Vietnam or Thailand ? Vote for the TOP Country of the Week !
Updated: May 1, 2025
There is intermittent fever, headache, backache, and shooting pains in the limbs and intercostal spaces, like those of dengue, with nocturnal exacerbations. An eruption of minute red spots appears first on the face, and gradually extends so that the whole body is covered at the end of three days.
This will determine the fluidity and character of the exudate. If pus is found, a more radical surgical procedure than simple paracentesis must be done immediately. The point of puncture for aspiration most frequently chosen is in the fourth or fifth intercostal space, about an inch to the left of the sternal margin. Paracentesis is also often done in the region of the normal apex beat.
"You found, sir, that the muscles of my waist, and my intercostal ribs themselves, rose and fell with each inhalation and exhalation of air by the lungs." "I did; but my daughter's waist was like dead wood, and so were her lower ribs." At this volunteer statement, Rosa colored to her temples. "Thanks, papa! Pack me off to London, and sell me for a big doll!"
An incision eight inches long was made over the 4th rib, six inches of the rib were resected, the bleeding intercostal artery was ligated, the blood was turned out of the pericardial cavity, this cavity being irrigated with hot water. The wound in the pericardium, which was two inches long, was sutured and the external wound was closed. Recovery followed.
He began the interview by unbuttoning his waistcoat and asking me to listen at his fifth intercostal space, two inches from the left sternal line. I did so, and was shocked to hear a well-marked mitral regurgitant murmur. "It is of old standing," said he, "but of late I have had a puffiness about the ankles and some renal symptoms which show me that it is beginning to tell."
The ribs are moved in respiration by two superficial muscular layers, known as the intercostal muscles. The diaphragm, the muscular partition before alluded to, separates the chest box from the abdominal cavity. In the act of inhalation the muscles expand the lungs so that a vacuum is created and the air rushes in in accordance with the well known law of physics.
The internal intercostals are attached between the inner margins of adjacent ribs, and they extend obliquely downward and backward from the front. The contraction of the external intercostal muscles raises the ribs, and the contraction of the internal intercostals tends to lower them. As the front is raised the space between the uprights is increased.
If the head is lodged beneath or between the ribs, an opening is to be made into the nearest intercostal space, the ribs forced apart by a suitable wedge and the head thus extracted.
Innumerable trains or tribes of other motions are associated with these muscular motions which are excited by irritation; as by the stimulus of the blood in the right chamber of the heart, the lungs are induced to expand themselves; and the pectoral and intercostal muscles, and the diaphragm, act at the same time by their associations with them.
It first manifests itself by a short, dry, croupy cough, and hoarseness of the voice. The first difficulty in breathing usually takes place during the night, and once it begins, it rapidly gets worse. Inspiration becomes noisy, sometimes stridulous or metallic or sibilant, and there is marked indrawing of the epigastrium and lower intercostal spaces.
Word Of The Day
Others Looking