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September 3, 1910


JAMA. 1910;55(10):856. doi:10.1001/jama.1910.04330100042014

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In a recent paper I referred to the presence of a succussion murmur in one patient with a pharyngoesophageal diverticulum. The finding of this splash in three other patients similarly affected would seem to indicate that this sign is of distinct value in the clinical investigation of patients. As the real condition in all four of these cases had escaped recognition, a description of this maneuver may be of value.

The patient is asked to drink as much water as he conveniently can, preferably at a time when the sac is most likely to be empty, i. e., the early morning. Then the patient's larynx is grasped by the hand and the soft tissues of the neck vigorously shaken. During this time the patient is requested not to breathe or swallow. The examiner, with the ear near the patient's neck, can readily hear the splash of the fluid in the

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