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March 21, 1885


JAMA. 1885;IV(12):324-325. doi:10.1001/jama.1885.02390870016004

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This mode of physical examination is so little known, that a few facts concerning it may not be superfluous. It consists in auscultation with the ear, or preferably with the stethoscope, at various points along the tract of the gullet, while the patient is in the act of swallowing some liquid. The instrument is first placed over the pharynx, upon the side of the neck, at the level of the hyoid bone, after which it is moved from point to point down the back, immediately to the left of the spinal column, as far as the eighth dorsal vertebra. Hamburger originated this method, and published his observations and conclusions in the Œsterrich. med. Jahrb., 1867, 1868, 1869, and in 1871, in a monograph entitled Klinik der Œsophagus-Krankheiten. Other investigators followed in his track, and recorded their researches as follows:

Morell Mackenzie, Clinical Lecture on Diseases of the Œsophagus, with Special

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