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Updated: July 21, 2025
In the larger joints the subjective symptoms usually precede any palpable evidence of disease, the patient complaining of stiffness, crackings, and aching, aggravated by changes in the weather. The roughness due to fibrillation of the articular cartilages causes coarse friction on moving the joint, or, in the knee, on moving the patella on the condyles of the femur.
When the nose is attacked, both the skin and mucous surfaces are usually involved, and the nasal orifices may be narrowed or even obliterated; sometimes the soft parts, including the cartilages, are destroyed, leaving only the bones covered by tightly stretched scar tissue. The disease progresses slowly, healing in some places and spreading at others.
The 4th, 5th, and 6th ribs and cartilages are divided and the outer cutaneous flaps turned up; pushing aside the pleura with the finger, expose the pericardium and incise it longitudinally; suture the heart-wound by interrupted sutures. Del Vecchio adds that Fischer has collected records of 376 cases of wounds of the heart with a mortality two to three minutes after the injury of 20 per cent.
The most frequent position is on the pectoral surface below the true mammae and somewhat nearer the middle line, but an accessory gland has been observed on the left shoulder over the prominence of the deltoid, on the abdominal surface below the costal cartilages, above the umbilicus, in the axilla, in the groin, on the dorsal surface, on the labium majus, and on the outer aspect of the left thigh.
In ordinary breathing the vocal cords are in a relaxed condition against the sides of the larynx and are not acted upon by the air as it enters or leaves the lungs. *Pitch and Intensity of the Voice.*—Changes in the pitch of the voice are caused mainly by variations in the tension of the cords, due to the movements of the thyroid and cricoid cartilages upon each other.
These cartilages are capped with little horn-like projections, and give attachment at their anterior angles to the true vocal cords, and at their posterior angles to the muscles which open and close the glottis, or upper opening of the windpipe. When in their natural position the arytenoid cartilages resemble somewhat the mouth of a pitcher, hence their name. The Vocal Cords.
To aid in wrapping close and firm to edge of neck base-board, drive a row of small, broad headed nails half into the edge, two or three inches apart all around and loop the winding-cord over these as the wrapping proceeds. Drive these nails down when wrapping is completed. Drop the dry ear cartilages into warm water. In this they will quickly regain their natural shape.
The men are much better looking than the women. Both go perfectly naked, if I except the former, who wear nets over the loins and across the forehead, and bones through the cartilages of the nose. Their chief food is fish, of which they have great supplies in the river; still they have their seasons for hunting their emus and kangaroos.
But actually, on account of the incompressibility of the nasal cartilages, he has to incline either his or her head to an angle of at least 60 degrees, and the result is that his right eye gazes insanely at the space between her eyebrows, while his left eye is fixed upon some vague spot behind her.
The structure of muscle and bone and the proportion of various parts of the body differ materially; the bones of the child for some time are soft and largely composed of cartilages which may be easily bent out of shape and permanently injured. The ratio of some of the parts is about as follows: *
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