On hydatids of the lung : their diagnosis, prognosis, and treatment, and observations on their relations to pulmonary consumption, and other diseases of the chest / Samual Dougan Bird.

  • Bird, S. D. (Samuel Dougan)
Date:
1877
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Licence: Public Domain Mark

Credit: On hydatids of the lung : their diagnosis, prognosis, and treatment, and observations on their relations to pulmonary consumption, and other diseases of the chest / Samual Dougan Bird. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    would be the case when the cyst is only of moderate size, and does not impinge on the chest wall so as to give the physical signs of fluid; while at the same time general symptoms, common to phthisis and other wasting diseases, may be going on. But great care must be taken not to pronounce too authoritatively as to the diagnosis of one or the other disease, for they very commonly coexist, the tubercular deposit being a sequence of long continued pressure on the lung— for obstructed circulation, whether of air or blood, of course favours both the origination and deposit of tubercle in persons predisposed to that class of dis- ease. I have in many instances seen the character- istic phthisical aspect, clubbed fingers and incurved nails, and genuine tubercular crackle, gradually super- vene on a case of simple hydatid, and the latter dis- ease appear to retire into the background, while the patient ran through the usual course of consumption. And here I must insist on the necessity for the early diagnosis and treatment of hydatid in the lung, in persons predisposed to tubercle, before the cyst shall have time to grow large, and, by its pressure on the lung tissue, bring about that chronic engorgement which is most likely to offer a locus standi to con- stitutional tendencies which are only waiting, so to speak, for such an opportunity. I will here instance two cases illustrative of this. A young lady of highly nervous temperament, and exactly the subject for active tuberculous degeneration, to which she had also an hereditary title, was brought to me about
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