Htcmoptyai*. giant: r.irely throughout the while iuv11,t■ dyVpnclTfrom pulniotiary"u(fcc^ f blood, <\iu- of the heart ///. Vehicular Rhondti. . ■ | Henrd in in.jp.rai.un only. Heard nflcnoM 1.1 the hn«.c of the iv* mi mie side. iH-iiiiKiihim 1-1 r» ! PnMngc of nir through the inu< iuifi.ee of the h rvoiM affectio [flections, fewr, if the lung over the anterior Hypertrophy of the he 7|rP7r7r^n7 ruimm.ary nponjexr. „ „ . Interlobular emphysema. Sometimes in health*- nersons n istutil of n fin Tjib.u.n will, or without hypertropl | Attenuation of ll,c ,.IW I Mudi ...,.,.■ Uluadih:......■!'..»-'._________________________________-*pimliou. ____ _ _ „fr ~ '" " ' Dull nnd prolonged I r„„trocli.,r. of ill.-iii.i«-iil:.r lihr.-- ..f ilir ventricle*.—Lam,,,,. \liiihb\filarzit nnti lew regular. ) Parage of the nir through the Pneumoniii.Tin resolution." Isnchron mswith Cimm-sim. of the blood against the Hills of the ventricle*.-/V"'- »i.bf!iirthr,.ii!;li [.irlm.^.-irv Ali-ieos. ; „ IM„wnt., ilmnol.- of the Perdition of ilir iltorneic pi.titt. > bvilie nnt.-rior lace of the \wnn.—Mageadit ■ Almost ulwrnsnixouipnuied Willi ■ ciiwiie-f conirnnniM a h.pi.d. (Jaujjrci.f. .ventricle*. | Extensiim of lb,- -ilm„ i.I ■.:,]*, ■•,.—li.Mnet._ Hope. __ l .ravernot./rwpimlion nnd car-1 Dilated bronchi. ir'sil^cr---------- I C\.,iicldeT^iihTjic"rVpn"ie"o? the ventrcles. | ernom eoiigh.______ ______[ _ J_______________________________I ■ U ■-=..- ' :i.-.--_.£,.-^ „, -_ ,. w -_,. „-_ 1 :Xn",rw™;r"«,ic«..j - 1"" .1. ',75.™::;$$:."* ■-------------------------------------------------- -------------oirrl7r \niu»Al T.ON-, v the voiri:. r~ ~ - — rfTStau^JT^ifa ^IV.tiCmTl™*!i'™tl',«^'- I«pl»...... Ml*,IMMkjHd|td«r ... «»,»,«)■. '"' ' /««««»//ridi«.iiillie n.s in ihu (|unnlity nnd qtialily oftlie IjIiioJ. „ of iiiiicraurfaco. of poricur.liuiu upon each olbi APSCPL.TATIOST I. im^JM. or mii-U, lh. lu., b.i"f perf""™"! ll'rougl. iW ...Jio.n of ll.e | 1st. hietfuDlity ofthoir.u . .- ->........iTciiniiaginoueiorni on \\\p vulva., or •I'l. Ccapnln ,„ iNaoriBca. or caviiia.,* I»r. ^:|J. <„„.,.„,,....... .....aortic orifc.. I ■'"■m- | linn.— ..rgluej-iiCMofllirpcricardiMtiii.niiicdmtcljprMwIing c„1|u|(|,|K.jpl II,.,., | il,, f..rau.li«i of Clin rncmbnuir. (J^tpowiblere^nnnceofthe He^undirgofthc voice int. Inrt-e | Kfxonniit:c cireumjcribed chiefly i at tbe -1111111"' of (he Inn,;., ihr Conditiom necessary to tuulent pectoriloqiiy are, n xupi-rlicial 1* triPBKT or BoukTrtn. the latter ciiv, drvne.-s ami free commii- not diniiii.ruidi.iulo from bron- iiicxtioii with lite brotmhial I clmidiooy. tube*. I More or Ie*i complete itiipcrmen- hility of pal mono 17 tiwue Slifht (eparutinn of the ■:■!