SIGNS AND SYMPTOMS 



474 



SIGNS AND SYMPTOMS 



and the supraspinal fossa; it is observed in incipient 

 tuberculosis. S., Roux's, of suppurative appendici- 

 tis: if on palpation the empty cecum presents a 

 special soft resistance comparable to that of a wet 

 pasteboard tube. S., Rovighi's, hydatid fremitus ; a 

 thrill observed on combined palpation and percussion 

 in cases of superficial hydatid cyst of the liver. S., 

 Rumpf's, fibrillar twitching of muscles in traumatic 

 neuroses. S., Rust's, at every change of position of 

 the body, a patient suffering from caries or carcinoma 

 of the upper cervical vertebras suppo'rts his head 

 with the hand. S., Sanders', undulatory character of 

 the cardiac impulse, most marked in the epigastric re- 

 gion, in adherent pericardium. Sanger's Macula, 

 macula gonorrhoica, a bright red spot marking the ori- 

 fice of the duct of Bartholin's gland in cases of gonor- 

 rheal vulvitis. Sanger's Pupil Reaction, for the 

 differential diagnosis of cerebral syphilis and tabes: in 

 amaurosis and optic atrophy of cerebral syphilis the 

 pupil reflex to light may be preserved and even in- 

 creased after a protracted stay in the dark, which is 

 never the case in tabes dorsalis. S., Sansom's. I. 

 Considerable extension of dulness in the second and 

 third intercostal spaces in pericardial effusion. 2. A 

 rhythmic murmur transmitted through the air in the 

 mouth when the lips of the patient are applied to the 

 chestpiece of the stethoscope; it is heard in cases of 

 aortic aneurysm. S., Sarbo's, analgesia of the per- 

 oneal nerve, occasionally observed in tabes dorsalis. 

 Scarlet Fever. See S., Borsieri's, Meyer s. S., 

 Schafer's, of pregnancy, a characteristic discolora- 

 tion in stripes, reddish on a livid background, which 

 appears in the neighborhood of the urethra or on the 

 vestibule of the vagina. The stripes run for the 

 most part crosswise or oblique. The condition is re- 

 garded as due to a vasomotor reaction dependent upon 

 the life of the child, as the stripes disappear as soon as 

 the child within the womb is dead. S., Schaffer's, of 

 hemiplegia. See Reflex, Sckaffer's. S., Schlange's, 

 in cases of intestinal obstruction the intestine is dilated 

 above the seat of obstruction and peristaltic move- 

 ments are absent below that point. Schonlein's 

 Triad, purpuric exanthem, rheumatic phenomena, 

 and gastrointestinal disorders in purpura rheumatica. 

 S., Schiile's, vertical folds between the eyebrows, 

 forming the Greek letter omega (omega melancholium), 

 frequently seen in subjects of melancholia. S., 

 Schultze-Chvostek's. See S.. Chvostek' 's (Illus. 

 Diet.). Schwabach's Test, the duration of the 

 perception of a vibrating tuning-fork placed upon the 

 cranium is prolonged beyond the normal in cases of 

 middle-ear disease, but shortened when the deafness 

 is due to a central cause. Sciatica. See S., Babin- 

 ski's, Jeffrey's, Lasegue 's. S., Seeligmiiller, mydri- 

 asis on the affected side in cases of neuralgia. S., 

 Semon's, impaired mobility of the vocal cord in car- 

 cinoma of the larynx. Sibson's Notch, the inward 

 curve of the upper left border of precordial dulness in 

 acute pericardial effusion. S., Sieur's, " signe du 

 sou," a clear, metallic sound sometimes heard in cases 

 of pleural effusion on percussing the chest in front 

 with two coins and auscultating behind. S., Silex's, 

 radial furrows about the mouth, and coiucidentally in 

 other parts of the face; a pathognomonic sign of con- 

 genital syphilis. S., Simon's, immobility or retrac- 

 tion of the umbilicus during inspiration, sometimes 

 seen in tuberculous meningitis. Smallpox, See S., 

 Grisolle's. S., Smith's (Eustace), of bronchitis: a 

 murmur audible over the sternum when the chin is 

 drawn up. S. of the Sou. See S., Sienr's. 

