Heart Studies, Chiefly Clinical: I. the Pulse-Sensations: a Study in Tactile ...

Cover Heart Studies, Chiefly Clinical: I. the Pulse-Sensations: a Study in Tactile ...
Heart Studies, Chiefly Clinical: I. the Pulse-Sensations: a Study in Tactile ...
Ewart, William, 1848-
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With slowly increasing pressure the sensations lose more and more their previously symmetrical character, and tend to become limited to the proximal half of the under surface of the pulp. This exact distribution is, Fio. 32.
Pressare iv: The ictus migrates to the proximal finger border, striking in the direction shown by the shaded arrow- head. N.B. The black arrow-head is a duplicate of the latter.
The thin arrow indicates the onset of the ware.
however, very difiicult to bring about, owing to
... its very short range. Usually, with some suddenness, the ictus ceases to be prominently felt by the flat of the finger-pulp, and it makes its appearance at the proximal phalangeal border, in a situation exactly symmetrical with that it previously occupied (in Experiment B) at the distal border.
This is the final position attained by the ictus.
The pressure may be increased gradually without Digitized by Google THE FOUR PRESSURES. 121 displacing the latter from the proximal, border. But as the finger sinks more deeply into the soft parts, the ictus will ascend to a higher level along its side, whilst sensation may be blunted or lost over corre- sponding portions of the extremity of the phalangeal border.


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