text_original: Possibly you have already remarked that in walking or standing he leans somewhat forward, or to the right. On inspection of the exposed chest and abdomen you notice that, although the patient may be somewhat wasted, the epigastrium, instead of being scaphoid, as it usually is 176 DIAGNOSIS OF in a thin man, is, on the contrary, somewhat full.
text_transcription: POSSIBLY YOU HAVE ALREADY REMARKED THAT IN WALKING OR STANDING HE LEANS SOMEWHAT FORWARD OR TO THE RIGHT ON INSPECTION OF THE EXPOSED CHEST AND ABDOMEN YOU NOTICE THAT ALTHOUGH THE PATIENT MAY BE SOMEWHAT WASTED THE EPIGASTRIUM INSTEAD OF BEING SCAFFOID AS IT USUALLY IS IN A THIN MAN IS ON THE CONTRARY SOMEWHAT FULL
phonemes: pˈɑːsᵻbli juː hæv ɔːlɹˌɛdi ɹᵻmˈɑːɹkt ðæt ɪn wˈɔːkɪŋ ɔːɹ stˈændɪŋ hiː lˈiːnz sˈʌmwʌt fˈɔːɹwɚd, ɔːɹ tə ðə ɹˈaɪt. ˌɔn ɪnspˈɛkʃən ʌvðɪ ɛkspˈoʊzd tʃˈɛst ænd ˈæbdəmən juː nˈoʊɾɪs ðˈæt, ɔːlðˈoʊ ðə pˈeɪʃənt mˈeɪ biː sˈʌmwʌt wˈeɪstᵻd, ðɪ ˌɛpɪɡˈæstɹiəm, ɪnstˈɛd ʌv bˌiːɪŋ skˈæfɔɪd, æz ɪt jˈuːʒuːəli ɪz wˈʌnhˈʌndɹɪd sˈɛvənti sˈɪks dˌaɪəɡnˈoʊsɪs ʌv ɪn ɐ θˈɪn mˈæn, ɪz, ɔnðə kˈɑːntɹɛɹi, sˈʌmwʌt fˈʊl.