SIGNS AND SYMPTOMS 



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SIGNS AND SYMPTOMS 



of pleurisy by the patient, who seeks to alleviate the 

 pain by lying on the sound side. Anesthesia. See 

 S., Lehman's. Aneurysm. See S., Bozzold ' s, Car- 

 darelli's, Gerhard? s, Glasgow's, Hope's, Perez's, 

 Sansom's. Angina pectoris. See S., Btaume s. 

 Aortic Insufficiency. See S., Mutter's, Mussel's, 

 Traube's. Atony, Intestinal. See S., Boas' . S., 

 Auenbrugger's, bulging of the epigastric region in 

 cases of extensive pericardial effusion. S., Aufrecht's, 

 short and feeble breathing heard just above the 

 jugular fossa on placing the stethoscope over the 

 trachea; it is noted in tracheal stenosis. S., Babin- 

 ski's, diminution or absence of the Achilles tendon 

 reflex in true sciatica as distinguished from hysteric 

 sciatica. S., Baillarger's, pupillary inequality in 

 paralytic dementia. S., Ballet's, ophthalmoplegia 

 externa, characterized by the loss of all voluntary 

 movements of the eyeball, with preservation of the 

 automatic movements and integrity of the movements 

 of the pupil. It is seen in hysteria and exophthalmic 

 goiter. S., Bamberger's, allochiria ; perception of 

 a stimulus applied to the skin of one extremity at the 

 corresponding place on the other extremity. S., 

 Bard's, to differentiate between organic and congen- 

 ital nystagmus. In the former the oscillations of the 

 eyeball increase when the patient follows the physi- 

 cian's finger moved before his eye alternately from 

 right to left, and from left to right. In the latter the 

 oscillations disappear under these conditions. S., 

 Bareggi's. See Reaction, Bareggi's. S., Beaume's, 

 retrosternal pain in angina pectoris. S., Beccaria's, 

 painful pulsating sensations in the occipital region 

 during pregnancy. S., Bechterew's. See Reaction, 

 B.'s. 2. Anesthesia of the popliteal space in tabes 

 dorsalis. S., Becker's, spontaneous pulsation of the 

 retinal arteries in exophthalmic goiter. S., Behier- 

 Hardy's, aphonia, an early symptom in pulmonary 

 gangrene. Bell's Phenomenon, Bell-Bernhardt's 

 Phenomenon, upward and outward rolling of the 

 eyeball upon an attempt to close the eye of the affected 

 side in peripheral facial paralysis. S., Berger's, an 

 elliptic or irregular shape of the pupil sometimes seen 

 in the early stage of tabes and paralytic dementia, and 

 in paralysis of the third cranial nerve. S., Bezold's, 

 the appearance of an inflammatory swelling a short 

 distance below the apex of the mastoid process is evi- 

 dence of mastoid suppuration. Bieg's Entotic 

 Test, when words are audible only on being spoken 

 into an ear-trumpet connected with a catheter placed 

 in the eustachian tube, but not through the ear-trum- 

 pet as ordinarily applied, there is a probable lesion of 

 the malleus or incus, which interferes with conduction. 

 S., Biernacki's, analgesia of the ulnar nerve at the 

 elbow; it is observed in tabes dorsalis and paretic de- 

 mentia. Bing's Test, let a vibrating tuning-fork be 

 held on the vertex until it has ceased to be audible ; 

 then close either ear, and the fork will be heard again 

 for a certain period. If this period of secondary per- 

 ception is shortened, there exists a lesion of the sound- 

 conducting apparatus ; if normal and yet deafness is 

 present, the perceptive apparatus is involved. S., 

 Bird's, a well-defined zone of dullness with absence 

 of the respiratory sound in hydatid cyst of the lung. 

 S., Boas', the presence of lactic acid in the gastric 

 contents in cases of cancer of the stomach. Boas' 

 Test, in cases of intestinal atony a splashing sound 

 can be obtained on pressure upon the abdominal wall 

 after the injection of a small quantity (200 to 300 c.c.) 

 of water into the bowel. S., Bolognini's, on press- 

 ing with the tips of the fingers of both hands alter- 

 nately upon the right and left of the abdomen of a 

 patient who is lying on his back and whose abdominal 



muscles are relaxed by flexion of the thighs, a sensa- 

 tion of friction within the abdomen is perceived; it is 

 noted in the early stages of measles. S., Bordier- 

 Frenkel's. See Bell's Phenomenon. Borsieri's 

 Line, in the early stages of scarlet fever, a line drawn 

 on the skin with the finger-nail leaves a white mark 

 which quickly turns red and becomes smaller in size. 

