Le transazioni . tained diversi gallonsof fluido, il margine inferiore del polmone destro wasbehind la quarta nervatura; dopo che il fluido è stato con-disegnato era dietro il quinto spazio intercostale.Il lower bound del cuore scese in likemanner. L idropisia ovarica.-ovarica idropisia occasioni asimilar lo spostamento verso l'alto del diaframma,ma raramente nella stessa misura. Gravidanza.-In gravidanza la pelle del nellaparte inferiore del ventre diventa distesa, in likeproportion con la distensione del utero gravido;l'organo allargata, invece di spingere verso l'alto theliver, la milza, lo stomaco e il diaframma, cade in avanti,

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Transactions . tained several gallonsof fluid, the lower margin of the right lung wasbehind the fourth rib; after the fluid was with-drawn it was behind the fifth intercostal space.The lower bound of the heart descended in likemanner. Ovarian Dropsy.—Ovarian dropsy occasions asimilar displacement upwards of the diaphragm, but seldom to the same extent. Pregnancy.—In pregnancy the skin of the lowerpart of the abdomen becomes distended, in likeproportion with the distension of the gravid uterus;the enlarged organ, instead of pushing upwards theliver, spleen, stomach, and diaphragm, falls forward, displaces the skin, and permits the diaphragm toretain pretty nearly its usual elevation. The Circulation and Respiration are impededby Abdominal Distension.—The terrible anxiety. OK THE INTERNAL ORGANS. 345 9.—DIAPHRAGM AND ORGANS OF CHEST RAISEDBY ABDOMINAL DISTENSION, FROM EFFUSIONOF AIR INTO THE PERITONEAL CAVITY. Elizabeth Hutchinson, aged 16, Patient of Mr. Wright ; Rupture of Appendix Vermifokmis.. I. Right IiUng ; I1. Left lung.—2. Lower boundary of pericardial sac ; 2. Ven. triclcs 3. Right auricle.—4. Vena cava .>. Aorta.—6. Pulmonary artery.— 7. Liver.—8. Stomach. 346 ON CHANGES IN THE SITUATION dyspnoea, and interruption to the circulation, exist-ing in cases of puerperal peritonitis, effusion of airor fluid into the abdomen, or of great distension ofthe intestines, is in great measure due to the thrust-ing upwards of the circulating and breathingapparatus, and to the fixing of the diaphragm, which is thus disabled from relieving those organs.In tabid children, whose intestines, vastly distended, protrude the abdomen on all sides, push up thediaphragm, and narrow the space for the heart andlungs, the dyspnoea and the most deadly symptomsare owing:, not so much to the immediate disease inthe abdomen, as to the clogging of the movementsof the heart and lungs, due to that disease. Thereare few points in practical medicine of more im-portance than this

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• bookcentury1800
• bookidtransactions12provuo
• bookpublisherlondon