By Jindal, Satish Kumar
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He was struck by the ease with which sound was conducted in this manner. In 1816, a young stout woman consulted him for symptoms of heart disease. Her young age and obesity did not permit him to put his ear directly to her chest (direct auscultation). He lightly rolled up a thick sheaf of paper, placing one end over the precordium and the other end over his ear. To his surprise, he could hear the heart sounds with far greater clarity than ever before, when he used to place his ear directly to the chest.
Nutritional Management and General Care in the Intensive Care Unit Navneet Singh Malnutrition in Critical Illness 1921; Assessment of Nutritional Status in Critically Ill Patients 1922; Goals and Principles of Nutritional Support 1923; Timing of Initiation of Nutritional Support 1924; Route of Administration of Nutritional Support 1924; Quantity and Volume of Nutrition Support 1926; Delivery of Enteral Nutrition and its Determinants 1927; General Care in ICU 1929 1921 XXXVII TEXTBOOK OF PULMONARY AND CRITICAL CARE MEDICINE XXXVIII 148.
Nasopharynx continues inferiorly into the oropharynx—the space behind the oral cavity, upto the hyoid bone and thereafter into the hypopharynx, which extends from the hyoid bone upto the upper end of the esophagus and the larynx. SECTION 1: HISTORY AND DEVELOPMENT 10 Fig. 1: Laryngeal opening as seen from above at the level of vocal cords Larynx constitutes an important component of the upper respiratory tract. It is the seat of phonation and acts as sentry for the lower respiratory tract by preventing the aspiration of secretions and by regulating the flow of air.