REPORT OF A CASE OF PRIMARY CARCINOMA OF LIVER

R. C. HARRIS
1900 Journal of the American Medical Association (JAMA)  
instance, the presence of a nephritis will naturally produce enlargement of the left side of the heart. On the other hand, an asthma with the consequent emphysema will cause the lungs to overlie the heart and make its size appear less than it really is. Then, too, we must remember that in childhood, before the age of puberty, the right side of the heart reaches somewhat farther toward the right than it does in adult life, and that the apex-beat is quite commonly in the fourth interspace instead
more » ... interspace instead of the fifth. If these facts be not borne in mind, one might readily make the diagnosis of hypertrophy of the right ventricle when no such hypertrophy was really present. If, while bearing in mind the various diagnostic symptoms mentioned and the questions which arise in con-
doi:10.1001/jama.1900.24610250025003j fatcat:oqlukisy5fb3ndhrglioxbufvu