A medical handbook : for the use of practitioners and students / by R.S. Aitchison.

Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: A medical handbook : for the use of practitioners and students / by R.S. Aitchison. 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.

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    more or less compensatory emphysema present. The pleura is thickened, and the cavity, in extreme cases inay be obliterated, or the parietal and visceral layers may be firm y bound by numerous adhesions. The pulmonary vessels are dilated and thickened. C r- rhSs is commonly bilateral but often it - •'^^^'^-j'.f^f ^ when the primary irritating cause (as m phthisis) is l^'led to one lun^. In anthracosis, the lung, besides being pigmented, ha iet-black nodules throughout its substance, which a.-e hard, and may be picked out. In stone mason\s lung the nodules are grey, and the lung is more markedly cirrhotic. . The symptoms of chronic interstitial pneumoma are mixed up with tire wto'^ °f the initial disease by which it is caused and k presence may only, in many cases, be surmised. Inspe t on reveds the flattening, and in extreme <?^^^^'/he ^Irawing of the chest-walls, due to the adhesions and their con raction. The hear is ftequently drawn from its normal position.. The -^'Xted s d chest with the cyrtometer reveals great shrinking of the affected side a compared with the sound side-^'..., m unilateral case . The rercu^ion-tone is impaired, and dulness is most frequent at the K ces w ich are much shnmken. Auscidtation gives the brealh- sounds accompaniments, and vocal resonance, ^ccordrng to the XtofTprlmary disease. In thephthisical-whether g^^^^^^^ the primary cause of the cirrhosis or ^^f'^ ^^'^'^r^^'^P'] f the of nh h sis are present. The history of the previous health and the cL5 o th^ dis'ease, are, therefore, important points m the diagnos,. Pleurisy with contraction may simulate cirrhosi ; a^^d ^o maj malignLt growths. When the cirrhotic contractions affect the and much increased in volume °J^^;/^P,2 hey feel like '' thin times entirely. The lungs do not crepitate ^na J bags loosely filled with feathers. J^e pans most ^ ^^^^ ^^^^^^ terior borders and apices. \A hen he au^ es i i^j^^g^ed, are often formed. The ^''•.'^l^t'oi th ough the ai^ ^^^^ ^^^^^ and hence tl.ere IS -n|« .c«. ow.. ds th^^^^^^^^^^^^^ ^^^^^^ KoptSberunder^t^^ valvuL diseases of the heart.