A Manual on Clinical Surgery Somen Das
INDEX
Page numbers followed by f refer to figure.
A
Abdomen 9, 293, 620
acute 474, 475, 476f, 485f, 486f
contour of 479, 509
CT scan of 494f
distension of 465
examination of 36
straight X-ray of 466, 568
ultrasonography of 528f, 549f
Abdominal disorders 325
Abdominal distension, severe 495
Abdominal examination 509, 566
Abdominal injury 301, 466
Abdominal lump, examination of 540
Abdominal lymphadenopathy 108
Abdominal organ 382, 609
Abdominal viscus, presence of 466
Abdominal wall 9, 549
Abducent nerve 289
paralysis 290
Abduction 239, 239f, 254, 267, 272, 328, 338
fixed 250
injury 223, 224f
movement 254f
shoulder joint, movements of 237
tests 218
Abductor pollicis
brevis 136, 137f, 148
longus 248f
Abrasion, sequel of 327
Abscess 46, 103, 123, 322, 356, 545, 631
appendicular 553
chronic 445, 447
extradural 516
formation 322, 334
pericolonic 536
perigastric 544
perinephric 582, 597
popliteal 271
pyogenic 46
sinus of chronic 82
subdiaphragmatic 495
submucous 570
subphrenic 495, 544, 546, 548
umbilical 539
Accessory breasts 444
Accident, type of 274
Acetabular angle 258
Acetabular roof 258f
Acetabulum 259, 260f
Achalasia 454, 457
typical of 452
Achilles tendinitis 152, 153
Achilles tendon, rupture of 153
Achondroplasia 166, 168
Acid phosphatase 593
Acidophil adenoma 296
Acoustic neurofibroma 287, 296
Acoustic neuroma 50, 295
Acrocyanosis 100
Acromioclavicular dislocation 192, 193
Acromion, tip of 237
Actinomycosis 82, 348, 353, 357, 384, 555
diagnosis of 80
Actinomycotic necrosis 357
Actinomycotic sinus 82, 424
Adamantinoma 353355, 355f
Addison's disease 363, 410
Adduction 239f, 267, 272, 328, 339
deformity 250, 250f
injury 223, 224f
tests 218
Adductor 34f
pollicis 138, 138f, 333f
Adenocarcinoma 378, 379, 595, 600f
renal 159
Adenoid cystic carcinoma 378, 380, 381
Adenoid facies 5, 350
Adenolymphoma 372, 378
Adenoma 538, 552
papillary 538
pleomorphic 372, 378
Adhesion 187, 331
intra-articular 181, 187
Adiadochokinesia 291
Adiposis dolorosa 49
Adolescent coxa vara 252, 252f, 255, 259, 260
Adrenal cortical steroid 366
Adrenal gland 597
Adson's test 92, 92f
Agranulocytosis 366
AIRD's test 326
Albright's disease 171
Alimentary canal 597
Alkaline phosphatase 593
Alkaptonuria 232
Allen's test 88
Allergy 4
Alveolar abscess 353, 356, 357
Amazia 444
Amebic hepatitis 545
Amebic liver abscess 496
Amebic typhlitis 555
Amelanotic melanoma 56, 344
Ameloblastoma 355
Amino acid 172
Amnesia, post-traumatic 274
Amyloid goiter 406
Amyloidosis 16
Anal canal 566f
carcinoma of 573
Anal tags 561
Anemia 157, 366, 456, 479, 568
progressive 129
Anesthesia 328
type of 10
Aneurysm 101, 102, 549
complications of 103
popliteal 265, 271
true 101
Aneurysmal varix 103
Angiography 39
renal 591, 591f
Angioma 610
Angionephrotomograms 591
Angiosarcoma 167
Anhidrosis 141
Ankle 221, 234
adduction injury of 224f
clonus 292, 292f
extensors of 34
flexors of 34f
jerk 228f, 291, 291f, 516
joint 160f
ankylosis of 272
arthritis of 271
swelling of 342
tuberculosis of 272
unilateral edema of 272
Ankyloglossia 371
Ankylosing spondylitis 304, 305, 316, 317f, 319, 325
Ankylosis 235, 272
true 235
Anorchism 440
Anorectal abscess 570
ruptured 573
Anorexia 459
Anosmia 289
Anterior compartment syndrome 99
Anterior cranial fossa 276f, 277, 277f
fracture of 282
Anticoagulant therapy 504
Anuria 579
Anus
basal cell carcinoma of 562f
melanoma of 562
Anvil test 309f
Aorta 549
abdominal 548, 549
aneurysmal dilatation of 325
embolus obstructing bifurcation of 93f
Aortic aneurysm
leaking 502
ruptured 502
Aortic arch occlusive disease 99
Aortic dissecting aneurysm 503
Aortic embolism 101
Ape-thumb 132
Aphasia 297
Aphthous stomatitis 359, 367
Apley's distraction test 218
Apley's grinding test 217
Aponeurosis 332
Apoplexy 275
Appendicectomy 613f
scar 81f
sinus 494
Appendicitis 3, 516, 519, 536
acute 475, 481f, 491, 492, 494, 610
chronic 534
diagnosis of 492
obstructive 475, 491
tenderness 512
Appendix 554
Appetite 508
loss of 117, 508
Apprehension test 269
Arch, longitudinal 338
Areola 432
Argyll Robertson pupil 228f
Arm
length of 190
lymphedema of 122f
Arterial calcification, presence of 93
Arterial embolus 100, 610
Arterial injuries 100
Arterial occlusion, acute 100
Arterial puncture, direct 93
Arterial thrombosis, acute 100
Arterial trauma 100
Arterioarterial embolization 100
Arteriography 93, 103, 165, 295, 593
pulmonary 427
Arterioles 86
Arteriovenous aneurysm 102, 103
Arteriovenous fistula, congenital 45, 102
Arteritis 102
Artery
digital 327
occlusion, large 95
peripheral 100
popliteal 88f, 90
Arthritis 381
active stage of 227
acute 225, 231, 235, 243, 246, 262
chronic 229, 244
pyogenic 330
septic 229
Arthrogram 258
Arthrography 183, 229, 268
Arthroscopy 183, 229, 268
Ascaris lumbricoides obstructs, aggregation of 501
Aschheim-Zondek test 641
Ascites 108, 515
Aspergillus niger 361, 369
Asphyxia 371
traumatic 417
Aspiration 523
biopsy 166
pneumonia 426
Astereognosis 297
Asthenia 297
Astrocytoma 287, 294, 296
Ataxia 285
Ataxic gait 297
Atelectasis 419
Atheroma 591f
Atherosclerosis 63, 92, 95, 102
Atherosclerotic lesion, arteries for 271
Athetosis 291
Atrophy 185
Attacks, periodicity of 505
Attitude 5, 132, 179, 188, 194, 209, 215, 263, 306, 322
Auriculotemporal syndrome 377
Auscultation 7, 36, 92, 159, 422, 498, 583
Autoimmune 406
disease 381
disorders 126
thyroiditis 409
Autosomal dominant inheritant disease 50, 169, 170, 173
Avitaminosis 69, 603
Axilla 146, 571
feel anterior fold of 436
lymph node of 437f
vertical circumference of 191
Axillary embolism 101
Axillary lymph nodes 121, 438f
Axillary tail 434
Axonotmesis 142
B
Babcock's triangle 259, 259f
Babinski's sign 292
Bacillus fusiformis 367
Back, stiffness of 305
Backache 304, 326
psychogenic 304
Bacteroides fusiformis 69, 75
Balanitis 652
Balanoposthitis 652, 654
recurrent 654
Baldwing's test 482
Ballance's sign 468
Barber's pilonidal sinus 337
Barium enema 488, 488f, 530, 537, 567
X-ray 568
Barium meal X-ray 518
Barium swallow 387
Barlow's test 256, 256f
Basal cell papilloma 60
Baseballer's elbow 245
Basophil adenoma 296
Battle's sign 277
Bazin's disease 75
Beaten silver appearance 293f
Bed-shaking test 481
Belching 503
Bence Jones protein 177, 182, 588
Bennett's fracture-dislocation 203, 205, 207
Beriberi 141
Berry aneurysm 102
Biceps
brachii 33f
head of 153
jerk 292
long
head of 151
tendon of 35f
muscle 153
tendon, rupture of 242
Bicipitoradial bursitis 245
Bifid nose 346, 346f
Bilateral congenital dislocation 5
Bile duct 488, 524f, 527f
Bilharziasis 610
Biliary calculus 325
Biliary tract 520
Bilocular hydrocele 643f
Bimanual palpation 190f, 352, 371, 581f, 583, 604
Biopsy 39, 69, 123, 165, 243, 294, 442, 537, 594
open 40, 166
transrectal 606, 607
Black hairy tongue 369
Bladder 208
automatic 580
cancer, stage of 583f
center 300
contracted 604
diseases of 601
distended 300
diverticulum of 603
examination of 583
exstrophy of 601
intraperitoneal rupture of 464
rupture of 602
tumor of 604
Bleeding 66, 276, 559, 573
alimentary 528
amount of 559
excessive 212, 277
per anum 573
time of 591
Blindness 289
Blood 240, 566, 573, 585
borne
infection 644
metastasis 593
clot 280
diseases 366
disorders 610
examination of 37, 518
gases, estimation of 416
in stools 19
lipids 94
nitrogen levels 586
passage of 573
pressure 92, 103, 278, 288, 487
retroperitoneal effusion of 466
routine examination of 68
transfusion 212
urea
estimations of 487
level of 586
velocity, determination of 94
vessels 184, 282, 284
palpation of 89
Bloody discharge 448
Blumberg's sign 481
Boas's sign 480
Body
carcinoma of 534
lymphatic drainage of 120
Bone 181, 235, 271, 440, 588
abnormalities 5
and joint, X-ray of 69
crepitus 18
cyst, aneurysmal 159, 166, 174
diseases, types of 156f
examination of 156, 178
injuries, examination of 180, 188
lengthening of 158
palpation of 271
pressure on 102
sarcoma 163
scan 182, 316, 423, 443
secondary carcinoma of 167, 177
shadows, abnormal 229
shortening of 158
X-ray 443
Bony ankylosis 230
Bony metastasis 177
Borrelia vincentii 367
Boutonniere deformity 232, 337
Bowel habit 477, 508
abnormality of 560
Bowen's disease 61
Brachial artery 91
Brachial neuralgia 242
Brachial plexus 131, 144
Brachial vessels 200
Brachioradialis muscle 136f
Bradycardia 296
Brain 281, 283
abscess, localized 295
scan 280, 286, 295, 423
Branham's sign 88, 103
Brawny edema 433
Breast 8, 67, 325, 447, 449
accessory 444f
cancer 382, 387, 443f
disease, benign 446
examination of 428
lesions 434
lump 435f
tissue 436
tuberculosis of 429
tumors of 447
Brittle bone 156, 166, 169
Brodie's abscess 35, 159, 161, 162f, 166, 168, 357
Brodie-Trendelenburg test 110
Bronchiectasis 419, 425
Bronchitis, chronic 620
Bronchopneumonia, inhalation 371
Bronchoscopy 387, 423
Bronchus 167, 325
tear of 418
Brown's vasomotor index 94
Brucellosis 121, 126, 325
sarcoidosis 119
Bryant's test 191
Bryant's triangle 209, 210, 210f, 257
Bucket handle tear 220, 220f
Buerger's disease 69, 84, 9496
Buerger's postural test 86
Burkitt's lymphoma 128
Burns, space of 383
Burr-hole 294
Bursa
anserina 270
bicipital 264
enlarged 265
swelling from 226
Bursitis
crepitus of 18
infracalcaneum 344
infrapatellar 269
Butcher's wart 334
C
Cachexia 157
Caecum, volvulus of 500
Cafe au lait’ patch 50
Calcaneonavicular ligament, inferior 344
Calcaneum 234
apophysitis of 344
fracture of 223
tuberculous cavity of 343f
Calcaneus tuber-joint angle 222
Calcified pineal body, displacement of 294
Calcium 182
phosphorus balance 172
Calculi, prostatic 587
Calculous jaundice 507
Calf
swelling of 114
tenderness 114f
Callosities 341
Callous ulcer 69
Callus formation 131
Calve's disease 320
Calyces 590, 595f
Calyx 470
Campbell de Morgan spot 44
Cancellous osteoma 174
Cancer, development of 658
Cancerous cachexia 371
Cancrum oris 98, 348, 348f, 362, 367
Candida albicans 366, 367
Candle bones 166
Cannon-ball
appearance 599f
metastasis 165f
Capener's sign 259
Capillary hemangioma 43, 43f
Capillary lymphangioma 51
Capital epiphysis, typical displacement of 259f
Capitulum 244
Caput medusae 16
Carbuncle 47, 98, 334, 347
Carcinoembryonic antigen 585
Carcinoid facies 350
Carcinoma 27, 28, 355, 361f, 370f, 408, 431f433f, 434, 448, 450, 454, 531, 539, 540, 547, 558, 566, 604, 605, 610, 652
acute lactation 450
advanced 82, 431f
anal 562, 562f
anaplastic 183, 392, 393, 406
annular type of 558
atrophic scirrhous 448
basal cell 54, 55f, 562f
bladder 576
branchiogenic 389
breast 428, 433f, 438f, 440, 440f, 442f, 450, 450f
bronchial 242, 387
bronchogenic 419
cervix 82
cheek 363f
colloid 450
degeneration of 447
development of 450
diagnosis of 355
duct 450
epidermoid 55, 73, 378
follicular 392, 406, 409
gastric 516, 531
inflammatory 450
laryngeal 387
medullary 406, 408, 409, 412
metastasis, primary 167
mucoepidermoid 378
papillary 392, 406, 408
primary 160
prostatic 325
renal cell 595, 598
scirrhous 442
secondary 119, 123, 124, 129, 160, 164, 164f, 294, 315, 324, 349
vascular metastatic 159
Card test 137, 137f
Cardiac tamponade 417
Cardinal sign 262
Cardioarterial embolization 100
Cardiospasm 452, 457, 457f
Cardiovascular disease 95
Cardiovascular system 402f
Caries sicca 240
Caries spine 96, 316f
Carnett's test 542, 542f
Carotid artery 371
common 91
internal 145
Carotid body syncope 390
Carotid occlusive disease 99
Carotid pulsation 399f
Carotid sheath 398
Carotid stenosis, effects of 295
Carpal bones 204
Carpal tunnel syndrome 147, 152, 154, 248, 328
Carpopedal spasm 412
Cartilage cells 168
Casoni's test 37
Catarrhal appendicitis 491
Catarrhal stomatitis 367
Cat-scratch disease 127
Cauda equina injury 184
Causalgia 131, 206
Cavity formation 598
Cecum, carcinoma of 520, 555
Cell
differentiation 42
types 125
Cellulitis 45, 46, 329, 347, 389
Cementoma 353
Central nervous system, organic diseases of 658
