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Image from page 148 of “A practical treatise on the diseases of the lungs and heart : including the principles of physical diagnosis” (1851)

Image from page 148 of “A practical treatise on the diseases of the lungs and heart : including the principles of physical diagnosis” (1851)
Heart Disease
Identifier: 0334232.nlm.nih.gov
Title: A practical treatise on the diseases of the lungs and heart : including the principles of physical diagnosis
Year: 1851 (1850s)
Authors: Walshe, Walter Hayle, 1812-1892
Subjects: Lung Diseases Heart Diseases Physical Examination
Publisher: Philadelphia : Blanchard and Lea
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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Text Appearing Before Image:
don of the dia-phragm ; the supero-anterior is in opposition partly with thelungs, partly with the walls of the chest. Occupying the entire of the lower sternal, and certain portionsof the left and right mammary, regions, the different partsof the organ are thus related to the surface. The right auriclereaches to the right of the sternum (more or less far, accordingto the state of the cardiac circulation) into the right mammaryregion, on the level of the third cartilage and interspace; whilethe right ventricle, mainly filling the lower sternal region, andcoasting by its inferior, and nearly horizontal, border, the articu-lation of the sternum and ensiform cartilage, encroaches a little,atits base, on the right mammary region, about the fourth carti-lage, and the two interspaces next above and below, and besidesby its apex stretches into the left mammary region, at the fifthinterspace. CLINICAL TOPOGRAPHY. 159 The left auricle corresponds to the third left cartilage, and a ■:, ii! tV

Text Appearing After Image:
Diagram II, exhibiting the relationship of the heart and great vessels to the lungs (inmoderate inspiration) and to the regions of the chest. 1 to 10 inclusive, ribs; a,supra clavicular region; ft, clavicular; c, infra-clavicular; d, mammary ; e, infra-mam-ma ry;/.supra sternal;g, upper-sternal; A, lower-sternal; i, integuments turned back; • ft, nipples: k, right auricle: /, right ventricle ; m, left auricle, appendix mainly seen ;n, left ventricle; o, pulmonary artery; p, arch of aorta ; q, vena cava superior; r r,innominate vein-; s, innominate artery ; tt, subclavian veins. The dotted lines in-dicate the outlines of the regions ; the dark lines, the edges of the lungs. The heartand vessels are supposed to be full. part of the interspace immediately below ; the left ventricle tothat portion of the left mammary region, lying a little within thevertical level of the hippie, and between the third and the fifthinterspaces, or the upper border of the sixth rib. The heart,then, as a wh

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