United States Naval Medical Bulletin V 9 1915

Author : United States. Navy. Surgery
Publisher : Rarebooksclub.com
ISBN 13 : 9781230031774
Total Pages : 332 pages
Book Rating : 4.0/5 (317 download)

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Download or read book United States Naval Medical Bulletin written by United States. Navy. Surgery and published by Rarebooksclub.com. This book was released on 2013-09 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1915 edition. Excerpt: ...and many men are found performing their duty who would not be accepted as recruits were the same condition present. Service conditions account for many abnormalities, and when these are found in the recruit and cause doubt the best rule is to reject. When a man has passed through one or more enlistments, although he may have a heart slightly enlarged and a rough mitral sound, he has proved that as far as his work is concerned he has a normal heart and that the heart condition is compensating for the work in the service. APEX BEAT. In determining the apex beat care must'be taken not to be misguided by the transmitted impulse, as a seeming impulse can be felt at times in the sixth space, which is really the transmitted beat from the fifth space through the rib. To be located accurately, the apex beat must be actually felt, best by the flat tip of the index or middle finger. The space can be determined only by actually counting the ribs. Inspection is unreliable. In some cases inspection indicated the apex beat to be in the fifth, and it was found on counting to be in the fourth or in the sixth space. In other cases inspection indicated the apex beat in the fourth or the sixth space, and it was actually found in the fifth space. In a specific case the apex was so far below the nipple (7 cm.) that it seemed absolutely certain that the beat must be in the sixth space at least. The recruit, however, had a "long" chest, and actual count showed the beat to be in the normal fifth space. In other cases the apex appeared to be sufficiently high to be in the fourth space without doubt, but the actual count showed it to be in the fifth space. In the Navy, and presumably, therefore, in any set of muscular men, the nipple in the greater per...