 Spence's Test, a tumor of the mammary gland can be 

 distinguished .from an inflammatory enlargement by the 



absence, in the latter case, of any tumefaction, there 

 being only the lumpy and wormy sensation of the swol- 

 len acini and ducts. S., Spiegelberg's, a sensation 

 like that of passing over wet india-rubber, imparted to 

 the finger which presses on, and moves along, the af- 

 fected part; it is noted in cancer of the cervix uteri. 

 Spondylitis. See S., Rosenthal's. S., Squires' 

 (G. \V. ), a rhythmic dilation and contraction of the 

 pupil in basilar meningitis. S., Steele's, exaggerated 

 pulsation over the whole area of the cardiac region ; it 

 is noted in intrathoracic tumor. Stenosis. See S., 

 Aufrecht' s, Reichmann' s, Traube's. S., Stiller's, 

 marked mobility or fluctuation of the tenth rib in neu- 

 rasthenia and enteroptosis. Syn. , Costa fluctuant 

 decima. S., Stokes'. (See Illus. Diet.) 2. Marked 

 feebleness of the first heart-sound, which calls for 

 alcoholic stimulation, if it occurs during fevers. S., 

 Straus', in facial paralysis from a central cause the 

 hypodermic injection of pilocarpin causes no appreciable 

 difference in the perspiration of the two sides, either 

 as to time or quantity, whereas there is a marked re- 

 tardation of the secretion on the affected side in severe 

 peripheral paralysis. S., Strauss', the administration 

 of fatty food by the mouth causes an increase in the 

 amount of fatty constituents in the effusion of chylous 

 ascites. Syphilis. See S. , Demarquay's, Justus', 

 R~risozoski' s, Silex's, Wagner' s. Tabes. SecS'., Bech- 

 teretu's, Berber's, Biernaeki's, Frenkel' s, Gcnvers' , 

 Pitres' (2), Remak' s, Romberg's, Sangei's, Sarbo's. 

 S., Tchoudnovsky's, in cases of pneumoperitonitis 

 with intestinal perforation, a peculiar murmur heard on 

 abdominal auscultation, at each respiratory movement, 

 and in which the maximum intensity is situated at the sur- 

 face of the perforation. Tetany. See S., Bechterew' s, 

 £rb's, Hoffmann' s, Weiss' . S., Thornton's, violent 

 pain in the flanks in nephrolithiasis. S., Tourette 

 (Gilles de la), inversion of the ratio existing normally 

 between the earthy phosphates and alkaline phosphates 

 of the urine ; it is found in paroxysms of hysteria. 

 Traube's Phenomenon, a double sound, systolic 

 and diastolic, heard over peripheral arteries, especially 

 the femoral, in aortic insufficiency, occasionally also in 

 mitral stenosis, lead-poisoning, etc. S., Tresilian's, 

 of mumps : the opening of Stenson's duct on the inner 

 surface of the cheek, outside the second upper molar, 

 becomes a bright red papilla. S., Troisier's, enlarge- 

 ment of the left supraclavicular lymph-glands, an in- 

 dication of malignant disease of the intraabdominal 

 region. Trousseau's Points apophysaires, points 

 sensitive to pressure over the dorsal and lumbar verte- 

 bras in intercostal and lumboabdominal neuralgias. 

 Tuberculosis, See S., Bareggi's, Grancher's, lloch- 

 singer's, Murat' s, Roussel' s. Tumor. See .V., 

 NothnageV 's, Roser-Braun' s, Spence's, Steel's. Ty- 

 phoid. See S., Bareggi's, Doane's. S., Uhthoff's, 

 the nystagmus of multiple cerebrospinal sclerosis. 

 Ulnar Phenomenon, a condition of analgesia <>f the 

 trunk of the ulnar nerve on one side, absent in the 

 majority of general paralytics and mostly present in 

 other insane patients, S., Unschuld's, a tendency to 

 cramps in the calf of the leg; it is an early sign in 

 diabetes. S., Vigoroux's, t lie diminished resistance 

 of the skin to the galvanic current in exophthalmic 

 goiter. S., Vincent. See Argyll- Robertson s Pupil 

 in Table of Signs (Illus. Diet). S., Vohsen- 

 Davidsohn's. See .V. Davidsohris (Illus. Dict.).j 

 S., Voltolini-Heryng's. See .s'., Ilervng's. S., 

 Wahl's (von). 1. Distention of the bowel (local? 

 meteorism) above the point at which then- exists an 



obstruction. 2. A scraping or blowing sound, syn- 

 chronous with the cardiac impulse, heard over 

 arterial trunk immediately after the partial division, 



