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It is noticeable that lameness is augmented or produced when the subject travels on rough road surfaces and that little or no difficulty is encountered when roads are smooth. Before there is a visible exostosis, supersensitiveness is readily recognized upon palpation of the parts, if careful comparison is made between the sound and unsound members.
This activity is present almost from the first a few days after the impregnation of the ovum in the breasts, and quickly becomes obvious to inspection and palpation. Before a quite passive organ, the breast now rapidly increases in activity of circulation and in size, while certain characteristic changes begin to take place around the nipples.
By palpation one is enabled to recognize hyperthermia and this, in lieu of dependable history, is at times sufficient evidence upon which to determine the duration of any given inflammatory affection. By comparison of different parts of the same member or with an analogous portion of another member any marked increase in the apparently normal temperature of a part at once signalizes inflammation.
Endocarditis having been diagnosed, especially if there is palpation or pain, an ice bag over the heart is often of considerable value, but not so efficient as in pericarditis. It often tends to quiet the heart, and may be of some value reflexly in slowing the inflammation. Children, in whom this complication so frequently occurs, generally do not bear the ice bag well.
When a Celestial takes into his hand a woman's foot, especially if it is very small, the effect upon him is precisely the same as is provoked in a European by the palpation of a young and firm bosom. All the Celestials whom I have interrogated on this point have replied unanimously: 'Oh, a little foot!
It may extend upwards under cover of the ribs, downwards towards the pelvis, or backward towards the loin. On palpation a systolic thrill may be detected, but the presence of a murmur is neither constant nor characteristic. Pain is usually present; it may be neuralgic in character, or may simulate renal colic.
Whether it be torn loose from its point of attachment or ruptured at some point proximal thereto, the position is the same heel flat on the ground, toe slightly raised and this raising of the toe varies in degree as the subject moves about. The pathognomonic symptom is the lax tendon during weight bearing, which may be felt by palpation of the tendon along its course in the metacarpal region.
There is swelling corresponding to the distended capsule of the joint, and on palpation the bodies moving under the fingers yield a sensation as of grains of rice shifting in a bag. If the bodies are so numerous as to be tightly packed together, the impression is that of a plastic mass having the shape of the synovial sac.
Indeed, the idea divests itself of the great bulk of the tactual details by which it was apprehended, whilst the muscular sensations which accompanied the act of palpation never seek to be joined with the idea. This divestiture of sensation proceeds to such an extent that there is nothing left beyond what M. Villey calls the pure form.
Obviously mammal in weight of bosom you remark that she has in front well to the fore two protuberances of very respectable dimensions, inclined to fall in the noonday soupplate, while on her rere lower down are two additional protuberances, suggestive of potent rectum and tumescent for palpation, which leave nothing to be desired save compactness.
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