Principles of pathological anatomy : adapted to the Cyclopedia of practical medicine and Andral's elements / by J. Hope.

  • Hope, James, 1801-1841.
Date:
1845
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Licence: Public Domain Mark

Credit: Principles of pathological anatomy : adapted to the Cyclopedia of practical medicine and Andral's elements / by J. Hope. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    That they are to be recognized more by the signs of the tu- mor than by those of disease of the lung. That dysphagia, tracheal stridor, feebleness of one pulse, dif- ference of respiratory murmur from pressure on the bronchial tube, displacement of the diaphragm, and dilatation of the heart, may occur in this form of the disease. That a cancerous tumor may exhibit pulsation with or with- out bellows murmur, but that pulsation is not always attend- ant on it. That though the previous existence of external cancer may assist in diagnosis, yet that the disease may be all through in- terna], or the visceral precede the external cancer. That the feebleness of pulsation connected with the extent of dulness may assist in distinguishing the disease from aneu- rism. That in the advanced periods, as in aneurism, gangrene of a portion of the lung may supervene.* That the following symptoms are important as indicative of this disease: pain of a continued kind; a varicose state of the veins in the neck, thorax and abdomen; oedema of one extrem- ity; rapid formation of external tumors of a cancerous charac- ter; expectoration similar in appearance to currant jelly; re- sistance of symptoms to ordinary treatment. That, though none of the physical signs of this disease are, separately considered, peculiar to it, yet that their combinations and modes of succession are not seen in any other affection of the lung.] * My friend Mr. Mac Donnell has shown that, from the anatomiaal disposition of the nutritive arteries of the lung, pressure upon any part of the main bronchus might cause the death of the lung. Of course the liability to this is greater in the case of mediastinal tumors than in the simple degeneration. Dr. Greene has met with this gangrene, from the same physical causes, in aneurism. See the Transactions of the Pathological Society.