Some cases of aneurysm / by G. A. Gibson.

Date:
1905
Catalogue details

Licence: In copyright

Credit: Some cases of aneurysm / by G. A. Gibson. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    5/20
    By G. a. GIBSON, M.D., D.Sc, (Edin.), Hon. LL.D. (St. And.), F.R.C.P. (Edin.), Physician to the Royal Infirmary, Edinburgh. [With Plates XXXII.—XXXV.] IIt seems to me that we could not better utilise the present loccasion than by taking the opportunity afforded by the fact tthat five cases of aneurysm are now in my wards in order to ■discuss some aspects of this interesting affection. The remarks labout to be made will be largely devoted to the symptoms and diagnosis of the disease, but some matters concerned with prognosis and treatment will necessarily arise in connection with the subject. Without further preface the different patients will now be presented to you. Case I.—R. R., aged 40, blacksmith, who had served with :he Imperial Yeomanry in South Africa as a farrier, was ■recommended by Dr. Watson, of Wemyss, to Ward XXIX., Tebruary i, 1904, on account of breathlessness and cough which had troubled him for six months. It is found that the patient is only comfortable when pitting upright. He has a harsh brassy cough, and a loud ptridor, while the voice is hoarse and monotonous. There is ■<10 difficulty in swallowing. On examination of the thorax there is some pulsation on both sides of the manubrium, but no iprojection of any part of the chest is present. No thrill can be (letected. On percussion, the right and left borders of the •heart are found to be respectively 2^ and 4^ inches from mid- fcternum ; there is an area of duhiess above the praecordia, ex- <-ending as high as the first rib, and stretching 2| inches to right |and 11 inches to left of the midsternal line. On auscultation, 1^10 murmur has at any time been detected, but the aortic second ; ' A Clii.ical Lecture in the Royal Infirmary.