■; ConpIcM iraiwrroenbility "f tlie [ Agglomerated crfde tiiberch.. Jiwniiy "MUP. Tempornry ftl»u«tiot. of bronchi U lanPS from ,ho p.-1 ^ by'--, or ^ _ ...e voice like , Voice of n m«n opeahing with n I of the voice in die br<> "i'lZ'h. '" "^ ° Condilions nra»mi7 to it.- e Heard mostly near the inferior ' nice are a thin bed of liuuiu angle of thcKftpuIn, duriitf; the [ nnd ehmlicilv of lung. firxt and In ft few days of pleii- ' V.l.ratiot. of t.ir produced hjr the j ' ■'e'tmo-ll.orax with hydm-ihornx. H«»ing eMUilntd « I rei.pirtit»n, cough or voice, all ......empyema. ,;„„ f„im the high**'»' the surface of nliijnid in it largo -IhiioHt nlwuys wiih n liatulou* cavity in the che ;; or hy the opening between the broitcliim falling of n drop of i-rrum, or «nd pleural cnviiy. Very rnre the burning or nir bubble* on without ..erfc-rotm... . y . QeU ,!'li the .urfaee of the lintdd m» eon- Large pulmonary cavity. ' ' ITavinz examined « Table of TUor.c.r. P,i,..,-ion and A.»c..lt»tmn by Dr. V. 1, Mitchell, «,d finding it o correct eo.nr.itr. Jn ftJSJlh- l-«l" " """"■"," - ' '"^Pl—"-'" rccom-nendrng H a- nn „c«,t.ugly .„rftI| „niJ convenient J,/, . JoonPH M. San 11, M I) Prnfe„or of ,h., TI.™V ..d IT:,-,,-.. (1f p „ ':„.. Clinical M„b.,.,,. „, ,!„. v„. v„r i.irir.1.1.- rubbing which gene- I Friction, ot the ph-wne eovered .' Plcurinv with efluMon. ' mIIv......s„r, i„ a dry cracking I with fi.l.c .....mhrane., in the Kewlutionofpleuri«y witlieffusioni compared to t>>« ';,,Jl'"-' <"'! movement* of re.j.imtiot.. die nbsorptiou of th.- liquid sl-i parchment. j Reiicuh.ted «lis|„„iii„nofthe fi.Uc ' low8 the approach of the mem nnutlmn lihethe bubble of mil- membrum- |l.„,.it.) ' bmlieil coua rattle. ! Irregulor surfui ..f pleura. I I'HeHobulnr cinphyiemaT 9motin.n teniible to the hand. | I f Dr. (.'. L. Mitchell, appenra i- York, U U Roy Place, Oct. 18,1839 ..-[I?™, je*'.''' ''"' (."J!''L''' "'"Phy. -Saf TAT10N OF TIM', heart. M — The I.A cr!g. fiW«i- '"« '"» »» »»'"" »f " ■"""■ P«.a,a of air .hroogh a .mall jjfjfLJ^M, «.,„,, aln».. — -ZZIi^— ™P,„U... .'«'■. k ori««,,.U,.la^ca.i.v. "^J, ,oMrcdW 'l •,«.■• I.biw lllird „f .1,. .ICPl , I8"™" \;,.lJil..nii,.njltro.i.l.i.----------~---■', >■„„ lltt ,3.^3—a !^i "V7-" , -■-.-.------------^~ ■ ^ ^_____i«,i„„i„™i„„.,,„lr*.J.te'"7 i; ... I l>« ll.ird"rib"t"o lI'C >up. tlrvRSc.:—1 am .oli.6ail llial ilir lal.l. jou are prep«rinB for puWicnlioi »ill b« found oxIremL-lv i„.f„l k» H, , 1 Sr* - „f Vut.illation. A cnrcful c.nminnnon of it Im. convinced ni. il.at it coni.in.nn accurnic summary of .».. L. 1 1 " 1' ^L ~ ' .,.„, ,.f tlic ...l.j«.. lu arraogenen, i, a.c.ll.n,. '' »"' ««-l kn»»|. ^ ____I V.mr. Truly, f.t J. A. Wrr, M. U., fcfvJ urer onthc Direasc. of .l,P rh.9t ■Jrf1'