Cephal hematoma 347
Cerebellar
lesions 291
tonsil 288
Cerebral
blood flow 295
compression 278, 278f, 285
concussion 278, 283
contusion 278, 283
hemisphere 287
irritation 278, 283
laceration 283
metastases, detection of 295
puncture 294
Cerebration, retarded 296
Cerebrospinal fluid 287, 294, 318
Cervical lymph node 121, 126, 228, 352, 365, 379
enlargement 388f
palpation of 400
swelling 118f
Cervical lymphadenopathy, pressure of 384
Cervical prolongation 362
Cervical rib 84, 97, 138f, 242, 383, 388
syndrome 327, 328
symptoms of 97
Cervical sinus 371
Cervical spine 391
movements of 311
Cervical vertebra, fracture dislocation of 38f
Cervix 565
Chair test 634, 634f
Chancre, syphilitic 655
Chancroid 651, 652, 656
Charcot's triad 493, 533
Cheilosis, angular 367
Chemosis 401
Chest 292, 453
barrel shaped 420
contour of 420
examination of 419
flail 413, 414, 416
flat 420
injuries, examination of 413
side of 236
type of 8
wall 413, 417, 436
sinus of 424
tuberculosis 429
X-ray 37, 68, 443, 593
Cheyne-Stokes respiration 278, 580
Chicken breast 420
Chiene's test 211
Chinese liver flukes 533
Cholangitis, suppurative 545
Cholecystitis 325, 477, 511
Choledocholithiasis, triad of 533
Cholelithiasis 499
Cholescintigraphy 489
Cholesteatoma 295
Chondroblastoma 166
Chondroma 162, 162f, 166, 174
multiple 166, 169
Chondromalacia patellae 267, 269
Chondromyxoid fibroma 166, 175
Chondrosarcoma 56, 164, 167, 176
Chordoma 295
Chorionepithelioma 440
Chromocystography 595
Chromophobe adenoma 296
Chutta cancer 23
Chvostek-Weiss sign 412
Chylocele 646
Chylous fluid 646
Cirsoid aneurysm 36f, 45, 45f, 102, 103, 348
Cisternal puncture 294
Claudication distance 84
Clavicle 189
fracture of 97, 188, 192, 192, 192f
Claw foot 340
Claw hand 132, 133f, 327
Cleft lip 1, 345, 346f, 359, 360
Cleft palate 1, 346, 346f, 359
Cleidocranial dysostosis 166, 170, 170f
Clergyman's knee 269
Clonorchis sinensis 533
Clostridium welchii 98
Club foot 340
Coccyx 208
Codman's method 237, 237f
Codman's triangle 163, 175
Coin test 321
Cold abscess 46, 123, 229, 252, 253, 309, 315, 321, 387, 388, 424, 544
sinus 424
Cold and warm water test 88
Colitis 537
stage 555
ulcerative 490, 537, 560, 573
Collagen diseases 610
Collar-stud abscess 333, 388
Collateral ligaments 219
Colles’ fascia 647
Colles’ fracture 204, 205, 205f, 336
complications of 248
dinner-fork deformity of 203
reversed 205, 206
typical 182f
Colloid 406
filled adenoma 405
goiter 392, 395f, 406f, 407
Colon 498, 515, 544, 547
acute toxic dilatation of 568
carcinoma of 538, 573
Crohn's disease of 535
diverticular disease of 497
hepatic flexure of 547
polyposis of 18
Colonoscopy 467, 489, 537, 567
Columnar epithelium 379
Coma, diabetic 275
Comedocarcinoma 450
Common bile duct 523f, 533
Compensatory kyphosis 319
Compensatory scoliosis 319
Compound palmar ganglion 246, 247, 337, 337f
Compression test 414, 414f
Condylar canal, anterior 145
Condylar epiphysis, lateral 201
Condyles
T-shaped fracture of 198
Y-shaped fracture of 198
Condyloma 58, 59f, 72, 348, 369
acuminatum 562, 572, 572f
lata 72, 562, 572
Congenital lymphangioma, type of 389
Congenital syphilis, manifestation of 230, 235
Congestive cardiac failure 393
Connective tissue
malignant tumor of 56
myxomatous degeneration of 247
stroma of 355
Consciousness
level of 5, 274
period of 274
Constipation 498, 620
Contrecoup injury 282
Cope's obturator test 482f
Cope's psoas test 482, 482f
Cord
concussion 303
inflammatory thickening of 632
Corns 341
Coronal hypospadias 653f
Corpora cavernosa 658
Costal cartilage 586
Costochondritis 423, 424
Costoclavicular compressive test 88
Costoclavicular syndrome 97
Costovertebral joints, mobility of 311
Cough 419, 452, 615f
impulse on 26, 30, 110, 614, 616, 630, 631, 637, 639
Countryman's lip 359, 368
Courvoisier's law 514, 514f
Coxa vara 250, 259f
unilateral 5
Cozen's test 244, 244f
Cranial cavity 31
Cranial fossa, posterior 277
Cranial nerve 8, 279, 282, 352
palsies 356
Craniopharyngioma 294, 295
C-reactive protein, estimation of 487
Cremasteric hypertrophy 650
Cremasteric reflex 292
Crepitus 18, 28, 89, 180, 203, 214, 222, 268, 415
presence of 89
Cretinism, facies of 350
Cricoid cartilage, level of 411
Crohn's disease 18, 81, 488, 489, 516, 520, 534, 535, 554, 555, 555f, 559, 560, 570, 572, 573
diagnosis of 535
perianal 572
possibility of 494
Crossed leg test 87
Cruciate ligaments 219, 220
integrity of 218f
Crush injury 224, 413
Cubitus valgus 200
Cubitus varus 200
deformity 195f
Cullen's sign 493, 493f
Curly toes 341
Cushing's syndrome 5, 288, 296, 350
moonface of 350
Cutaneous naevi, presence of 292
Cutaneous tuberculosis 64f
Cyanosis 5, 6, 479
peripheral 5
Cylindroma 349, 380
Cyst 166, 269, 348, 349, 447, 551, 593, 650
Baker's 226, 270f
bone 128, 161, 162f, 163f
branchial 1, 383, 383f, 384f, 386, 389
broad ligament 558
cartilage 220
choledochus 533
dental 353, 354
dentigerous 353, 354, 354f
dermoid 24f, 25, 36f, 42, 45, 345, 349, 383
epididymis 635, 645f, 650
follicular 502
hydatid 166, 447, 545, 595
leading, rupture of 53
lymph 447
mesentery 553
mucous 349, 363, 381
retention 359, 363f, 365
ovarian 108, 515, 558, 566
periapical 354
postauricular dermoid 24f, 345
pseudomesenteric 536
pseudopancreatic 519, 520f, 548
radicular 354
retention 381
retroperitoneal 553
sebaceous 26, 57, 57f, 349, 651
solitary 166, 170
bone 156, 181, 355
renal 595
suprasellar 294
thyroglossal 383, 384f, 386, 387, 393, 396, 396f, 396, 410, 410f
twisted ovarian 502
urachal 557
Cystic degeneration 50
Cystic hygroma 1, 52, 52f, 52f, 383, 383f, 386, 386f, 388, 389
Cystic hyperplasia 446, 447
Cystic mastopathy 446
Cystine 172
Cystitis 603, 610
symptoms of 602, 603
tuberculous 603
Cystocele 621
Cystograms 590
Cystosarcoma phyllodes 448
Cystoscopy 467, 589, 590, 603
D
Dactylitis 334
Dalrymple's sign 401
Dashboard dislocation 209
De Quervain's disease 19, 151, 152, 154, 248f, 273
De Quervain's thyroiditis 410
Decubitus 5
Deep fascial space, infections of 343
Deep vein thrombosis 114, 115f
Deformity 132, 141, 151, 152, 156, 169, 178, 188, 195, 225, 226, 246, 305, 306, 322
angle of 250
around nails 343
level of 306
nature of 250
type of 307, 338
Degenerative disc disease 325
Dehydration 498
Delirium tremens 184
Deltoid muscles, wasting of 236
Dequervain's disease 248
Dercum's disease 49, 388
Dermoid, sequestration 42
Dextrose 517
Diabetes 95
insipidus 286
mellitus 410
Diaphragm
rupture of 466
screening of 423
surface of 502
Diaphyseal aclasis 25, 160, 162, 162f, 166, 169
Diarrhea 498, 538, 573
Dietl's crisis 596
Diffuse esophageal spasm 455, 457
Diffuse hyperplasia 444
Diffuse lymphomas 125, 128
Diffuse peritonitis, stage of 496
Digital rectal examination 607
Diplopia 289, 351
Disc
prolapse 304, 317, 318
protrusion of 324
Discography 317
Discoid cartilage, congenital 220
Dislocation
anterior 188, 213
central 212, 213, 213f
posterior 184, 193
Diverticular disease 490, 573
Diverticulitis 536, 558
acute 494, 568
sigmoidoscopy, acute 489
Diverticulosis 536
Dorsal interossei, power of abduction of 149
Dorsal spine, movements of 311
Dorsalis pedis pulse 90f, 91f
Double contrast barium enema 521, 568, 572
Douglas pouch 565
Dragstedt test 516
Drawer sign 218
Drill biopsy 39
Drowsiness 288
Drugs
anticoagulant 610
antithyroid 406
Duct papilloma 448
Dugas’ test 191, 193
Duodenal ulcer 511, 517, 518, 529, 530
Duodenum 469, 488, 543, 548
Duodenum, pylorus of 547
Dupuytren's contracture 151, 152, 154, 235, 327, 334, 335f, 336
Dwarfism 156, 169
Dyspepsia, qualitative 532
Dyspeptic ulcer 370
Dysphagia 102, 322, 371, 393, 456, 457
causes of 452, 455
lusoria 452, 459
sideropenic 452
Dyspnea 322, 393, 419, 426
Dysuria 579, 608
E
Ear 292
examination of 297
Ecchondroma 175
Ecchymosis 277, 413
Echoencephalography 280, 286
Ectopia vesicae 601, 601f, 602f
Ectopic gestation
leaking 566
ruptured 474, 479, 485, 502
Ectopic salivary
glands 368, 381
neoplasms 360
Ectopic testis 630f, 631, 633, 634, 634f
sites of 633f
Ectrodactylism 334
Eczema 109, 113, 450, 599
Edema 18
local 18
pitting 112
superficial 167
Egg-shell crackling 158
Ehler-Danlos syndrome 102
Elbow
dislocation of 100, 202
posterior dislocation of 195f
region of 199
tunnel syndrome 245, 328
unhindered movements of 198
valgus deformity of 242
Electrical nerve conduction 248
Electrolytes, loss of 498
Elephantiasis 122
causes of 51
neurofibromatosis 51
Elevated arms test 88
Elevated serum lactic dehydrogenase 427
Emboli formation 103
Embolic gangrene 97
Embolism 95, 419
popliteal 101
pulmonary 419, 426
Emissary vein 357
Empyema 419, 424
acute 424
common symptom of 419
necessitatis 422f, 424
sinus, chronic 424
Encephalitis 286
Encephalocele 345
Enchondroma 175
Endocrinal disorder 166
Endolymphatic therapy 124
Endometrioma 539
Endometriosis 573
Endoscopic retrograde cholangiopancreatography 524
Endoscopy 489
Enema 489
Enophthalmos 141
Entamoeba histolytica 543
Enterocele 621, 622
Enteroteratoma 539
Eosinophilia 123
Eosinophilic granuloma 320, 325
Ependymoma 296
Epicondyle, lateral 199, 243
Epicondylitis
lateral 244
medial 245
Epicritic sensation 139
Epidermis 60
Epididymis 619, 631, 639
Epididymitis
acute 486f
tuberculous 635, 644f
Epididymo-orchitis
acute 635, 643, 644f, 648
subacute 646
tuberculous 640, 644
Epidurography 316
Epigastric artery, inferior 502, 620
Epigastrium 469, 540f
Epilepsy, post-traumatic 286
Epileptic fits 275, 287
Epiphrenic diverticulum 458
Epiphyseal cartilage 259
Epiphyseal separation 178
Epiphysis 199f, 201, 330f
Epiplocele 621, 622
Epiploon 621
Epispadias 652, 653f, 654
Epithelial debris 354
Epithelioid cells 143
Epithelioma 55, 65f, 73, 652
Epitheliomatous ulcer 62f
Epithelium 62
Epitrochlear lymph nodes 243
Epulis 352, 353, 354, 364
carcinomatous 354
Equinus deformity 113
Erb-Duchenne paralysis 133f, 144
Erector spinae 543f, 582f
Erysipelas 45, 348
Erythrocyanoid ulcer 75
Erythrocyanosis frigida 69, 75
Erythrocyte sedimentation rate 37, 160
Erythrocytosis 585
Esophageal atresia 452
Esophageal cancer 387
Esophageal motor disturbances 457
Esophageal varix 457f
Esophagoscopy 387, 453
Esophagus 102, 398, 455
benign stricture of 456f
carcinoma of 452, 454, 458, 458f
Crohn's disease of 453
lower end of 457f
malignant growth of 459f
rupture 418
Exogenous hormone, amount of 405
Exomphalos 627
Exophthalmic goiter 407
Exophthalmos 400f, 401, 407
Exostosis 174, 174f
multiple 162f, 166, 169
Extensor
digitorum 132, 135
hallucis longus 90f
muscle 135, 244
pollicis
brevis 248f
longus 336
tendons 332
External rotation injury, stages of 223f
Extradural hematoma 280
Extragenital chancre 348
Extrahepatic biliary tree 489
Extramedullary region 298, 303
Extraperitoneal fat, protrusion of 627
Extraperitoneal injury 470
Extraperitoneal rupture 464, 471
Eye 8
canthus of 24f
malignant melanoma of 56f
signs 400
Eyelids, edema of 276f
F
Face
blueness of 478
cyanosis of 478
development of 347f
examination of 345
Facial
bones, fracture of 347
cleft 346, 360
expression 276
nerve 290, 290f, 374, 375f
paralysis of 375f
position of 375f
Facies, abdominal 478
Faciocervical actinomycosis 357
Fallopian tube 557
Familial polyposis coli 538
Fascia 235, 436
Fascial spaces, infections of 332
Fat
necrosis, traumatic 444
infrapatellar pad of 219, 220
Fat-free diet 477
Fecal urobilinogen 550
Feces 19, 566
occult blood examinations of 518
Fegan's method 112
Felon 330
Felty's syndrome 551
Femoral aneurysm 626, 631
Femoral artery 91, 253, 253f
Femoral canal, boundaries of 624f
Femoral condyle 269
Femoral head, destruction of 259f
Femoral hernia 612, 614, 614f616f, 623, 624f626f
sac, hydrocele of 626, 631
Femoral nerve 212
stretch test 313
Femoral ring 624f
Femur
fracture of neck of 179, 212, 213, 250
head of 210
lower end of 164f
supracondylar fracture of 100
trochanters of 36
Fever 2, 23, 80, 117, 226, 305, 419
filariasis periodic attacks of 635
