Stage of effusion, first, of Lymph. Inspection.-Increased motion. Palpitation-Vibration produced by the rubbing of the effused Lymph; vocal fremitus increased. Mensuration.-Nothing remarkable. Percussion.-Dull sound over the effused part. Auscultation.-Friction sounds of all sorts; Respiratory murmus very weak. Stage of effusion, second, of Serum. Inspection.-Bulging or expansion of the side. The Intercostal spaces protruding beyond the ribs; diminished motion of the side. Palpitation.-Vocal fremitus not perceptible neither the Tussive. Mensuration.-Circular measurement greater than that of the opposite side. Expansion and retraction not well marked. Increase of Antero Posterior Diameter. Percussion.-Perfect dulness all over the part occupied by the effusion. Auscultation.-Bronchial respiration and Egophony when there is very little effusion, interposed between the lungs and the parietes. Respiration inaudible when there is a large quantity of fluid effused. Heart sounds also inaudible. Succussion. Heart displaced; when the effusion takes place in the right cavity of the Pleura the liver is then pressed down. The opposite healthy lung may be compressed also. Stage of Absorption.-When is the case the symptoms will take retrograde course towards the establishment of healthy function. Stage of Retraction. Inspection.-Depression or Procedentia. Curvature of the Spine. Diminished motion. Mensuration.-Diminished circular or anteroposterior measurements. Expansion diminished. Percussion. Slightly dull. Auscultation.-Respiration restored, but rather weak. Redux friction sound. BRIJONATH BUNDOO. Botany. Gold Medal and First Certificate. BEHARY LALL GHOSE. CERTIFICATES OF HONOR. 2nd, Mohes Chunder Ghose. 4th, Brijunath Kurfirma. 3rd, Juggernath Sen. 5th, Romes Chunder Goopta. |