SIGNS AND SYMPTOMS 



472 



SIGNS AND SYMPTOMS 



Huchard's, the difference in the pulse between the 

 standing and recumbent posture is less in persons with 

 arterial hypertension and may even be the reverse of 

 that of the normal condition. S., Huebl's, an early 

 sign of pregnancy consisting in an abnormal thinness 

 and compressibility of the lower segment of the uterus 

 as compared with that part above the insertion of the 

 sacrouterine ligaments, the bimanual examination be- 

 ing carried out with one finger in the rectum. S., 

 Hueter's, absence of transmission of osseous vibration 

 in cases of fracture with fibrous interposition between 

 the fragments. Hydatid Cyst. See S., RovighVs. 

 Hysteria. See S., Ballet's, Putnam's, Tonrette's, 

 Weiss'. Intestinal Obstruction. See S., Bou- 

 veret's, Cling, Gangolphe' s, Scklange's, v. VVahP s. 

 S., Jacquemier's, blue coloration of the vaginal 

 mucosa appearing about the twelfth week of preg- 

 nancy. S., Jaffe's, the flow of pus from a tube 

 inserted into a subdiaphragmatic abscess is more 

 abundant during inspiration than during expiration ; 

 if the collection is thoracic, the inverse holds true. 

 Paralysis of the diaphragm prevents the manifestation 

 of this sign. S., Joffroy's. I. Absence of facial 

 contraction when the patient suddenly turns his eyes 

 upward ; in exophthalmic goiter. 2. Phenomene de 

 la hanche. Rhythmic twitching of the glutei on 

 pressure upon the gluteal region in cases of spastic 

 paraplegia and sciatica. S., Josseraud's, a peculiar 

 loud, metallic sound, heard over the pulmonic area, and 

 preceding the friction-sound in acute pericarditis. 

 Justus' Test, transient reduction of hemoglobin fol- 

 lowing the administration of mercury by inunction or 

 hypodermic injection in syphilis. S., Kelley's, of 

 pleural effusion in children : A preference for lying 

 upon the back or propped up high in bed and avoid- 

 ance of bending toward or pressing upon the affected 

 side. S., Kellock's, increased vibration of the ribs 

 on sharply percussing them with the right hand, the 

 left hand being placed flatly and firmly on the lower 

 part of the thoracic wall, just below the nipple ; it is 

 elicited in pleural effusion. S., Kennedy's, of preg- 

 nancy, the umbilical or funic souffle. S., Kernig's, 

 contracture or flexion of the knee and hip-joint, at 

 times also of the elbow, when the patient is made to 

 assume the sitting posture ; it is noted in meningitis. 

 S., Klebe (Ger. ). See S., Gersuny's. Konig's 

 Symptom-complex. I. Alternation, for a long 

 period, of constipation and diarrhea, and irregular 

 attacks of colic which are generally of short dura- 

 tion and terminate suddenly. During these attacks 

 the abdomen is distended, there exists frequently a 

 visible peristalsis, and a loud gurgling is heard 

 in the ileocecal region. These symptoms are charac- 

 teristic of tuberculous stenosis of the cecum. 2. Blue- 

 blindness in granular kidney. Koplik's Spots, minute 

 bluish-white spots surrounded by a reddish areola, 

 observed on the mucous membrane of the cheeks and 

 lips during the prodromal stage of measles. S , 

 Kreyssig's, retraction of the epigastrium and the 

 contiguous portions of the false ribs with each systole, 

 in adherent pericardium. S., Krisowski's,' of con- 

 genital syphilis, radiating lines about the mouth and 

 the union of the hard palate with the posterior pharyn- 

 geal wall by fibrous tissue. S., Kussmaul's, swell- 

 ing of the cervical veins during inspiration in adherent 

 pericardium and mediastinal tumor. Labyrinthine 

 Disease. See .S'., Gardiner- Brrnvti 1 s. S., Lan- 

 cisi's, very feeble heart-beats amounting to a trem- 

 bling of the heart, perceived by palpation in grave 

 myocarditis. S., Landou's, in diagnosis of malig- 

 nant disease inability to grasp the uterus bimanually in 

 the presence of slight ascites. S., Lasegue's, (i) 