intermittent 533
rheumatic 167, 228
toxic features with 157
Fiberoptic endoscopy 523
Fiberoptic gastroscopy, modern technique of 523
Fibrinous loose bodies 221
Fibroadenoma 434, 435, 442f, 447
intracanalicular 447
Fibroadenosis 428, 429, 434, 435, 446
Fibrocystic disease 170, 446
Fibroid 108
Fibrolipoma 49
Fibroma 48, 48f, 166, 175
periosteal 166
Fibromyoma 48
Fibrosarcoma 57f, 167, 176
Fibrosis, retroperitoneal 108
Fibrositic nodule 153
Fibrositis 153, 325, 326
Fibrous ankylosis 230, 231
Fibrous dysplasia 166, 170
Fibrous epulis 354, 354f
Fibrous odontome 353
Fibrous tissue activity, excessive 154
Fibula
fracture of neck of 131
fracture of upper end of 219
palpation of upper ends of 216
Filaria epididymo-orchitis 644f
Filarial elephantiasis 51
Filarial infection 629
Filarial lymphadenitis 127, 127f
Filariasis 123, 486, 486f, 639
epididymo-orchitis 646
manifestation of 647
Fine needle aspiration
biopsy 37
cytology 37, 405
Finger
abduction of 137
clubbing of 17
drop 232
extensor 328
tendon of 155f
infections of 329
movements of 247
nails 8
overgrowth of 334
palmar surface of 434
webbing of 334
Finkelstein's test 248
First metatarsal bone, head of 341
Fissure
abscesses 570
acute 570
chronic 561, 570
congenital 361, 369
direction of 361
Fissure-in-ano 4, 561, 570, 573
Fistula 79, 83, 374, 555, 574
appendicular 82
arteriovenous 103
biliary 82
branchial 1, 80, 81f, 82, 361f, 382f, 384, 384f, 390
broncho-esophageal 459
caroticocavernous 286
chronic discharging 445
classification of 82
congenital arteriovenous 75
fecal 82
gastrocolic 15
gastrojejunocolic 530
high 571
inner opening of 567
internal 79
low 571
malignant 82
mammary 445
duct 445
pancreatic 82
parotid 372
perineal 574
persistence of 79
rectovesical 82
salivary 82
thyroglossal 82, 384, 394, 396, 411, 411f
tracheo-esophageal 82, 453
traumatic 82
umbilical 82, 539
urethral 574
urinary 82
uterovesical 82
vesicovaginal 82
Fistula-in-ano 561, 561f, 564, 570, 573, 574
Fixed flexion deformity 250, 250f, 251f, 254, 254f, 255f
Flaccid 303
unstable chest 414
Flat foot 340
Flatulent dyspepsia 506
Flexion 246, 254, 311
attitude of 283
injury 301f, 302
range of 246
triple deformity with 267
Flexor carpi
radialis 147, 148
ulnaris 137, 149
Flexor digitorum superficialis 136, 146148
Flexor pollicis longus 136, 136f, 146, 148
tendon of 333f
Flexor retinaculum 147, 337f
Flexor tendons 154, 332, 333f
sheath 247, 330
Fluctuation test 30, 152, 386
Fluid
levels 498
loss of 498
thrill 30, 484, 512
Focal inflammatory diseases 295
Follicular adenoma 406
Follicular odontoma, compound 353
Foot 221
claudication 96
deformity of 222, 339, 340f
disorders of 344
drop 132, 159
equinus position of 340
examination of 338
fibroma of 48f
infections of 343
inversion of 339
joints of 271
malignant melanoma of 130f
movements of 88f
pain in 344
paralytic deformities of 318
sensory supply of 140f
Footballer's ulcer 75
Foramen
magnum 277
pain in 97
Forefoot
pain in 344
varus position of 340
Fossa
digital 646
posterior 277
Fournier's gangrene 636, 650, 650f
Fracture 178, 183, 194, 219, 298
ankle 223
avulsion 208, 213
backward supracondylar 200
burst 302, 302f
capitulum 199, 201
Chauffeur's 205, 206
closed 179
complications of 184, 198
compound depressed 282
compression 301f, 325
crush 223, 224f, 302f
dislocation 38f, 96, 206, 298, 301, 302f
displaced fragment of 180
fever 184
foot 223
Galeazzi 203, 205, 206, 206f
greenstick 178
incomplete 303
linear 282
malunited 166
mandible 352
march 178, 224, 344
metacarpal 203
multiple 156, 169
nonunion 185
patella 219
pathological 164f, 178, 181, 606
pelvis 208
scaphoid 182, 186, 205, 206
scapula 192, 193
seat-belt 303
Shoveller's 303
signs of 277f
simple 179, 281
Smith's 205, 206
split 223
stable 302
stress 344
subtrochanteric 212
supracondylar 187, 196f, 198, 199, 200
torn in 185
T-shaped 199, 200
type of 281
unstable 302
vertebra 320
Y-shaped 199, 200
Fragility test 550
Free peritoneal cavity 469
Free thyroxin index 404
Frei's intradermal test 565, 574
Freiberg's disease 233, 338
Frey's syndrome 377
Froment's sign 138, 138f
Frontal air sinus, infected 287
Frozen section biopsy 166
Frozen shoulder 152, 240, 241
Fuchsig's test 87
Funicular hernia, congenital 621, 621f
Funicular hydrocele 642
Funiculitis 629, 631, 632
Funnel chest 420
Furuncle 47, 334
G
Gait 5, 263, 307
Galactocele 447
Galea aponeurotica 276
Gallbladder 493, 514, 522f, 525, 543, 546, 556
carcinoma of 515
disease 3, 505, 506, 525
diagnosis of 521
function of 521
mucocele of 515
mucosa 493
Gallstone 586, 597
ileus 488, 488f, 501
Galvanic response 142
Gamma-emitting radioisotope 182
Gamma-globulin 160
Ganglia 151, 152
Ganglion 152, 155, 155f, 226, 246, 246f, 247, 337, 342
Ganglioneuroma 423
Gangrene 84
causes of 95
diabetic 84, 96, 98
dry 95
established 87
examination of 84
idiopathic 636
infective 95, 98
moist 95
physical 96
signs of 95
syphilitic 99
traumatic 95
Gangrenous foot 90f
Gangrenous stomatitis 367
infective 348
Gas
abscess 98
distended bowels 498
gangrene 98, 470
sign of 180
Gas-filled
cecum 498
ileum, loops of 500
intestinal coils 469
Gastrectomy, partial 530
Gastric acid secretion 517
Gastric function tests 516
Gastric outlet obstruction 14
Gastric ulcer 506, 511, 518, 518f, 519
chronic 529
complications of 15
pain 506
Gastroduodenal tube 520
Gastroduodenoscopy 467
Gastroesophageal reflux 454, 455, 459
Gastrografin test 467
Gastrointestinal syndromes 580
Gastrointestinal tract 325
Gastrojejunal anastomosis 530
Gastrojejunal ulcer 530
Generalized fibrocystic disease 181
Genitalia 9
Genslen's test 314, 314f
Genu
recurvatum 263f
valgum 263f, 268, 340
Gerota's fascia 599
Giant cell
epulis 355
granuloma 355
Giant follicle lymphoma 125
Gigantism 288
Gillie's test 314, 314f
Gimbernat's ligament 623
Gingival margin, ulceration of 362
Gland of Blandin 381
Gland, biopsy of 243
Glandular fever 127
Glandular swellings, multiple 25
Glans
penis 652, 657f, 658
swellings on 652
Glenoid, empty 193f
Glioblastoma multiforme 287, 296
Glioma 296
malignant 294
Glomangioma 45
Glomus cells 45
Glossitis 456
chronic superficial 368
Gluteus maximus 34f
Gluteus medius 34f
Goiter 406
inspection of 395f
retrosternal 395, 400, 408
Golfer's elbow 151153, 245
Golf-hole ureteric orifice 598, 603
Gonococcal arthritis 229, 230
Gonococcal funiculitis 629
Gonococcal infection 228
Goodsall's rule 561
application of 561f
Gordon's biological test 123
Gornall's test 619
Gout 226, 233
Granulation tissue 79f
Granuloma
inguinale 656
pyogenic 60
pyogenicum 60
Granulomatous inguinale 652
Granulomatous lymphadenitis 125
Granulomatous thyroiditis 410
Grating sensation, types of 18
Graves’ disease 406, 407
Gravitational ulcer 74
Gray-Turner's sign 493, 493f
Greater trochanter 209, 210f
elevation of 210f
palpation of 210f, 253
Greater tuberosity 194, 237
fracture of 190, 194, 241
Groin swellings, causes of 631
Growth 449, 531
Gubernaculum 633f
testis 634f
Guinea pig inoculation test 123
Gumma 646
Gummatous orchitis 635, 640
Gummatous ulcer 64, 67, 72, 72f, 75, 365, 384, 636, 638
Gums 361, 364
Gunshot 464
Gynecomastia 441f, 451
Gynecomazia 440, 441f
H
Habitual constipation 560
Hair
excess of 288
loss of 394
Hairy mole 54
Hallux
rigidus 341
valgus 341, 341f
Hamartoma 538
Hamilton's ruler test 191, 191f, 193
Hammer toe 341
Hand
circumduction of 328
excessive sweating of 97
infections of 329, 334
joints of 245
lesions of 334
rheumatoid arthritis of 336
swellings of 337
tremor of 402
Harboring germinal centers 379
Hard chancre 71
Hard palate
gummatous perforation of 362f
perforation of 361
Harrison's sulci 420
Harvey's sign 87
Hashimoto's disease 392, 409
Hashimoto's thyroiditis 379
Head 275
and neck 8
dislocation of 197
examination of 345
injury 274, 275, 276f, 287, 301, 347
assessment of 295
classification of 281
complications of 286
examination of 274
local examination of 288
pain in 275
swelling in 275
Headache 288, 296
localized 275
nature of 275
paroxysmal 288
persistent 275
post-traumatic 286
Healing ulcer 64, 69
Heart 415, 417
apex beat of 415, 421
failure 610
rate 103
Heberden's nodes 337
Heel, pain in 344
Hemangioma 31f, 43, 166, 175, 325, 348, 348f, 360f
cavernous 16, 44, 44f, 400f
Hematemesis 507
Hematocele 635, 643, 644f
Hematoma 45, 347, 447, 552
perinephric 470
ruptured perineal 573
subdural 280
subpericranial 347
subperiosteal 166
Hematorrachis 298, 303
Hematuria 578, 591, 594, 602, 603, 605, 609
essential 610
Hemianopia 297
Hemivertebra 324
Hemoglobin 240, 518
Hemolytic anemia 549
Hemolytic streptococci 650
Hemopericardium 417
Hemophilia 226, 610
Hemopneumothorax 415f
Hemoptysis 417, 419
Hemorrhage 112, 285, 298, 371, 490, 502, 523, 530
barring internal 478
delayed 469
extradural 274, 284286
extramedullary 303
fatal 120
infratentorial 285
internal 413
intraperitoneal 464, 466
intraventricular 284
middle meningeal 284f
minute petechial 303
petechial 413
pontine 278
reactionary 469
retroperitoneal 466
secondary 469
signs of 277
site of 280
subconjunctival 277f
subcortical 284
subdural 284286
supratentorial 284, 285
traumatic intraspinal 303
unilateral subdural 286
Hemorrhagic fluid 493f
Hemorrhoids 569, 572, 573
first degree 569
internal 569
second-degree 569
third-degree 569
vascular 569
Hemothorax, traumatic 417
Henoch-Schoenlein purpura 551
Hepatic abscess 544
Hepatic cirrhosis, facies of 350
Hepatic ducts 524f
Hepatitis virus 507
Hereditary spherocytosis 550
Hernia 612, 616f, 622
abdominal 612
acquired 621, 621f
congenital 621
diaphragm 418
direct 620, 621
inguinal 612, 613, 613f
en-glissade 622, 623f
epigastric 548, 627
examination of 612
hiatus 325, 454, 531
incarcerated 622
incisional 552, 628
indirect 621
inflamed 622
inguinal 612, 614f, 615f, 617f, 618f, 620, 620f, 624f, 625, 629, 631
interparietal 628
interstitial 628
irreducible 622
Littre's 539, 623
lumbar 310f, 551, 628
Maydl's 623, 623f
oblique 621
inguinal 612
obstructed 622
obturator 628
orifices 9, 479
paraesophageal hiatus 459
paraumbilical 627
postoperative 552
prevascular femoral 625
Richter's 498, 623
sac, hydrocele of 642, 643f
sites 498, 541, 542
palpation of 483
sliding 622
spigelian 613, 628
strangulated 504, 622
testis 636, 638, 644f
umbilical 498, 552, 627
uncomplicated 616
varieties of 622
Herpes zoster 516
Hesselbach's triangle 612
Hexamine 610
Hiccup 15
Hip
abduction of 254f
arthritis of 5
central dislocation of 213f
chancre of 360
congenital dislocation of 250, 252, 253f, 255, 257, 258f, 260
developmental dysplasia of 260
dislocation of 212, 213
disorders 248
fixed flexion deformity of 255f
injury around 257
irritable 262
joint 248, 249, 253f, 255f
arthritis of 249
fixity of 249
movements of 212
palpation of 253
rotation movement of 255f
tuberculosis of 259
tuberculous arthritis of 251, 252
pathological dislocation of 250, 255f, 262
Perthes’ disease of 233
rotations of 255f
tuberculosis of 260f, 261, 261f, 262
Hippocratic facies 349
Hirschsprung's disease 536
His tongue, ulcer of 359
Histiocytic lymphoma 128
Hodgkin's disease 118f, 119, 121, 121f, 123126, 128, 129, 386, 389
Holdswath test 300
Hollander's insulin test 517
Hollow viscera 79
Hollow viscus 466
Homan's sign 114, 114f, 115
Homocystineuria 173
Horn tear
anterior 220, 220f
posterior 220, 220f
Horner's syndrome 141, 242
Horse-shoe
kidney 594
shaped fracture 282
Housemaid's knee 264, 269
Huge colloid goiter 402f
Hugh Owen Thomas’ test 250
Humerus 190
anterior surface of 199f
fracture
neck of 184, 189, 194
of upper end of 192f
shaft of 184
lateral epicondyle of 190f, 244
lower epiphysis of 199f
medial epicondyle of 151
subcoracoid dislocation of 188f
supracondylar fracture of 100, 200f
upper end of 174f, 189
Hunter's disease 166
Hunterian chancre 63, 67, 72f, 334, 363, 367, 655
typical 656f
Hurler's disease 166, 169
Hutchinson's freckle 54
Hutchinson's wart 369
