THE INFLUENCE OF STRONG, PREVALENT, RAIN-BEARING WINDS ON THE COURSE OF PHTHISIS

thoracic surface, as well as for tlle study of the intratlhoracic conditions-the latter, however, owing to the )ossible bony conduction of sounds originating within the clhest, present a complicating element of difficulty and' of dotubt. It is noteworthy-that the sign was first described in a case of tuberctulosis. AlthouLgh no general significance attachesto tlhat circumstanoe, the sphereof -its clinical utility seems likely to renmain largely identified with a iimore thorough physieal examnination of the chest for the diagnosis of tubercular affections of the pulmonary apices and of the mediastinum, in addition to its everyday employment in the diagnosis of rheumatic affectiolns of the scapular and sterno-clavicular articulations and of their ligaments and miuscles.