Pneumothorax produced by physical exertion / by G. A. Gibson.

Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Pneumothorax produced by physical exertion / 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.

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    severe exertion while rowing; by Flint, in a pedlar, who, on two successive occasions, was attacked by pneumothorax while carrying a burden; by Vogel, as a sequel to an attack of bronchitis; and by Friintzel, in a man who produced the affection by moving a heavy barrel. It may be added that Thorburn mentions another case which was verbally reported to him by Noble, and that his own case was afterwards under the observation of Gairdner, who has fully described it. In all of the instances described by these authors re- covery took place. This fortunate event, however, has not invariably occurred. Erichsen, for example, described an instance of pneumothorax, produced by carrying a heavy beam, in which secondary changes occurred, resulting in empyema which caused the death of the patient. In some cases, as in that described by Vogel, there seems to have been evidence of previous pulmonary disease. In the majority, however, there was no such antecedent, and in all cases of this kind it must be a matter of inference whether the pneumothorax has taken its origin in the rupture of emphysematous vesicles, or, as was suggested by me in ex- plaining the case which has been described above, by the existence of adhesions which have led to tearing of the lung substance. The most interesting point in the case above described is without doubt the fact of the localised character of the physical signs, which can only be accounted for by the assumption of adhesions such as would result from previous pleuritic changes. M‘Dowell Biermer . Thorburn Flint . . Vogel . . Frantzel . Gairdner Erichsen . REFERENCES. Dublin Hosp. Gaz., 1856, N.S., vol. iii. Wiirzh. med. Ztsclir., 1860, bd. i. Brit. Med. Journ., London, 1860, vol. i. “ Treatise on the Principles and Practice of Medicine,” 1866. Deutsches Arch. f. klin. Med., Leipzig, 1867, bd. ii. “ Ilandbuch der speciellen Patliologie imd Thera- pie,” 1875, bd. iv. “Clinical Medicine,” 1862. Hf. Petersh. med. Zischr., 1869, bd. xv.
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