Hydatid of Morgagni 645f
Hydatid thrill 35, 543
Hydrocele 638f, 639f, 641, 643, 643f, 644f
complications of 642
congenital 641
hernia of 638
primary 642
secondary 635, 642
skin 636
types of 642
Hydrocephalus 286, 345, 345f
internal 294
Hydronephrosis 595
bilateral 595
unilateral 595
Hydroxyproline excretion 182
Hygroma 51
subdural 282
Hyoid bone, greater cornu of 145
Hyparesthesia 328
Hyperabduction maneuver 88
Hypercalcemia 128
symptoms of 411
Hyperesthesia 480
Hyperextension 336
Hypergammaglobulinemia 381
Hypernephroma 598
Hyperparathyroidism 50, 164, 166, 172, 181, 411
primary 411
tertiary 412
Hyperpituitarism 288
Hyperplasia 126, 605
Hyperplastic callus formation 169
Hyperplastic goiter 406
Hyperplastic ileocecal tuberculosis 535, 554
Hyperplastic nontoxic goiter 404
Hyperplastic tuberculosis 535
Hyperpnea 413
Hypertension 50, 503, 594, 599
Hyperthyroidism 404
transient 405
Hypertrophic scar 58, 59f
Hypertrophic tuberculosis 547
Hypertrophied fibrous tissue 657
Hypertrophy 605
Hypochromic anemia 456, 585
Hypoesthesia 328
Hypogammaglobulinemia 366
Hypogastrium 540f
Hypospadias 652, 653f, 654
Hypothalamic-pituitary axis, test of 404
Hypothenar eminence, wasting of 328
Hypothyroid 394
Hypothyroidism
diagnosis of 405
symptoms of 394
Hypotonic duodenography 520, 520f
Hysterical gout 233
I
Idiopathic thrombocytopenic purpura 550
Ileum 498
Iliac abscess 556
Iliac apophyses 319
Iliac artery 556
Iliac artery, external 631
Iliac bones 208
Iliac cold abscess 310f
Iliac fossa 502
Iliac lymph nodes 121, 658f
Iliac spines, anterior superior 211f, 254f, 257f, 540f
Iliopsoas cold abscess 556
Iliopsoas sheath 556
Ilium 556
Imminent hypoglycemic coma 517
Immunization 4
Impalpable nodules 406
Implantation dermoid 28f, 45, 327
Impotence 85
In vitro tests 403
In vivo tests 404
Inadequate excretory urograms 589
Incisional biopsy 40
Incongruent joint surfaces 232
Incontinence 580
true 580
types of 580
Index finger lateral humeral epicondyle 197f
Infantile hernia, types of 621f
Infantile hydrocele 626f, 642
Infarction 610
Infections 49, 53, 103, 185, 286, 469
acute 102
chronic 79
localized 329
pyogenic 551
source of 343
subcutaneous 330
Inflammation 247, 489, 491
Inflammatory disease 232, 568
Inflammatory fistula, classification of 82
Infrapatellar bursa 264
Inguinal canal 9, 612, 625, 25f, 633
Inguinal ligament 310f, 614f, 620, 625
Injury around elbow, examination of 194
Injury around hand, examination of 203
Injury around knee joint
differential diagnosis of 219
examination of 214
Injury around wrist, examination of 203
Injury
examination of 188, 213, 221
level of 298
open 467, 469
types of 303
Insomnia 286
Insulin 4
Intercostal muscles, fibrosis of 516
Intercostal nerves, diseases of 490
Intercostal neuralgia, typical of 419
Interdigital pilonidal sinus 337
Intermittent claudication 84
Intermuscular septum, medial 243
Internal piles, long-standing 562
Interosseous muscles 138f
Interosseous nerve, anterior 147
Interstitial cystitis 604
Interstitial fibrosis 646
Intervertebral disc 321
disorders of 322
Intervertebral ligaments, calcification of 320
Intestinal colic 503
Intestinal obstruction 485f, 494, 501, 539, 564
acute 478, 483, 485, 487, 487f, 490, 497
diagnosis of 497
Intestinal tuberculosis 535
Intestine
large 470, 498
polyps of 538
rupture of large 470
Intracranial abscess 287
diagnosis of 297
Intracranial infection 297
Intracranial pressure 293f, 296
raised 287
Intracranial tension 293
Intracutaneous abscess 329
Intradural hemorrhage leads 303
Intrahepatic bile duct, dilatation of 523
Intrahepatic biliary tree 526
Intramammary abscess, formation of 445
Intraperitoneal rupture 469, 471
Intrathecal whitlow 331
Intravenous cholangiography 489
Intravenous infusion urography 589
Intravenous pyelography 588, 641
Intravesical pressure 579f
Intussusception 485, 547, 573
acute 499
apex of 564
pathognomonic of 488f
screening 488
Invagination test 617, 618f, 625f
Iodine deficiency 404, 405
Irradiation aneurysm 102
Ischemia
causes of 95
severe 86
signs of 86
stage of 335
Ischemic colitis 538
Ischemic colon 573
Ischemic lesion 327
Ischemic limb, features of 86
Ischemic necrosis 269
Ischial tuberosity 211f
Ischiorectal abscess 563, 566
Ischiorectal fossa 566
Isotope
scan 229
technique 94
Itching 15
Ivory exostosis 174
J
Jacksonian epilepsy 275, 279
Jaundice 4, 6, 479, 507, 525, 532, 533
absence of 525
causes of 507
neoplastic 507
persistent undiagnosed 525
recurrent undiagnosed 525
Jaw
examination of 351
movements of 374
osteomyelitis of 357
swellings of 353
Jejunum 498
dehydration 498
first coil of 488
Joffroy's sign 401
Johansson-Larsen's disease 234
Joint
abnormalities 5
acromioclavicular 240
acute inflamed 226
bone of dislocated 180
bony components of 229, 243
Charcot's 180, 228, 228f, 229, 233, 244, 267
Clutton's 225, 228, 230, 235, 263, 264f
complications 187
crepitus 18
deformity of 226
diseases of 229
distal interphalangeal 330
elbow 187, 242, 243
finger 187
flex knee 217
flexion of 264
hemophilic 229, 234
injuries 178, 181, 184
examination of 188
interphalangeal 138f, 329, 331
malalignment of 232
medial aspect of 269
metacarpophalangeal 137, 329, 336
midtarsal 272
movements of 141, 227
neighburing 158
neuropathic 229
palpation of 266
position of 194, 226
proximal interphalangeal 336
radiocarpal 328
radiohumeral 243
sarcoiliac 320
sense 291
skin over 226
space 229
sternoclavicular 188, 240
stiffness of 181
subtaloid 272
swelling of 180
synovial membrane of 336
tuberculous arthritis of 240
Jugular lymph sac 52f
Jugular vein 323
external 16
internal 145, 386f
Jugulo-omohyoid groups 365
Junctional nevus 54
Juvenile rheumatoid arthritis 126
Juxta-pyloric ulcer 530
K
Kahn test 545
Kahn tests 37, 72, 123, 142, 168, 228, 641
Kala-azar 348, 549
Kanavel's point 332
Kanavel's sign 331, 332f
Kangri cancer 2f, 73f
Kantor string sign 554, 555f
Kaposi's sarcoma 342
Kay's augmented histamine test 517
Kehr's sign 468, 476f
Keloids 22f, 25f, 58, 59f
fibrous tissue 59
Kenawy's sign 515
Keratan sulfate 169
Keratoacanthoma 60
Keratoconjunctivitis sicca 381
Kidney 325, 470, 515, 542, 556, 586, 599, 631
bimanual palpation of 581f
carcinoma of 598, 610
diseases of 594
enlargement of 594
examination of 581
hydatid cyst of 595
nephroblastoma of 610
renal cell carcinoma of 599f
tumors of 598
unascended 556
Kienbock's disease 207, 233
Klein's sign 495
Klinefelter's syndrome 451
Klumpke's paralysis 132, 144
Knee 269
dislocation of 219
elbow position 549, 561, 566, 566f, 567, 583
examination of 339
jerk 228f, 292, 292f, 323
osteoarthritis of 268
tuberculosis of 268
Knuckle 307
Kocher's test 399
Kohler's disease 344
Koilonychia 17, 17f
Kveim's test 128
Kyphosis 233, 305, 306, 307, 319, 322
postural 319
L
Labia 252
majora 615
Lacrimal gland 121, 381
enlargement 128, 381
Lahey's method 398f
Langer's lines 59
Laparoscopy 594
Laparotomy 124
Laryngeal nerve, recurrent 398, 459
Laryngocele 390
Laryngoscopy 387, 423, 453
Larynx 398
Lassegue's sign 312
Latex serum tests 232
Latissimus dorsi 33f
Lecithinase A 487
Leg lifting test 542f
Leg
peroneal muscles of 138
swelling of 114
Leiomyoma 454
Lentigo 54
Lepromatous leprosy 143
Leprosy 96, 141, 143, 328
Lesions
fail, long-standing 165
incomplete 144
inflammatory 347
malignant 317, 442
secondary 656
sign of 324
traumatic 347
tuberculous 597
Lesser trochanter, avulsion fracture of 213
Leucine aminopeptidase 487
Leukemia 551, 658
Leukocytosis 123, 160, 487
Leukopenia 366
Leukoplakia 359, 368, 369, 652, 656, 658
stage of 369
Levator palpebrae superioris 141
Lhermitte's sign 313, 313f
Lid retraction 400
Ligament 235
laxity 181
Ligamentum patellae 151, 215, 264, 269
Limb 89, 301
circumduction of 180, 227
girth of 257
length of 227
muscular wasting of 260
skin of 109
Limp 249, 262
Linea alba 628
Lingual thyroid 361, 361f
Lip 360, 363
benign neoplasms of 368
cancer, major sufferers of 359
carcinoma of 348, 359, 360, 363, 364f, 368
cracked 360
hemangioma of 348f
hypertrophy of 346
lesion of 363
pigmentation of 360
squamous cell carcinoma of 349f
Lipiodol
heavy 316
watery solution of 374
Lipodermatosclerosis 112, 113
Lipoma 25, 27, 27f, 28, 48, 166, 308f, 421f, 626, 630, 631
multiple 48, 49
varieties of 48
Liposarcoma 49, 167
Lithotomy position 561
Little finger, congenital contracture of 334336
Liver 36, 121, 468, 513, 523, 543, 544, 548
carcinoma of 546
cirrhosis of 507, 546
dullness 484, 484f
enlargement 356
gumma of 545
isotope scintigraphy of 443
melanotic carcinoma of 546
palpation of 440f
scan 423, 443
Lobar atelectasis 426
Lobe, palpation of 396
Local bony tenderness 203, 222
Localized tenderness 243
London sign 470
Long bone 355
length of 159
Loose bodies 235
classification of 221
traumatic 219
Lordosis 305, 307, 320
Loud snoring noise 278
Low back pain 324
causes of 153
Lower brachial plexus
develops 426
lesion 144
Lower cranial nerve palsies 285
Lower jaw 352
tumors of 356
Lower limb 9, 121, 299
girth of 315
length of 211, 312
severe ischemia of 102
veins of 108
Lower lip, congenital fistulae of 347
Lower lumbar region pain 305
Lucid interval 274, 286
Ludwig's angina 357, 387, 389
Lumbago 326
Lumbar abscess 551
Lumbar cold abscess 310f
Lumbar disc
prolapse 304, 313, 322, 323f
protrusion 317f
Lumbar discography, indications of 317
Lumbar puncture 280, 293
needle 316
Lumbar spine 250, 303
movements of 311
Lumbar spondylosis 324
Lumbar vertebra 597
Lumbosacral strain 324, 325
Lumbrical canals 331f
Lump 81, 428, 613
appendicular 483
carcinomatous 432f
consistency of 28
examination of 21
multiple 434
presence of 23, 81
Lunate bone, dislocation of 154, 203
Lunate dislocation 205, 207
Lung 165, 228, 415, 419, 440, 640
abscess 419, 420, 425
atelectasis of 426
carcinoma of 425
contusion of 413, 417
function test 423
hernia of 424
laceration of 417
Lupus vulgaris 64f, 71, 348
Lutein cyst, ruptured 502
Lymph node 117, 121, 123, 126, 257, 267, 353, 374, 386, 528f, 541f, 548, 549, 555, 566, 586, 597, 640, 640f
axillary group of 437
biopsy of 229
carcinomatous 388
enlargement 67, 119, 121f, 125, 160, 376, 386f, 387f, 535, 626, 631
causes of 126
examination of 7, 92, 67, 159, 227, 422, 437
fatal hemorrhage 119f
inguinal 72f, 118f, 119f, 121f, 571, 651, 651f, 657f, 658f
group of 120
metastasis, sites of 124
palpation of 257
pectoral group of 437f
popliteal 271
secondary carcinoma of 384f, 389
submandibular 353, 355, 364f, 377
supraclavicular 388, 438f
surface of 123
swelling of 388, 653
Lymph plexus, subperitoneal 438f
Lymph scrotum 637, 637f, 646
Lymph varix 629, 631, 632, 645f, 646
Lymph vessels 130f
Lymphadenitis
acute 125, 126
chronic 119, 125
pyogenic 126
syphilitic 127
tuberculous 80f, 126, 385
mesenteric 552
Lymphadenography 124
primary malignant 123
tuberculous 382
Lymphangiectasis 631, 632
Lymphangiography 124, 124f, 592, 641
Lymphangioma 16, 31, 51, 360f
circumscriptum 51
cavernous 51, 52
Lymphangitis 327, 329
Lymphatic drainage 438f
Lymphatic leukemia 119, 121, 123, 126, 130
Lymphatic metastasis 74, 650
Lymphatic system
examination of 18, 117
involvement of 121
Lymphedema 122
causes of 124
examination, secondary 122
secondary 122
Lymphocytes depletion 125, 129
Lymphocytic leukemia, chronic 128
Lymphocytic lymphoma 128
Lymphocytosis 123, 228
Lymphogranuloma inguinale 123, 127, 656
Lymphography 317
Lymphoid
polyp, benign 538
tissue, abundant 379
Lymphoma 128, 389, 406
malignant 125, 128, 408, 409
mixed 128
retroperitoneal 553
type of 128, 388
Lymphorrhea 53
Lymphosarcoma 119, 121, 123, 125, 126, 389
M
Macrocheilia 346, 360
Macroglossia 16, 360, 369
Macrostoma 346, 346f
Macules 6
Madelung's deformity 203, 206, 246, 334, 335f
Madura foot 342
Magnuson's test 326
Malaria 549
Malformation syndromes 166
Malgaigne's bulgings 619, 620f
Malignancy 531
development of 518
suspicion of 213
Malingerer's low back pain 326