 Bouillaud's Metallic Tinkling, a peculiar clink 

 sometimes heard to the right of the apex-beat in car- 

 diac hypertrophy. S., Bouveret's, in intestinal ob- 

 struction ; this is applicable only to the larger gut. 

 Great distention of the cecum and a large elevation in 

 the right iliac fossa. S., Bozzolo's, visible pulsation 

 of the arteries of the nares, said to occur in some cases 

 of aneurysm of the thoracic aorta. S., Braun- 

 Fernwald's, an early sign of pregnancy consisting in 

 an increased thickness of one-half of the body of the 

 uterus and in the presence of a longitudinal median 

 groove, these changes being dependent upon an un- 

 equal consistence of that organ. Beatty-Bright's 

 Friction Sound, Bright's Friction Sound, the 

 friction sound produced by inflammation of the pleura. 

 S., Broadbent's, a visible retraction, synchronous 

 with the cardiac systole, of the left side and back in 

 the region of the eleventh and twelfth ribs, in adher- 

 ent pericardium. S., Browne's (Crichton), tremor 

 of the labial commissures and outer angles of the eyes 

 in the early stage of paralytic dementia. S., Bry- 

 son's, diminished power of expansion of the thorax 

 during inspiration ; occasionally observed in exoph- 

 thalmic goiter and neurasthenia. Callaway's Test, 

 in dislocation of the humerus the circumference of the 

 affected shoulder, measured over the acromion and 

 through the axilla, is greater than that of the sound 

 side. Cancer. See S., Boas' , de Morgan's, Romme- 

 laere's, Rust's, Spiegelberg' s, Semon's. S., Carda- 

 relli's, the lateral movement of the trachea as an 

 indication of aneurysm of the aorta. Cardiac Hy- 

 pertrophy. See S., Bouillaud's. S., Castellino's. 

 See S., Cardarelli' s. S., Cathelineau's. See S. , 

 Tourette's (Gilles de la). Cerebral Hemorrhage. 

 See S., Prevosl's. S., Charcot's, signe dusourcil. In 

 facial paralysis the eyebrow is raised, in facial con- 

 tracture it is lowered. S., Charcot-Marie's. See 

 S., Marie's. S., Charcot- Vigouroux's. See S., 

 Vigouroux's. Chlorosis. See S., Golonboff' s. Clee- 

 mann's Test, in fracture of the femur with shorten- 

 ing there is a wrinkle above the ligamentum patella; 

 which disappears when the shortening is corrected by 

 extension. S., Cling (Ger. Klebe). See S., Ger- 

 suny's. S., Comby's, a form of stomatitis involving 

 the buccal mucosa, diagnostic of incipient measles. 

 There is slight swelling and the mucous membrane 

 becomes reddish, the superficial epithelial cells be- 

 come whitish as if brushed over by a paint brush. 

 It may occur evenly or in patches. Cf. A'optit's 

 s/>ots. Coxalgia. See S., Erichsen's. S., Crich- 

 ton Browne's. See S., Brownis, S., Dance's, 

 a depression about the right flank or iliac fossa, re- 

 garded by Dance as indicating invagination of the 

 cecum. S., Demarquay's, immobility or lowering 

 of the larynx during deglutition and phonation ; it is 

 characteristic of tracheal syphilis. Dementia. See 

 .S'. , Baillarger' a, Sergei* s, A'icrnachi's, Browne's. 

 Diabetes. See S., L'nschuld's. Diaphragm Phe- 

 nomenon. See .S'., Li/ten's. Dislocation. See S., 

 Dugas' , Hamilton's. S., Doane's (Win. C. ), deaf- 

 ness in one ear in typhoid fever presages death ; deaf- 

 ness in both ears is a good prognosis. S., Du- 

 chenne's, sinking-in of the epigastrium during inspira- 

 tion in cases of marked hydroperfcftrdium or impaired 

 movement of the diaphragm from pressure or paralysis. 



