AIds in Physical Diagnosis: Signs Over the Lower Left Lung Caused Chiefly by Cardiac Enlargement

Article1 July 1945AIDS IN PHYSICAL DIAGNOSIS: SIGNS OVER THE LOWER LEFT LUNG CAUSED CHIEFLY BY CARDIAC ENLARGEMENTEARLE M. CHAPMAN, M.D., F.A.C.P., ROBIN G. ANDERSON, M.D.EARLE M. CHAPMAN, M.D., F.A.C.P.Search for more papers by this author, ROBIN G. ANDERSON, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-23-1-35 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn 1896 William Ewart, physician to St. George's Hospital in London, described1what he termed his crucial signs of pericardial effusion. Clinicians have long appreciated Ewart's signs†and in 1918 Dr. H. A. Christian2reported their presence in 73 per cent of his cases of acute fibrinous pericarditis. L. A. Connor in the first issue of the American Heart Journal likewise called attention to these signs.3We have observed a somewhat similar group of physical signs over the left lower lung but in no case was there evidence of pericarditis or pericardial effusion to explain the physical changes. Likewise we...Bibliography1. EWART W: Practical aids in the diagnosis of pericardial effusion, in connection with the question as to surgical treatment, Brit. Med. Jr., 1896, i, 717. CrossrefGoogle Scholar2. CHRISTIAN HA: The frequency of pulmonary compression signs in acute fibrinous pericarditis, Jr. Am. Med. Assoc., 1918, lxxi, 419. CrossrefGoogle Scholar3. CONNOR LA: On the diagnosis of pericardial effusion with special reference to the physical signs over the posterior aspect of the thorax, Am. Heart Jr., 1925-26, i, 421. Google Scholar4. VAQUEZLAIDLAW HG: Diseases of the heart, 1925, W. B. Saunders, Philadelphia, p. 58. Google Scholar5. PIORRY PA: Traite de plessimetrisme et d'organographisme, 1866, A. Delahaye, Paris. Google Scholar6. BARIE E: L'exploration de l'oreillette gauche. (Examen du coeur, par les region dorsale), Bull. méd. Paris, 1897, ii, 701. Google Scholar7. WHITE PD: Heart disease, 1931, Macmillan Company, New York, p. 53. Google Scholar8. CHAPMANGOLDSTEIN EMA: The physics of sound with particular relation to examination of the patient, Jr. Lab. and Clin. Med., 1943, xxviii, 1535. Google Scholar9. KLOPSTOCK R: Klin. Wchnschr., 1933, ii, 1602. Google Scholar10. ALLENLINTONDONALDSON AWRRGA: Thrombosis and embolism, Ann. Surg., 1943, cxviii, 728. CrossrefGoogle Scholar11. CHURCHILLBELSEY EDR: Segmental pneumonectomy in bronchiectasis, Ann. Surg., 1939, cix, 481. CrossrefGoogle Scholar12. OLGIVIE AG: The natural history of bronchiectasis, Arch. Int. Med., 1941, lxviii, 395. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Received for publication September 11, 1944.†We can find no authority of Ewart's sign accredited with the same in Dorland's dictionary. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byRoentgenography of pericardial diseasePERICARDITIS WITH EFFUSION: NEW OBSERVATIONS, WITH A NOTE ON EWART'S SIGN*†ISRAEL STEINBERG, M.D., F.A.C.P.Case 41382Case 33101A SERVICE FOR DOCTORS AND PATIENTSEWART'S SIGN 1 July 1945Volume 23, Issue 1Page: 35-40KeywordsAIDSHeartLungs Issue Published: 1 July 1945 PDF downloadLoading ...