Mallet finger 203, 205, 207, 336
Malnutrition 63, 69
Malunion 185, 187, 200
Mammaplasia, type of 451
Mammary duct ectasia 445
Mammary dysplasia 428
Mammography 387, 441, 442f
Mandible, osteomyelitis of 384
Mandibular cleft 346, 347f
Mandibular joint, ankylosis of 353
Mandibular prognathism 358
Manicurist's unsterile instrument 329
Mantoux test 68, 123, 229, 231
Manus valgus 203, 203f
Marble bone 161, 166, 181
Marfan's syndrome 102, 166, 173
Marjolin's ulcer 62f, 65f, 71, 73, 113
Marrow biopsy 166
Martorell's ulcer 75
Massive atelectasis 426
Massive tongue 360
Mastectomy 448f
Mastitis
acute 444, 444f
carcinomatosa 450
chronic 446
Maxillary antrum 355
McBurney's point 491, 512
McMurray's test 217, 217f, 220
Meatal ulcer 608, 655
Meckel's diverticulitis 495, 539, 499, 539
Meconium 20
ileus 500
Medial collateral ligament tenderness 215
Medial epicondyle 152, 199, 243, 245
fracture separation of 199, 201
Medial rotation deformity 251
Median nerve 136, 139f, 147
palsy 328
Mediastinal emphysema 19, 417
Mediastinal lymph nodes 124
Mediastinoscopy 387, 423
Medulloblastoma 287, 291, 296
Megacolon 537
Melanocytes 55
Melanoma 24
benign 53
malignant 55, 122, 124, 125, 130, 342, 343, 349
Melena 19, 507
Meleney's ulcer 73, 75
Membranous urethra, rupture of 464
Meningeal veins, engorged 293
Meningioma 288, 293296
Meningitis 286
Meningocele 310, 310f, 318, 345, 345f
Meningoencephalitis, diffuse 295
Meningoencephalocele 345
Meningomyelocele 318
Meniscus 219, 221
medial 216, 270, 220f
Mental disturbances 411
Mental sinus, median 357
Mental state 5, 289, 394
Mental symptoms 287
Mercury 366
Mesenteric arteries supply, inferior 538
Mesenteric lymph nodes, tuberculosis of 535
Mesenteric lymphadenitis, acute nonspecific 495
Mesenteric vascular
obstruction 501
occlusion 498
Mesenteric venous occlusion 501
Mesentery 469
Metabolic disorder 166, 232, 233, 286
Metastasis 400, 449
distant 42
secondary 599
Metastatic lymph node 125, 371, 523f
Metatarsal bone, fracture of 224
Metatarsalgia 344
Methaemalbumin, serum 487
Microfilaria 123, 646
Micrognathism 358
Micturition 477, 494, 576, 605, 602, 608, 652
difficulty of 606
double 603
end of 603
frequency of 578
pain independent of 652
Middle cranial fossa 276
fracture of 283
Middle meningeal vessel 274
Middle palmar space 331f, 333f
infections of 334
Midepigastric region 529
Midesophageal diverticulum 458
Midfoot, pain in 344
Mid-gut, volvulus of 501
Midinguinal point 252
Mikulicz's disease 376, 376f, 381
Mikulicz's syndrome 372, 381
Milk-alkali syndrome 412
Mill's maneuver 244, 245f
Miner's elbow 242
Miscarriages 4
Mobile scoliosis 318
Moebius’ sign 401
Moist skin 403
Moles 53
Molluscum sebaceum 60
Monckeberg's degeneration 93
Monilial stomatitis 367
Monoamine oxidase inhibitors 4
Mononucleosis, infectious 126, 127
Monostotic fibrous dysplasia 156, 170, 171f
Monteggia fracture 202, 202, 202f
dislocation 202
Moon face 5
Morgagni's follicles, infections of 655
Morquio-Brailford disease 166, 169
Morrant-Baker's cyst 264, 265, 270, 270f
Morris’ bitrochanteric test 211
Morrissey's cough impulse test 111
Morton's metatarsalgia 338, 344
Morvan's disease 84
Moses’ sign 114, 114f, 115
Motor aphasia 289
Motor car collision 209
Motor function 290, 291
Motor neurone disease 250
Motor paralysis 303
Mouth 8, 455
carcinoma of 369
examination of 453
Movements
peristaltic 479
range of 227
relation to 225
types of 227
Moynihan's method 512, 512f
Mucoperiosteum 352, 353
Mucopolysaccharide disorders 166, 169
Mucosa, inflammation of 454
Mucosal hemorrhoids 569
Mucosal ulceration 604
Mucous discharge 559, 575
Mucous membrane 456
hyperkeratosis of 369
Mucous patches 72, 348
Mule spinners, trousers of 651
Muller's muscle 141
Multifocal lymphoma, type of 356
Multilocular cystic
disease 355
hygroma 52f
Multinodular goiter 392, 407
Multiple endocrine neoplasia syndrome, features of 412
Mumps 377, 378f
manifestations of 377
Murmur, presence of 159
Murphy's kidney punch 582, 582f
Murphy's sign 512, 512f
Murphy's syndrome 479
Muscle 32, 48, 134, 235, 366, 436
abdominal 8, 619, 620f, 658f
abnormal swelling of 151
complications 185
contractility of 108
diseases of 5, 151
dystrophies 5
guard 465, 482, 483f, 491
absence of 503
presence of 483
paralyzed 134, 381
power 134, 299
gradation of 134
rigidity 465
strain 324
tone, estimate 291
wasting of 133
Muscular adhesion 181
Muscular branches 147, 148
Muscular fibrosis 604
Muscular rigidity 482, 494
Muscular wasting 158, 215, 226, 227, 231, 243, 252, 260, 261, 264, 271
Musculotendinous cuff lesions 242
Mycobacterium
leprae 143
tuberculosis 334
Mycotic aneurysm 102
Myelocele 318
Myelography 316
Myeloma, multiple 156, 165167, 177, 181, 325
Myelomatous epulis 354
Myocardial infarct 610
Myosis 141
Myositis 325
ossificans 166, 181, 187
traumatica 186, 198, 198f, 200, 235
Myxedema 16, 18
pretibial 18
symptoms of 394
Myxomatous degeneration 49
N
Naevolipoma 49
Naffziger's test 313, 323
Nail 17
bed infarcts 18
Nail-patella syndrome 166
Naked eye inspection 19
Narath vascular sign 253
Nausea 503, 506
Neck
examination of 34, 282, 453
fasciae of 386f
hydrocele of 53
midline swellings of 387
movements of 387
rigidity of 279, 322
sinus in 2
stiffness of 288, 297
swelling in 2
Neck veins 421
bilateral engorgement of 16
engorgement of 399
Neck-arm junction 242
Necrosis, syphilitic 357
Necrotic tissue 79
Needle biopsy 39, 410
Needles sensation 12
Negative Rovsing's sign 536
Neighboring muscles 180
Neighboring structures 159
Nelaton's line 211, 211f, 213, 257
Neohydriol 374
Neoplasm 21
malignant 356
benign 368, 598
Nephritis, acute 610
Nephroblastoma 576, 598, 600, 600f
Nephrogram 590
Nephroscopy 591
Nephrostomy, percutaneous 591
Nerve 141, 271, 327
accessory 134, 144, 291
auditory 290
auriculotemporal 359
axillary 133f, 135
conduction study 142
dorsal digital 146
genitofemoral 476, 503
glossopharyngeal 290
hypoglossal 119f, 120, 135, 145, 291
injury 184
lesion, examination of 67
lingual 359
mandibular 359
medial popliteal 139, 150
musculocutaneous 140f
of Bell 145
olfactory 289
optic 289
posterior interosseous 146
pressure on 102
sensory 45
sheath 48
supraorbital 276
suturing of 141
tibial 139
vagus 290
wrist ulnar 149
Nervous diseases 63, 96
Nervous symptoms 322
Nervous system, examination of 288
Nesodermal elements 51
Neurilemmoma 49, 51
Neuritis, peripheral 63, 96, 141, 233
Neurofibroma 48, 49, 166, 305, 348, 423
Neurofibromatosis 23f, 25, 50, 51
Neurofibrosarcoma 50
Neurogenic ulcer 71
Neurolipoma 49
Neurolipomatosis 49
Neurologic examination 92
Neurologic symptoms 97
Neurological deficit 198, 279
Neurological disturbances 50
Neurological examination 228, 339
Neurological pressure symptoms 50
Neurological signs 154, 315
Neuronal damage 281
Neuropathic gangrene 99
Neuropraxia 142
Neurotmesis 142
Nevus, benign 24
Niche 519
Nicholson's maneuver 510
Nicoladonis sign 88
Night cry 261
Night fasting secretion 516
Nipple 432, 432f, 448
abnormal movement of 430
accessory 432
congenital retraction of 429
discharge 429
extreme retraction of 449f
level of 382, 429f
palpation of 436
prominence of 432
retraction of 429, 430f, 432, 432f, 433f, 451
Nodular goiter 395f, 400, 407
Nodular leprosy, elephantiasis graecorum of 51
Nodular lymphomas 125
Nodular sclerosis 125, 129
Nodules 431
Nonarticular rheumatism 151
type of 153
Nonhodgkin's lymphoma 128
Non-toxic goiter 406
Nose 292
Nuclear magnetic resonance 38, 295
Numbness 97
Nutritional disorder 166
Nystagmus 285, 291, 297
indicates 289
O
Obstruction
causes of 499
site of 499
venous 102
Obturator foramen 257f
Obturator test 482
Occipital bone 145
Ochsner's clasping test 136, 136f, 148
Ocular disorders 319
Ocular movements 289
Oculomotor nerve 279, 289
paralysis 289
Oculomotor paralysis 289
Odontomes 353, 354
Olecranon 199f
bursitis 242
deviation of 195f
medial aspect of 243
position of 194
process 195f, 197, 245
fracture of 200, 201
tip of 243
Oligodendroglioma 296
Oligomenorrhea 394
Ollier's disease 166, 169
Omentocele 621
Omentum 548, 621
Ominous sign 359
Oncocytoma 378
Onychogryphosis 343
Onychomycosis 343
Operation
nature of 8
theater 10
type of 9
Ophthalmoplegia 401
Opium poisoning 275
Opponens pollicis 137, 137f, 148
Optimum position 263
Oral cholecystogram 522f
Oral cholecystography 521, 522f
Orbicularis oris 366
Orchitis, bilateral 646
Oriental cholangiohepatitis 514, 533
Original wound 59
Ortolani's test 256, 256f
Oscillometry 95
Osgood-Schlatter's disease 234
Osler's nodes 18
Osseofibrous tunnel 248
Ossification, wedge-shaped area of 163
Osteitis
deformans 156, 166, 173
fibrosa 164
fibrosa 166
syphilitic 160, 166, 646
Osteoarthritis 187, 221, 225, 232, 235, 236, 262, 304, 316, 325
late 213
victims of 225
Osteoarthrosis 232, 337
Osteoblastoma 166
Osteocartilaginous loose bodies 221
Osteochondritis 229, 233
crushing 233
dissecans 221, 221f, 234f, 244, 244f, 269
juvenilis 260
splitting 233, 341
Osteochondroma 163f, 166, 175
Osteoclastoma 156, 159, 162f, 163, 163f, 167, 175, 348, 355, 356
Osteogenesis imperfecta 156, 166, 169
tarda 156
Osteoid osteoma 162, 166, 174, 325
Osteolytic changes, spine diminution of 316
Osteolytic lesion 162f
Osteolytic type 163
Osteoma 28, 162, 162f, 166, 174, 348
varieties of 174
Osteomalacia 160, 166, 172, 304
Osteomyelitic sinus 79f, 82
Osteomyelitis 80, 161, 286, 353, 631
acute 156, 159, 166, 181, 167, 304, 322
chronic 157f, 159, 161f, 166, 167, 357
pyogenic 325
subacute 357
syphilitic 168
tuberculous 156, 160, 166, 168
types of 357
Osteopetrosis 166, 181
Osteophytes, detachment of 221, 235
Osteoporosis 166, 172
Osteosarcoma 156, 157, 157f, 159, 164f, 165f, 167, 174, 175, 355
malignant growth of 156
primary 165
X-ray appearance of 163
Otitis media 287
Otosclerosis 181
Ovary 516, 557
inflammatory condition of 325
Overlying skin 179
stretching of 102
Oxyphil adenoma 378, 380
P
Pachydermatocele 51, 51f
Paget's disease 75, 156, 161, 164, 166, 173, 174, 183, 316, 320, 349, 356, 432, 450, 652, 656, 658
Pain 5, 1112, 22, 63, 80, 84, 97, 108, 117, 139, 140, 151, 178, 225, 261, 273, 304, 357, 359, 372, 392, 393, 428, 494, 506, 573, 576, 594, 599, 606, 612, 629, 652, 654
abdominal 474, 486f, 535, 536, 538
acute 102, 502
appendicitis 476f, 495
basal pneumonia 485f
brachial embolism 101
burning 12
character of 476
chest 85
colicky 12, 476, 577
commences 502
cyclical 446
dull aching 102
duration of 13
epigastric 627
excruciating 372
girdle 298, 305
griping 503
hunger 530
ischemic 325
migration of 13
movement 13
aggravates 305
nature of 12, 22, 304, 559
night 231, 268
original site of 11
periodicity of 14
persistent 75
progression of 13
prostatic 578
psychogenic 11
radiation of 13, 475, 577f
radicular 584
referred 13, 102, 475, 577
relationship with 477
relief of 507
rest 85, 96
scalding 12, 494
sciatic 326
segmental 11
severe 14, 102, 303, 343, 469
shifting of 13, 475
shooting 12
site of 196f, 475
stabbing 12
sudden 153, 503
superficial 11
suprapubic 598
throbbing 12, 372, 476
twisting 13
types of 11, 476f
typical 452
upper abdominal 525
ureteric 577
urethral 578
vague
aching 12
dragging 629
vesical 578
Painful arc syndrome 239f, 241
Painful stiffness 326
Painless intermittent hematuria 598
Painless lump 21, 447
Painless tumor, slow-growing 372
Palate 361, 363
examination of 359
Pallor 5
Palm
cross section of 333f
swelling of 334
Palmar cutaneous branch 147, 149
Palmar fascia 333
extensions of 154
Palmar interossei, power of adduction of 150
Palmaris brevis 149
Palpate liver 542
Palpating shoulder joint, method of 237
Pancoast's syndrome 242
Pancreas 515, 544, 548
carcinoma of 520f, 533
head of 519, 533
pseudocyst of 549f
small filling defects 520
tail of 534
Pancreatic calculus obstructing 514
Pancreatic scanning 528
Pancreatitis 325, 507
acute 3, 478, 488, 493, 493f
chronic 505, 533
Papillae, examination of 17
Papillary cystadenoma 447
