Abstract
In a previous communication,1attention was called to certain peculiarities in the percussion note over the back with the patient in the lateral position. The observations of Hoffbauer and Holzknecht2on the action of the diaphragm in this position were noted as bearing on the subject. Subsequently, some studies have been made with reference to the effect of this peculiar diaphragmatic action on other physical signs, particularly auscultation, in health and in disease. It will be recalled that Hoffbauer and Holzknecht showed that when a person lies on the side, the diaphragm on the upper side tends to pull away from the chest wall and straighten out, losing something of its arch, while the diaphragm on the lower side is crowded cephalad by the abdominal viscera, which tend to slump toward the lower side. On contraction of the diaphragm, as in inspiration, the lower half of the diaphragm

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