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A cathartic was given and the legs bandaged; but the wounds made no progress towards healing, and at the end of three days he died. On exposing the cavity of the thorax it was almost covered with variously formed tumours, from the size of a pigeon's egg to that of a small pea. The intercostal muscles had many of these adhering to them, and a few small ones were developed on the heart.
There may be tenderness over the vertebral spines or in the lines of the cervical nerves, and the sterno-mastoid may undergo atrophy. This affection is more often met with in children. In pleurodynia intercostal fibrositis the pain is in the line of the intercostal nerves, and is excited by movement of the chest, as in coughing, or by any bodily exertion. There is often marked tenderness.
According to one of the conflicting legends of the two gods of Genesis, woman was then actually one with man. Marriage has ever since been an effort to put her back among his ribs, but she has always refused to be intercostal. It is an ancient habit to pretend that she is, and sometimes she pretends to snuggle into place.
A distinctive murmur of this insufficiency would be diastolic and accentuated in the second intercostal space on the left of the sternum. It should be remembered that aortic murmurs are often more plainly heard at the left of the sternum. Sooner or later, if this lesion is actually present, the right ventricle dilates and cyanosis and dyspnea occur. Digitalis would therefore be indicated.
The experienced singer is usually stimulated by the sight of an audience, while the beginner may be rendered nervous, and this may express itself in many and widely distant parts of the body. An unfavorable message may reach the diaphragm or intercostal muscles, and render breathing shallow, irregular, or, in the worst cases, almost gasping.
The post-mortem examination showed that the bullet had entered the chest in the fourth left intercostal space and had taken an oblique course downward and backward, piercing both the heart and lungs. The left lung was collapsed, and the exit point of the ball had been found in the muscles of the back to the left of the spinal column.
When, after some minutes of repose, he assumes the erect posture again, the systolic pressure will diminish and the diastolic pressure increase, and the pressure pulse shortens. Excitement can raise the blood pressure from 20 to 30 mm., and if such excitement occurs in high tension cases there is often a systolic blow in the second intercostal space at the right of the sternum.
I desired Timothy to run for surgical aid as fast as he could, while I opened a vein; and in a few minutes he returned with our opponent, Mr Ebenezer Pleggit. We stripped Mr Cophagus, and proceeded to examine him. "Bad case this very bad case, indeed, Mr Newland dislocation of the os humeri severe contusion on the os frontis and I'm very much afraid there is some intercostal injury.
The intercostal muscles, which form two thin layers between the ribs, known as the internal and the external intercostal muscles. The external intercostals are attached between the outer lower margin of the rib above and the outer upper margin of the rib below, and extend obliquely downward and forward.
If the prevailing symptoms have led our attention to the lungs, we find inflammation of the bronchial passages, or, in a few instances, of the substance of the lungs, or the submucous tissue of the cells. We rarely have inflammation of the pulmonary pleura, and never to any extent of the intercostal pleura. In a few lingering cases, tubercles and vomicae of the lungs have been found.
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