lymphomatosum 378, 379
Papilliferous surface 60
Papilloma 25f, 47, 348, 604, 610, 657, 658
Papules 6
Para-amino salicylates 406
Parabronchial diverticulum 458
Paradoxical respiration 413
Paralysis 278, 286
spastic 262
Paralytic ileus 499
Paraphimosis 651, 652, 654, 654f, 655f
Paraplegia 129, 298, 303, 308, 321, 322, 423
Parasites 575
Parathyroid
enlargement 584
tetany 412
Paravertebral region 322
Parenchymatous goiter, diffuse 406
Paresthesia 85, 328
loss of 328
Parietal peritoneum, irritation of 465
Parietal pleura 476
Parona's space 332
infections of 334
Paronychia 329
Parotid abscess, characteristic feature of 372
Parotid duct 374
Parotid gland 121, 372, 373f, 374f, 375f, 377, 378, 381, 384f
carcinoma of 379
deep lobe of 373
enlargement 128
lower part of 372, 379
position of 372
recurrent swelling of 378
region of 372
skin over 373
swelling of 372
Parotitis
acute 372, 377, 378f
chronic 378
subacute 378
Passive straight-leg raising test 313f, 315
Patella
dislocation of 219
palpation of 216
position of 263
recurrent dislocation of 268
Patellar clonus 292
Patellar tap 264
Patellar tendinitis 152
Patellofemoral joint space 267
Paterson-Kelly syndrome 452, 456
Pathological dislocation, causes of 252
Pathological tendon ruptures 151
Paul Bunnell test 127
Pauwel's angle 212, 212f
Peau d’ orange 431f, 433f
Pectoral fascia 436f
Pectoral group 437, 439f
Pectoral muscle 449
Pectoralis
major 33f, 436f
minor syndrome 97
muscle 436f
Pectus
carinatum 420
excavatum 420
Peculiar aneurysm 102
Pedicle, torsion of 490
Pellegrini-Stieda's disease 269, 335
Pelvic
abscess 315, 498, 554, 557, 558, 610
appendicitis 482f, 492
bones 558
disorders 325
ring disruption 208
Pelvis 301, 590
injuries, examination of 208
movements of 254f
Pelviureteric junction 503
Pemberton's sign 399
Pen test 136, 137f
Penis
amputation of 608
carcinoma of 2, 119f, 651f, 657, 657f, 658f
elephantiasis of 657
Paronie's disease of 335
skin of 647
ulcer 651
Pentagastrin test 517
Peptic perforation 496
Peptic ulcer 3, 14, 325, 469, 475, 475f, 505, 539
disease 474
pain, perforation of 476f
perforation of 469, 478, 490
self-diagnosis of 627
subacute perforation of 547, 548
type 531
vomiting 477
Percussion 7, 35, 159, 422, 498, 543, 582, 619
Percutaneous catheterization 529
Percutaneous transhepatic cholangiogram 525f
Periarticular adhesions 181
Pericanalicular fibroadenoma 447
Pericarditis 516
Perilunate dislocation 205, 207
Perineal membrane 647
Perineal tail 633
Perineum 633
examination of 584
Periosteal osteoclastoma produces 354
Periostitis 113
evidence of 229
Peripheral blood vessels 123
Peripheral nerve 142
injury of 142
lesion 131, 141
causes of 143
examination of 34, 131, 291
paralysis 141
Peristalsis 26, 540, 614
Peritoneal aspiration 469
Peritoneal cavity 502
Peritoneal fluid, diagnostic aspiration of 467
Peritoneal lavage 467
Peritoneocentesis 467
Peritoneum 623
lesser sac of 549f
Peritonism 496
Peritonitis 465, 478, 485f
perforation 501
Perkin's lines 257, 258f
Peroneal nerve, common 138, 150
Peroneal tendon sheath, chronic stenosing tenosynovitis of 273
Perthes’ disease 5, 233, 250, 255, 257f, 258, 258f, 260, 262, 344
Perthes’ test 111, 111f
Pes cavus 340
Pes planus 338, 340
Petit's triangle 308, 309f, 315, 322, 628
Peutz-Jegher's syndrome 363
Peyronie's disease 657
Phalanges 204
dislocation of 205, 207
extension of middle 149
fracture of 205, 207
Phalen's sign 248
Pharyngeal pouch 388, 390, 454, 454f, 456, 457
Pharyngo-esophageal diverticulum 457
Pharynx 8, 455
examination of 453
pulsion diverticulum of 390
Phenobarbitone 366
Phenytoin 366
Pheochromocytoma 50
Phimosis 1, 651, 652, 654
Phlebitis 112
superficial 85
Phlebography 116
Phleboliths 586, 597
Phlebothrombosis 114, 272
Phlegmasia
alba dolens 109, 114, 115
cerulea dolens 109, 114, 115
Phosphorus
poisoning 357
reduced serum 160
Phrygian cap 525
Pigeon chest 420
Pigmented nevus 53
Piles 4, 569
external 561
primary 567
secondary 567
Pilonidal sinus 80, 82, 539, 561, 571, 574
Pinealoma 295
Pinhole meatus 652
Pin-point pupil 278
Pins sensation 12
Pipestem stool 20
Pituitary adenoma 294, 295, 296
Pituitary chromaffin adenomas-producing prolactin 412
Pituitary fossa, enlargement of 294
Pizzillo's method 395, 395f
Pizzillo's technique 395f
Plantar fasciitis 151153, 338, 344
Plantar flexion 338
Plantar reflex 291, 292, 303
Plantar wart 342
Plasma
cell mastitis 445
fibrinogen 487
Plasmacytoma 167, 177
Plethysmography 94
Pleural effusion 36, 453
Pleurodynia 516
Plexiform hemangioma 45
Plexiform neurofibromatosis 50, 51f
Plummer-Vinson syndrome 452, 456
Plunging ranula 371, 383
Pneumococcal arthritis 230
Pneumococcal osteomyelitis 166, 168
Pneumoencephalography 295
Pneumothorax 416, 419
closed 417
open 417
traumatic 417
Pointing index 132, 136
Pointing test 469, 480
Policeman receiving tip 133
Policeman taking tip 141, 144
Policeman's heel 344
Poliomyelitis 5, 262
Polyarteritis 18
Polycystic kidney 594, 595f, 610
Polycythemia 599
Polydactylism 334, 335f
Polymazia 444
Polymorphonuclear leukocytosis 167
Polyostotic fibrous dysplasia 170
Polyp, congenital 552
Polyposis coli 538
multiple 538f
Polyps 454, 538, 568, 572, 573
Polypus 562
Pons asinorum 565
Pontine lesion 289
Popliteal fossa 263, 266f
palpation of 266
swellings in 271
Popliteal nerve, lateral 138
Popliteal pulse, feeling of 91f
Porphyria 551
Porta-hepatis 523f
Port-wine stain 43, 44f
Postphlebitic limb 69
Pott's disease 301, 304, 309f, 311, 316f, 321, 391, 453, 486, 486f, 490, 516, 609
abscess 308
Pott's paraplegia 322
Pratt's test 111
Preauricular sinus 79, 80, 82
Pregnancy 325
Prepatellar bursitis 264, 269
Pressure effect 102
examination of 36
Pressure effects 117, 119, 158
Pressure index 94
Priapism 300, 658
Proctalgia fugax 572
Proctoscopy 467, 566, 566f
Proctosigmoidoscopy 489
Profuse salivation 371
Progesterone 108
Prolapse
history of 562
intervertebral disc 304, 316
Prominent lymphatic vessels 122
Proptosis 351
Prostate 160, 167, 325, 584, 609
benign hypertrophy of 605
carcinoma of 441f, 606, 607f
diseases of 605
enlarged 620
examination of 583
lobes of 605
pathological condition of 315
specific antigen 607
estimation of 606, 607
Prostatic massage 584, 641, 644
Prostatitis 325
acute 606
chronic 606
Protein
content 293
deficiency, severe 172
urea 585
Proximal fragment, avascular necrosis of 207
Proximal phalanx 136f
Pruritus 575
ani 560, 575
Pseudocoxalgia 260
Pseudocyst, pancreatic 507
Pseudogout 233
Pseudolipoma 49
Psittacosis-lymphogranuloma inguinale group 127
Psoas
abscess 315, 626, 626f, 631
bursa, enlarged 626, 631
shadows 587
test 492
PSP test 586
Psychiatric diseases 5
Pterygoid muscles 357
Pubic bones 602f
Pubic tail 633
Pubic tubercle 614f, 615f, 625, 625f, 633
Pulp
space 330f
infection 330
Pulsatile mass 102
Pulsation diminishes 102
Pulse 6, 278, 288, 478
rate 394
slowing of 285
Pump-handle test 314, 314f
Pupil
contraction of 141
fixed 278
Purpura, secondary 551
Pus 357, 566
cells 585
collection of 46
discharge of 559
signs of 495
Pustules 6
Pyelocele 643
Pyelography, excretory 597
Pyelonephritis, acute 576, 597
Pyemic abscess 46
Pylephlebitis, suppurative 545
Pyloric obstruction 523
Pyloric stenosis 530
congenital 505, 548
Pylorus 531
Pyogenic arthritis, acute 230f, 268
Pyorrhea alveolaris, sign of 362
Pyrexia 278
high 167
intermittent 533
of unknown origin 599
presence of 279
Q
Quadriceps
femoris 34f
muscles 187
Querat erythroplasia 652, 656, 658
Quinine, intramuscular injection of 133f
Quotidian 7
R
Rachitic chest 421
Radial arteries 91
Radial bursa 331f, 333f
infections of 332
Radial club hand 246
Radial deviation 206, 328
Radial groove 146
Radial nerve 135, 139f, 145147, 184
intactness of 136f
palsy 136f, 328
Radial pulse 198
Radial styloid process 154
Radiation 305, 506
necrosis 568
Radical mastectomy 122f
Radicular odontome 353
Radioactive chromium, use of 550
Radioactive fibrinogen test 69, 115
Radioactive iodinated human serum albumin 295
Radioactive isotopes 528
Radioactive technitium 183
Radioisotope
renography 593
scanning 427, 489, 528
substance 295
Radio-opaque
dye 124
fluid, injection of 82
Radioulnar joint
inferior 206, 246
permits pronation 243
Radius
fracture head of 187, 199, 201
fracture neck of 199, 201
lower third of 203
shifts, anterior fragment of 206
Raised erythrocyte sedimentation rate 123
Ram's horn
nail 343
penis 637, 657
Ramus, medial side of 357
Ranula 362, 365f, 371
probably derives, type of 371
Rat-tail deformity 458f
Raynaud's disease 69, 84, 86, 9496, 327
Raynaud's phenomenon 85
Reaction, inflammatory 96
Reactive hyperemia test 92
Rebound tenderness 465, 481
Rectal examination 9, 212, 257, 293, 315, 440, 466, 468, 485, 498, 516, 531, 560, 569, 584, 605607, 620, 640
end of 566
Rectal mucosa, mobility of 584
Rectal prolapse 571
Rectum
ampulla of 560
anterior surface of 605
ballooning of 564
carcinoma of 82, 562f, 565, 573
colloid carcinoma of 560
complete prolapse of 563f
polypus of 564
prolapse of 563
stricture of 565, 574
Rectus abdominis muscle, rupture of 504
Rectus sheath 552
Reflexes 141, 290, 291, 299
abdominal 9, 292
Reflux epididymitis 640
Reflux esophagitis 454
Regional ileitis
endoscopy 489
acute 494
Regional lymph node 42, 55, 122, 363
enlargement of 352
state of 35
Regurgitation 452
Reiter's disease 231
complications of 326
Renal artery 586
aneurysm of 583
origin of 591f
Renal calculus 576, 586, 596
Renal colic 488
Renal dialysis 103
Renal failure, chronic 594
Renal function
impaired 589
tests 585
Renal infection 325
Renal injuries 470
Renal pelvis 470
carcinoma of 610
papillary tumors of 598, 601
temporarily blocks 503
Renal stone 521f, 587, 587f, 597
Renal tubule ricket 171
Renal vein 599
thrombosis 610
Respiration 7, 278, 300, 413
irregular 285
Respiratory movement 421, 465, 479
Respiratory rhythm, normal 277
Reticulosarcoma 389
Reticulum cell sarcoma 124, 125, 167
Retinoblastoma 295
Retrocalcaneum bursitis 344
Retrocecal appendicitis 482f, 492
Retrograde cystograms 590
Retrograde percutaneous catheterization 93
Retrograde traumatic amnesia 274
Retrograde urogram 589, 589f, 595f
Retromammary abscess 429, 445
Retroperitoneal connective tissue 553
Retroperitoneal mass 356
Retroperitoneal ruptures 469
Retroperitoneal sarcoma 549, 553, 556
Retroperitoneal teratoma 549
Retropharyngeal abscess, acute 452
Retropharyngeal space 322
Reveal scybalous mass 537
Rheumatism 226
Rheumatoid
arthritis 69, 225, 231, 236, 240, 245, 325, 381
factor 232
Rhomboid glossitis, median 369
Rib
fractures 413, 416
palpation of 414
Rickets 166, 171
Rickety rosary 421
Riedel's lobe, congenital 545
Riedel's thyroiditis 410
Right index finger 363
Ring occlusion test 618, 618f
Risser's sign 319
Risus sardonicus 5
Rodent ulcer 54, 63, 64f, 65f, 67, 348
Romberg's sign 291, 297
Rose-Waaler test 232
Rotator cuff 236
Rotatory movement 255, 314
Round worms, impaction of 555
Rovsing's sign 481, 481f, 492
Rule out proximal disease 571
Ruptured disc 325
Ruptured liver, suspect of 468
S
Sacral region 304
Sacrococcygeal teratoma 1, 21f, 25f, 568
Sacroiliac arthritis 326
Sacroiliac joint 313
tuberculosis of 326
tuberculous affection of 316
Sacroiliac lesion 313f
Sacroiliac strain 326
Sacrum 208
Saegesser's splenic point 468
Salicylates 610
Salivary duct, submandibular 380f
Salivary gland 375f, 381
deep lobes of 376
enlargement of 381
examination of 372
neoplasms of 378
submandibular 380f
tumors of 378, 381
Salmon patch 43
Salpingitis 566, 610
acute 476f, 485, 494
Sanguineous fluid 502
Saphena varix 625, 631
Saphenofemoral valve 110
Sarcoidosis 121, 126, 128
Sarcoma 26f, 451
Sarcomatous change 51, 451
Sarcomatous epulis 354
Saturday night palsy 141, 146
Scalene node biopsy 423
Scalenus anticus
muscle 97
syndrome 84, 98, 327
Scalp 281
hematoma of 347
Scaphoid bone 186f
Scapula 239f, 493
palpation of 190
stand, inferior angle of 145