incapacity of the anesthetic hysteric individual to move 

 the extremity which he is prevented from seeing; (2) 

 to differentiate sciatica from hip-joint disease : in the 

 case of the former, flexion of the thigh upon the hip 

 is painless or easily accomplished when the knee is 

 bent. S., Lehman's, in the administration of chloro- 

 form, to prognosticate as to a ready or difficult anes- 

 thesia, if the eyelids closed by the anesthetizer re- 

 open at once, wholly or in part, the anesthesia will be 

 difficult. The eyes will remain closed from the begin- 

 ning in those who take chloroform well. S., Lenn- 

 hoff 's, in cases of echinococcous cyst on deep inspira- 

 tion a furrow forms above the tumor between it and 

 the edge of the ribs. S., Leyden's, in cases of sub- 

 phrenic pyopneumothorax monometric observation 

 shows that the pressure in the abscess cavity rises dur- 

 ing expiration. The reverse was held by Leyden to 

 occur in true pneumothorax. S., Litten's, "dia- 

 phragm phenomenon," retraction of the lateral portion 

 of the thorax, where the diaphragm is inserted, the 

 retracted portions being lowered during inspiration and 

 rising during expiration. It is absent in pleuritic adhe- 

 sions, effusion into the pleural cavity, emphysema, etc. 

 S., Lucas', distention of the abdomen, an early sign 

 of rickets. S., Macewen's, increased resonance on 

 combined percussion and auscultation of the skull in 

 certain gross lesions of the intracranial contents—^, g., 

 in cerebral abscess or overdistended lateral ventricles. 

 S., Magnan's, in chronic cocainism ; hallucination of 

 cutaneous sensibility characterized by a sensation of 

 foreign bodies under the skin, which are described as 

 inert and spherical, varying in size from a grain to a 

 nut, or as living things, worms, bugs, etc. S., 

 Mann's, diminished resistance of the scalp to the 

 galvanic current in traumatic neuroses. S., Mann's 

 (Dixon), a disturbance of the normal balance of the 

 muscles in the two orbits so that one eye appears to 

 be on a lower level than the other; it is seen in ex- 

 ophthalmic goiter and other affections characterized 

 by tachycardia. S., Marie's, S., Marie-Kahler's, 

 tremor of the extremities or the whole body in exoph- 

 thalmic goiter. S.s, Mayor's, of pregnancy, the 

 fetal heart-sounds. Measles. See S., Bologniiu's, 

 Comby's, Koplik's, Afei/tiier's. S., Meltzer's, nor- 

 mally, on auscultation of the heart (at the side of the 

 xiphoid appendix) there is heard, after swallowing, a 

 first sound produced by the flowing of fine drops, and 

 six or seven seconds after, a glou-glou. According to 

 Meltzer, the second sound fails in the case of occlu- 

 sion or pronounced contraction of the lower part of the 

 esophagus. Meningitis. See S., Kemitfs, Roger's, 

 Simon's, Squire's. S., Meunier's, of measles, a 

 daily loss of weight noticed four or five days after 

 contagion. This may amount to 50 grams daily, com- 

 mencing five or six days before the appearance of 

 catarrhal or febrile symptoms. S., Meyer's, numb- 

 ness of the hands or feet associated with formication. 

 It is observed in the eruptive stage of scarlet fever. 

 Middle-ear Disease. See S., Boli/wr's, Sckwa- 

 bach's. S., Mobius', inability to retain the eyeballs 

 in convergence in exophthalmic goiter. Morgan's 

 (de) Spots, bright red nevoid spots frequently seen 

 in the skin in cases of cancer. Morris' Test, ■ red, 

 graduated from the center and provided with sliding 

 pointers, is placed across the abdomen, so that its cen- 

 ter corresponds to the median line of the body, and 

 the pointers are moved along it until they reach the 

 outer surface of the greater trochanter. In eases of 

 fracture of the neck of the femur a discrepancy will be 

 found on comparing the measurements on the two 

 sides of the body. S., Miiller's, pulsation of the 

 tonsils and soft palate in cases of aortic insufficiency. 



