Physical Diagnosis, Including Diseases of the Thoracic And Abdominal Organs. a Manual for Students And Physicians

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— With hypertrophy of the right ven- tricle, the area of cardiac dullness is increased to the left at the level of the fourth rib, and the outline at the apex becomes rounded.
Third Stage. — With dilatation of the right ventricle and tricuspid regurgitation, there is increase in the upper border of flatness at the level of the fourth rib, and dullness may be detected to the right of the sternum at this point. Over the lower portion of the sternum there may be diminution of the sternal resonance
...; at the apex dullness extends to the left and downward.
Pulmonary Resonance. — In the first and second stages the pulmonary resonance is not impaired. In the third stage, cedema of the base of the lungs may cause a diminished resonance. In the later stages, with effusion into the pleural cavity (hydrothorax), flatness is present over the lower portion of the chest. The percussion area of the liver is also increased.
Auscultation. — The distinctive sign of regurgita- tion at the mitral orifice is a murmur which occurs with the ventricular systole, accom]mnios, replaces or fol- lows the first sound of the heart (Figs.


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