vertebral border of 190
winging of 132, 132f, 135, 145, 145f
Scar 109, 133, 134
normal 59f
Scheuermann's disease 233, 307, 316, 319
Schistosoma haematobium 551
Schmorl's nodes 319
Schoemaker's line 211
Schwannoma 49, 51
Schwartz test 111, 112, 112f
Sciatic foramen 322
Sciatic nerve 138, 150, 184
injury 212
Sciatica 313f, 606
Scintillation-encephalography 295
Sclera, blue 181
Scleroderma 95, 457
Sclerosis 182, 181, 250, 305, 306, 306f, 318, 325
Scoliosis 319
paralytic 319
postural 318
types of 318
Scott-Harden tube 520
Scrotal skin 635
Scrotal swelling 615f, 644
examination of 639
Scrotal tail 633
Scrotum 45, 486f, 541, 615, 634f
carcinoma of 2, 651
cutaneous lymphatics of 646
elephantiasis of 636, 647
examination of 8, 541f
Fournier's gangrene of 650f
idiopathic gangrene of 650
sebaceous cysts of 651
skin of 647
slight swelling of 637
spermatic cord of 629
Scurvy 166, 364
Seat-belt injury 298, 464
Sebaceous cysts, multiple 636
Sebaceous horn 58, 58f
over knee 58f
Seborrheic keratosis 60
Seborrheic wart 60
Segmental atelectasis 426
Seizures 275
Seldinger
catheter 592
technique 529
Selective angiography 93, 529, 591
Semen, culture of 645
Semiflexion position 243
Semilunar cartilage 219, 220
Semimembranosus bursa 265f, 270f
typical positions of 270f
Seminal vesicles 315, 584
Seminal vesiculitis 325
Seminiferous tubules, carcinoma of 649
Seminoma 649
Senile
gangrene 96
keratosis 61
kyphosis 307, 320
osteoporosis 316, 325
purpura 551
wart 60
Sensation 299, 328
loss of 328
type of 13
Sensitivity test 585
Sensory 97
function 290, 291
Sentinel pile 561
Sepsis, generalized appearance of 469
Septicemia 167
Sequestra 235
Serocystic disease of Brodie 447, 448
Serratus anterior 34, 135
Serum
acid 593
phosphatase, higher level of 160
alkaline phosphatase 160
amylase estimation 487
bilirubin level 487
calcium level 487
deoxyribonuclease 487
glutamic oxaloacetic transaminase 427
protein bound iodine 403
thyroid stimulating hormone 404
thyroxin 403
Sesamoid chondromalacia 341
Sever's disease 234, 338, 344
Sexual organs 1
Shallow breathing 413
Shenton's line 257, 257f, 259
Sherren's triangle 480, 482f, 491
Shifting dullness 484, 502, 512, 543
Shifting tenderness 495
type of 495
Shock 184, 303
spinal 303
Short saphenous system 111
Short urethra 603
Shoulder 188
abduction of 298
anterior dislocation of 188
bony arch of 189
contour of 188
dislocation of 189
anterior 193f
girdle 236
recurrent dislocation of 193
roundness of 189f
Shoulder joint 236, 237f
affection of 236
arthritis of 240
diseases of 236
dislocation of 188f, 193
injury around 192
movements of 237, 238f
palpation of 237f
passive movements of 239f
Sialectasis, congenital 377
Sickle cell anemia 610, 658
Sigmoid colon 500, 557, 558
large part of 567
volvulus of 500
Sigmoidoscope, length of 567
Sigmoidoscopy 467, 496, 535537, 567, 569
Silent heart 417
Simple crack fracture diagnosis 216
Simple goiters 392, 406
types of 392
Single nerve involvement, causes of 143
Single non-functioning thyroid nodule 405
Sinus 79, 83, 157, 159, 246, 372, 384, 421
classification of 82
examination of 79, 297
formation of 231, 420
opening of 80
persistence of 79
thrombosis, cavernous 357
types of 424
wall of 81
Sjogren's syndrome 372, 379, 381
Skin 67, 81, 133, 235, 435, 509, 535
color of 5
diseases 15, 575
eruption 4, 6
invagination of 618f
lesion 128
lymphatic drainage of 120f
over swelling 26, 119, 157, 614, 630
pigmentation of 50, 109
pressure on 102
redness of 80
swelling arising from 271
temperature 87
test 37, 68
Skull
base of 281, 282
broad 181
erosion of 36f
fracture, side of 285
injury of 280
metastasis 443f
vault of 281, 282
X-ray of 286
Slimy stools 19
Slip sign 28f, 48
Slipped epiphysis 259, 260, 262
Slow pulse rate 288
Small artery occlusion 95
Small intestinal
cramps 497
obstruction 503
Small intestine 469, 498, 552, 557
rupture of 469
Small peritoneal sac 627
Smooth bumps 27
Smooth moles 54
Snail track ulcer 368
Sodium diatrizoate 93, 589
Soft chancre 72
Soft corn 341
Soft palate, paralysis of 452
Soft sore 651, 652, 656
Soft tissue shadow, abnormal 229
Solar keratosis 61
Solid mass, pattern of 593
Solitary nodular goiter 392, 407
Sonography, renal 593
Spasm, state of 391
Speech functions 289
Spermatic cord 486, 486f, 616, 617, 619, 630, 631, 639, 640
inflammation of 629
lymph vessels of 646
torsion of 645f
Spermatic veins 108
Spermatocele 645f, 650
Spider leg 600
deformity 595, 600f
Spider nevus 44
Spina bifida 308, 316, 318, 324, 339f
occulta 304, 308, 308f, 318
type of 318
Spinal abnormalities, examination of 304
Spinal cavity 31
Spinal column
abnormalities, symptom of 304
examination of 300
pathologies of 308f
tumors of 318, 324
Spinal cord 184, 423
compression 50
diseases 609
diseases of 490
injury 658
examination of 298
Spinal injury, type of 298
Spinal ligaments 298
Spinal nerve 140f
root 323f
Spine 516
cervical region of 453
deformity of 318
diseases of 490, 609
dislocation of 303
examination of 339
extension of 311f
fracture 302, 302f
types of 302
injuries of 609
lateral flexion of 312f
method of extension of 311f
pathological lesions of 305
rigidity of 311
rotation of 312f
secondary carcinoma of 304
stiffness of 305
tuberculosis of 304, 321
Spinoumbilical line 512
Spinous processes 308f, 325
movements of 311
Spinsters 446
Spleen 121, 468, 513, 542, 544, 549
enlargement of 549
method of palpation of 513
normal 513
Splenectomy reduces red cell destruction 550
Splenic outline, obliteration of 468
Spondylolisthesis 305, 307, 307f, 316, 316f, 320, 320f, 324, 325
congenital 316f
moderate 320f
Spondylosis 325
Spongioblastoma polare 287, 296
Spotted bones 166
Sprain 183
Springing fibula 216, 222
Springing radius 196, 196f, 203
Sputum 414
Squamous cell 73
carcinoma 55, 342, 342f, 349, 378
cauliflower surface of 25f
Staphylococcus 230, 641, 644
aureus 47, 73, 75
Steatorrhea 20
Stellwag's sign 401
Stenosing tenosynovitis 151, 248, 248f
Stenosing tenovaginitis 154
Stenotic stage 555
Stensen's duct 374
Stereognostic sense, absence of 291
Sterile acid urine containing pus 611
Sterile gauze, pad of 413
Sternoclavicular dislocation 192
Sternomastoid muscle 34, 384f, 385f
Sternum, palpation of 415
Steroids 4
Stewart's sign 488
Stiffness 152, 187, 262
Still's disease 126
Stomach 513, 543, 548
anterior displacement of 520f
carcinoma of 505, 513, 515, 515f, 519, 517f, 525, 531, 548
lesser curvature of 518f
pyloric region of 519f
pylorus of 547
Stomatitis 366
angular 367
causes of 366
different varieties of 367
ulcerative 367
Stone 586, 602, 610
passage of 503
Stool
abnormal 19
examination of 518
Stove-in-chest 413, 416
Strabismus 297
Straight-leg raising test 312, 313f, 315
Strain 344
Strawberry
angioma 44
nevus 44f
Streptococcus 230, 641, 644
pyogenes 45, 46
Stress
incontinence 580
injury 224
Stridor 393
Strontium 183
Struma thyroiditis 410
Student's elbow 242, 245
Subacromial bursitis 242
Subaponeurotic space, infections of 333
Subarachnoid space 316
Subareolar mastitis 445
Subcapsular hematoma 465
bursts 469
Subclavian aneurysm 388
Subclavian artery 91, 388
Subclavian steal syndrome 99
Subcoracoid dislocation 188, 189, 193
Subcutaneous emphysema, crepitus of 19
Subcutaneous infusion urography 589
Subcutaneous tissue 18, 32, 45, 235, 271, 348, 423, 509, 635
Subcutaneous veins 157f
Subdeltoid bursitis 241
Subdiaphragmatic organs 418
Subdural hematoma, chronic 280, 281, 287
Subglenoid dislocation 193
Subhyoid bursitis 383, 387
Sublingual dermoid 362, 365, 371
Sublingual salivary gland 381
Submandibular ducts, orifices of 376
Submandibular gland 375f, 378
carcinoma of 381
Submandibular salivary gland 375, 376, 377f, 380, 382, 383, 384f
operative removal of 145
swelling of 375f
tumors of 381
Submandibular space infections 357
Submandibular triangle 365, 383f, 385f
Subperiosteal bone resorption 411
Subperitoneal plexus 438f
Subphrenic space 548
Subungual exostosis 342, 343
Subungual malignant melanoma 343
Sudeck's osteodystrophy 181, 187, 206
Sulcus
central 605
lateral 584
Sulfur
granules 384
poisoning 366
Sulphonamides 610
Sunray spicules 175
Superficial fascial space, infections of 343
Superficial inguinal
pouch 630f
ring 612, 615f, 617f
Superficial palmar space 333f
Superficial temporal artery 91
Superficial terminal branch supplies 149
Superficial vein thrombosis 115
Supine urogram 589
Supraclavicular fossa 433
Supraclavicular lymph node 387, 389, 531, 541
Suprahyoid position 411f
Suprarenal gland 597
Supraspinatus tendinitis 151, 152
chronic 241
pressure 236
Supraspinatus tendon 153
degeneration of 241
incomplete rupture of 241
rupture of 153, 190, 241
Supratrochlear lymph node, examination of 243
Surgery, indication for 405
Surgical emphysema 414, 416, 417
presence of 180
Swan-neck deformity 231, 336
Sweating, excessive 97, 393
Swelling 21, 35, 35f, 57, 109, 118, 152, 158, 178, 180, 188, 195, 209, 215, 226, 237, 242, 253, 264, 271, 308, 309, 353, 357, 359, 362f, 372, 382, 384f, 385, 392, 414, 421, 510, 543f, 578, 582f, 614, 617, 629, 630
abdominal 594
abnormal 179, 192, 214
acute 388
inflammatory 40
angioma-like 361
ballottable 542
beneath artery 103
boggy 276
bony 159
chronic 388
inflammatory 41
color of 24
congenital 40, 43
containing fecal mass 28
cystic 155, 271, 397, 424, 641
deeper dimension of 27
diagnosis of 40
diffuse 190, 327
edematous 271
edge of 25
examination of 21, 629
expansile pulsating 271
extra-articular 263
fast-growing 393
feel margin of 27f
femoral 631, 634
gallbladder 515, 554
inflammatory 40, 41
inguinoscrotal 626f, 631
intra-abdominal 544, 548, 549, 551, 552, 553, 557, 558
kidney 547
lies 614f
localized 327
malignant 36
middle of 638f
neoplastic 41
nodular 376
over arteries 103
parietal 544, 548, 549, 551, 552, 553, 557, 558
pits 28
pressure of 36
progress of 23
pulsatile 103, 159, 271, 388, 542
recurrence of 23
relation of 616
renal 554, 582f
reniform 547
shape of 24
size of 29
solid 271, 388, 423, 450
splenic 543f, 582f
temperature of 27
thyroid 383, 388, 392, 394, 397f, 400f
uterine 554
Swollen abnormal epithelial cells 60
Swollen ankle 272
Symphysis pubis 540f
absence of 602f
Syndactylism 334, 335f
Synovial fluid 235
Synovial membrane 235
Synovial sarcoma 57, 176
Synovial secretion 225
Synovitis
chronic 221, 262
transient 262
Syphilis 37, 63, 102, 123, 126, 141, 221, 228
attacks testis 640
congenital 225, 646
manifestations of 348, 369
mucous patch of 368
primary 369
secondary 366, 369
stage of 72
tertiary stage of 168, 369
Syphilitic stigmas 36, 68f, 121, 640
Syringomyelia 63, 84, 96, 233
Syringomyelocele 318
T
T3 suppression test 405
Tabes dorsalis 63, 233, 486
nervous system for 516
Tachycardia 400f, 402, 464
Tachypnoea 464
Tactile sensitivity 139
Tailor's bursa 273
Takayasu's arteritis 99
Talipes 339
calcaneovalgus 139, 338, 340
calcaneus 339
equinovarus 138, 339f, 340
equinus 339
valgus 339
varus 339
opposite of 340
Tarda 169
Tardy ulnar palsy 131, 184
Taste, nerves of 371
Tear, types of 220
Telangiectatic osteosarcoma 159, 176
Telepaque 522
Telescopic test 255, 255f
Temporomandibular joint 351, 353
dislocation of 353
Tender spot 511
Tenderness 112, 159, 465, 541
appendicular 481
points of 214f
spread of 481
Tendinitis 185
acute supraspinatus 240, 240f
type of 152
Tendo Achillis 338
paratendinitis of 344
Tendon 151, 235, 331
complications 185
deformity, rupture of 151
diseases of 151
distal 152
late rupture of 185
positions of 248f
reflexes, absence of 297
sheath 155, 331, 331f
Tenesmus 492
Tennis elbow 151, 152, 244
Tenosynovitis 151, 246
crepitus of 19
suppurative 331
Tension pneumothorax 417
Tentorium cerebelli 279
Teratoma 295, 440, 649
Teratomatous dermoid 43
Terminal phalanges, extension of 149
Terminal phalanx 208
osteomyelitis of 330
Terry's nail 17
Testicular appendage 648
Testicular growth 541f
Testicular sensation 633, 639
Testicular tumors, varieties of 649
Testicular vessels, enlargement of 650
Testis 160, 616, 619, 630f, 631, 633f, 639, 648
appendage of 650
gumma of 644f
inversion of 648
malignant
extension of 632
growth of 635, 640f
mimics torsion of 648
orchitis of 644f
palpation of 639
retractile 631, 634, 634f
torsion of 486f, 631, 634, 635, 648
tumor of 645f, 649
undescended 554, 557, 631, 633, 633f, 634, 649
Thenar eminence, muscle of 148
Thenar space 331f, 332, 333f
infections of 333
Thermography 442
Thickened synovial membrane 265
Thigh, circumference of 217
Thomas’ test 251f
Thoracic aorta 101f
rupture of 417
Thoracic conditions 490
Thoracic disease 481, 483
Thoracic duct, rupture of 418
Thoracic injury 301
Thoracic kyphoscoliosis 421
Thoracic nerve, long 135, 145
Thoracic outlet syndrome 97, 327, 328
Thoracic vertebra, articular processes of 324
Thoracic wall 423
Thoracotomy, exploratory 423
Thorax 8, 433
compression injuries of 413
Thromboangiitis obliterans 84, 96
Thrombophlebitis 115, 531
Thrombosis 102, 103, 516
Thumb
carpometacarpal joint of 329
terminal phalanx of 136f
Thyroid 412
aberrant 388
auscultation of 400f
binding protein 403
bruit 403
cancer 159, 183
cartilage 411
conditions 405
diseases, malignant 400
disorders 392
enlargement 398f, 399f
follicular carcinoma of 393
function tests 403
isthmus, goiter of 387
malignant 399f
medullary carcinoma of 50
nodules, autonomous 405
pulse 399f
scan 405
solitary nodule of 396f
Thyroid gland 361, 382, 392, 395, 397, 398f, 407, 408
normal 395
palpation of 397f
Thyroiditis 406
acute suppurative 409
Thyrotoxicosis 394, 402f
secondary 393, 403
symptoms of 393
Thyroxin binding globulin 403
Tibia
breadth of upper end of 217
external rotation of 340
lateral condyle of 162f
lower end of 162f
palpation of upper ends of 216
Tibial artery
anterior 89
palpation of anterior 90f
posterior 89
Tibial collateral ligament 215
Tibial pulse, posterior 90f
Tibial spine, fracture of 219, 221, 235
Tibiofibular mortice 272
Toe-nail, ingrowing 342, 343
Toes 341f
deformity of 339
gangrene of 102
Tomography 124, 422
Tongue 16, 363, 369, 479
cancer of 359
carcinoma of 167, 359, 364f, 370
color of 16
congenital fissuring of 369
dental ulcer of 62
examination of 359
gumma of 369
lymph drainage of 365f
mobility of 361
muscle of 135
palpation of 364f
posterior third of 371
protrusion of 26, 396f
side of 361
syphilitic furrowing of 370
tie 368
tremor of 16
ulcers of 370
volume of 360
Tonsillar node 386
Tooth 352
development of 354
Toothpaste stool 20
Torn tendon 185
Torticollis 319, 322, 391, 391f
Total serum tri-iodothyronine 403
Totipotent cells 21f
Tourniquet test 110, 551
Toxemia 167
evidence of 226
Toxic goiter 402f, 406, 407f
primary 392, 400, 407
pulse rate 402f
secondary 408
Toxic manifestation 399
secondary 400
Toxic nodule 406
Toxicity 408
Toxoplasmosis 125, 126
Trachea 398
Traction osteochondritis 234
Traction test 631
Transillumination test 265, 363, 366, 386, 389, 435
Translucency test 265f, 638
Transmitted movements, absence of 180
Transrectal ultrasound scanning 606, 607
Transverse colon 548
Transverse myelitis 63
Transverse tear 220
Trapezius 33f, 134
actions of 34
muscle 49f, 134f
Trapezoid ligaments 193
Trauma 102, 156
indirect 102
repeated 154, 269
type of 269
Traumatic swellings develop 40
Traumatic ulcer 70
Traveling acetabulum 259
Tremor 291, 400f
Trendelenburg's gait 5, 249, 249f, 250, 260, 261
Trendelenburg's test 110f
Treponema
pallidum 68, 72, 127
pertenue 75
Trethowan's sign 259
Triceps 33f
jerk 292
tendon 243
Trigeminal nerve 290, 352
ophthalmic division of 51f
Trigger finger 151, 154, 327, 336
Triple displacement 263
Trismus 353
severe 353
Trivial injury calls 635
Trochlear nerve 289
paralysis 289
Troisier's sign 387, 515, 515f, 541
Trophic ulcer 64, 64f, 71, 75, 341f
presence of 300
Trousseau's sign 412, 531, 534
T-tube cholangiography 524f
Tubal gestation, ruptured 557
Tubercle bacilli 128, 535
Tuberculin test 37
Tuberculoid leprosy 143
Tuberculoma 296
Tuberculosis 2, 3, 63, 118f, 121, 123, 126, 221, 226, 229, 231, 247, 249, 325, 342, 388f, 560, 610
abdominal 535
cavernous 588f
evidence of 645
first stage of 252f
globus minor 639
renal 598
second stage of 252f
spinal 304
ulcerative 535
victims of 305
Tuberculous affection 240
Tuberculous arthritis 228, 231, 235, 236, 259f, 263f
stages of 229
Tuberculous lymph nodes 126, 388
surgical removal of 145
Tuberculous sinus 79, 80, 80f, 82, 384
Tuber-joint angle 224f
Tubo-ovarian mass 557
Tumor 21, 108, 166, 174, 348, 381, 408, 551, 553, 631
abdominal 108
affecting foot 342
anaplastic 165
angiomatous 294
benign 21, 41, 166, 348, 355, 356
bone 156
brain 294, 295
Burkitt's 356
carotid body 383, 384f, 387, 388, 390
cell invasion 182
cerebellar 297
cerebral 294
Cock's peculiar 58f, 349
connective tissue 378
desmoid 48, 552
dumbbell 50
epithelial 378
Ewing's 164, 164f, 167, 176
extracerebral 295
extramedullary 305
fibro-fatty 308
giant cell 167, 175, 356
glomus 45, 337, 344
Grawitz 598
histopathological examination of 166
indolent 183
intracerebral 296
intracranial 295, 296
intrapelvic 325
Krukenberg's 438f, 440, 516, 531
Leydig cell 649
malignant 41, 167, 348, 349, 382, 408, 448
mandibular 356
mediastinal 50
metastatic 296, 325, 378
mixed 378, 381
mucoepidermoid 378, 380
nerve 271
types of 423
osseous 353
ovarian 356, 558, 566
papillary 600
parietal lobe 297
parotid 372, 378f
Pott's puffy 281, 347
primary 325
proliferates, malignant 21
pulsating 103
rib 423
root 242
spinal cord 39f, 318
sternomastoid 382, 383, 390
suprarenal 325, 547
temporal lobe 297
transitional cell 601
turban 349
universal 48
vertebral body 242
Warthin's 378, 379
Wilms’ 1, 576, 600f
Tunica vaginalis 648
hydrocele of 638f
Typhoid 168
arthritis 231
fever 348
osteomyelitis 166
ulcer 490
perforation of 497
Tyrosine 404
Tyson's glands 658
infections of 655
U
Ulcer 62, 63, 75, 159, 342, 348, 352, 359, 567, 604
acutely inflamed 67
aphthous 370
arterial 70, 74
base of 66f
bleeds 66
carcinomatous 63, 370, 636, 637
chronic 62f, 65f, 69, 113, 370
classification of 69
crater 519
dental 62, 370
depth of 66
diabetic 71
diagnosis of 564
discharge of 68
edge of 65f
types of 64
examination of 62
hypertensive 75
infective 75
ischemic 70
malignant 64, 66, 67, 70
non-specific 69
parts of 66f
perforating 342, 342f
post-pertussis 370
post-thrombotic 74
rests 66
specific 70
spreading 64, 69
syphilitic 63, 71, 370
tuberculous 63, 64f, 67, 71, 370, 636, 638
types of 70
Ulcerative colitis 490, 537, 560, 573
acute 488, 489, 495
perforation of 497
pseudopolyposis of 538
Ulna
fracture of upper third of 202
lower end of 163f, 206
lower third of 204
upper part of 197
Ulnar arteries 91
Ulnar bursa 247, 331, 331f, 333f
infections of 332, 332f
tuberculous tenosynovitis of 245
Ulnar deviation 328
Ulnar drift 231, 336
Ulnar nerve 132f, 137, 139f, 148, 149, 245, 328
injury 149
lesion 206
palsy 328
Ulnar styloid process 204f
Ultrasonic B-mode scanning 525
Ultrasonography 37, 280, 380f, 527f, 568
Ultrasound 592
Doppler effect 94
scanning 596, 597
Umbilical concretion 539
Umbilicus 465, 509, 540f, 552, 571
absence of 601f
diseases of 539
Uncinate fit 297
Unconsciousness
absence of 274
depth of 276
time of onset of 274
Undescended testis 554, 557, 631, 633, 633f, 634, 649
bilateral 629
torsion of 648
Upper deep cervical lymph nodes 120
secondary carcinoma of 119f
Upper epiphyseal separation 252
Upper eyelid, drooping of 141
Upper jaw 351
tumors of 355
Upper limbs 8, 298
Uremia 275, 286
symptoms of 605
Ureter 590
course of 577
diseases of 600
examination of 583
Ureteral catheterization 589, 591
Ureteric calculus 325
Ureteric colic 503
Ureteric stone 587
Ureterorenoscopy 591
Urethra 208, 609
congenital malformation of 654
examination of 584
rupture of 608
stricture 620
Urethral discharge 229
Urethral meatus 609
external 652
internal 579f
Urethral neoplasm 608
Urethral stricture 608
causes of 608
Urethral valves, posterior 603
Urethrography 590
Urethroscopy 591
anterior 591
posterior 591
Urgency incontinence 580
Urinary bladder 82, 470, 556, 557, 609
bimanual palpation of 583f
Urinary calculi, majority of 586
Urinary diastase, estimation of 487
Urinary obstruction 595
Urinary organs 544
Urinary pH 585
Urinary sediment, cytological examination of 585
Urinary tract, lesion of 610
Urinary vesical swelling 554
Urine 37, 93, 161, 169, 182, 487, 585, 641
bacteriological examination of 597
bloody 578
cloudy 603
cytology of 604
examination of 68
extravasation of 635, 636, 647
gleety 606
incontinence of 300
retention of 579, 605, 606, 608
specific gravity of 585
Urogenital diaphragm 647
Urogenital tract, tuberculosis of 231
Urogram
antegrade 590
excretory 588, 588f
Urography 598
excretory 597
Urothelium, carcinoma of 610
Uterine appendages 315
Uterus 556, 557, 565
V
Vaginal discharge 575
Vaginal examination 315, 440, 466, 485, 502, 516, 531
Vaginal hernia, congenital 621f
Valsalva maneuver 572
Varicocele 599, 631, 632, 640, 645f
causes of 629
disappears 629
Varicose
aneurysm 103
ulcer 63, 69
Varicose veins 63f, 67, 109
causes of 113
complications of 112
examination of 18, 108
operation for 109
Vascular disorders 325
Vascular injury 184
Vascular insufficiency, examination of 67
Vasomotor 97
Vasospasm 94
Vater ampulla 534f
Veins 16
abnormal superficial 16
calcification of 113
pressure on 102
Venacavography, inferior 317
Venereal disease
research laboratory 228
type of 127
Venereal warts 657
Venous refilling 86, 87
Venous thrombosis 102, 113
types of 114
Venous ulcers 63f, 70, 74
majority of 74
Ventricular cannula 294
Ventriculography 281, 294, 295
Vermooten's sign 471
Verruca necrogenica 334
Vertebra, pathology of 309f
Vertebral angiography 294
Vertebral body, secondary carcinoma of 305
Vesical angiography 592
Vesical calculus 576, 602, 602f
Vesical piles, rupture of 605, 646
Vesicles 6, 646
Vessels, thrombosis of 91
Victor Horsley's sign 278
Villous
adenoma 573
papilloma 538
Vin Rose patch 44
Vincent's angina 366, 367
Vincent's organisms 69, 75, 362
Violence
amount of 178
direct 178
indirect 178
muscular 178
nature of 178
severe 208, 298
Viral origin 356
Virchow's nodes 387
Viscera 82, 185
Visceral complications, examination of 208
Visceral paralysis 303
Visceroptosis 505, 509
Vision
degree of loss of 289
dimness of 288, 296
Vitamin
B 366
deficiency 366
Vocal fremitus 415, 421
Voice
alteration of 371
hoarseness of 393
Voiding cystourethrograms 590
Volkmann's ischemic contracture 186, 198, 200, 235, 327, 335, 336f
Voluntary muscular rigidity 465, 482
Volvulus neonatorum 501
Vomiting 14, 275, 288, 296, 469, 477, 503, 506
persistent 524
Vomitus 452, 477
von Graefe's sign 401
von Recklinghausen's disease 23f, 48, 50, 50f, 164, 166, 172
W
Waddling gait 5, 249, 326
Warts 58
perianal 572
Wash-leather slough 65
Wassermann reaction 123, 160, 545
Watering-can perineum 80f, 636
Watery discharge 372
Weakness 85
Weapon, type of 274
Web space infection 331
Weight, loss of 23, 117, 129, 407, 420, 429, 453, 508, 560
Wet gangrene 95
Wharton's duct 376, 376f
Wide first thoracic rib 97
Worms, bag of 630, 632
Wound 133, 180
penetrating 100, 464
subcutaneous tissue of 180
Wrist
dorsal aspect of 155f
dorsiflexion of 244
drop 132, 132f
extensors of 33f
flexion test 248
flexors of 33f
injury around 205
level of 232
Wrist joint 187, 328
arthritis of 246
extension of 247f
extensor muscles of 135
flexion of 247f
Wryneck
sudden appearance of 391
varieties of 391
Wuchereria bancrofti 125
X
Xeroradiography 441
Xiphisternum 540f, 627
X-linked recessive inheritant disease 169
X-ray examination 82, 161, 164, 199, 205, 240, 301, 315, 422, 487
Y
Yaws 75
Yellowish gray gummatous tissue 72
Z
Zenker's diverticulum 456
Zieman's technique 616, 616f
Zollinger-Ellison syndrome 412, 517, 518
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