Anatomical and physiological description of the late Signor Sarti's new anatomical model, : together with the causes, symptoms, and treatment of the diseases of the principal organs. / By W. Mawhinney, surgeon.

  • Mawhinney, W.
Date:
[between 1849 and 1854?]
Catalogue details

Licence: Public Domain Mark

Credit: Anatomical and physiological description of the late Signor Sarti's new anatomical model, : together with the causes, symptoms, and treatment of the diseases of the principal organs. / By W. Mawhinney, surgeon. Source: Wellcome Collection.

    18/48 page 18
    SPITTING OF BLOOD. treated accordingly. When there is an effusion, which is frequently the case, which is known by the dull sound heard on striking the chest, it is removed by puncturing the chest at the part where the fluid accumulates, if this is indicated by the pointing of the matter, or between the eleventh and Ae it., ribs ; the constitution must be supported, and opium given to relieve the constitutional irritation. As the treatment of this disease must be bv a meuical man, any further description would be unnec-essar)r; and as the disease does not run its course so rapidly as acute inflammations, medical aid can always be procured in time. PULMONITIS, INFLAMMATION OF THE LUNGS. disease there is a difficulty in breathing, cough, and expectora¬ tion. ihe breathing is shallow, and the pain is dull and deeply seated ; whereas in bronchitis there is a soreness in coughing and a constriction in le front of the chest. The respiration is quick, and there is present the ordinary symptoms of inflammation. The expectoration is regarded bv some as a distinctive sign of the disease, from its adhering to the vessel like mucus. Ihe disease has three distinct stages, in each of which the sym- ptoms wifl vary. In the first stage there is an increased quantity of blood, so that we have respiration accompanied with a crepitating rattle—such a sound is heard when a few hairs are rubbed together close to the ear—in¬ stead of the ordinary murmur heard in the healthy chest. In the second stage, the quantity of blood is increased, so that the part becomes solid as a, portion of the liver ; in this stage, no air can be admitted into the affected pait, so that there is no hollow sound on striking the chest: there is no re¬ spiratory murmur or crepitus heard. In the third stage, pus is formed ; but is not collected into an abscess, but diffused generally through the substance o ihe lung; m this stage, as in the second, there is no sound on percussion, no respiratory murmur or crepitous rattle, but there is a mucous rattle fro® some effusion into the bronchial tubes. SPITTING OF BLOOD. This disease is called hemoptysis. The blood may come either from the !ITbraDe °f thf br°nCbial tub6S’ °r frora the air-cells. So far Z the r.atment is concerned, it is of little consequence whether the effusion is fiom one or the other But so far as the patient is concerned, there is a great difference. I. the effusion comes from the lining of the tubes it is not so profuse as when it comes from the air-cells; hut that which cmnes from *he1t.ub]es ,ls form whlch precedes consumption. The only s omach IfiLnrr C°Dfounded with it, is hemorrhage from the stomach If it come from the stomach, it is of a dark colour, as the effusion is from .he veins ; and from having remained in the stomach for some time it is generally coagulated and mixed with the contents of the stomach and nthUe8?^, 7knefS’ RKd’ rhapS> vomiting‘ Whe« it comes mucu^f ThfS arP^ * ° a bnght reel colour, and mixed with frothv ueu . I here are also pectoral symptoms, such as “ stitch” in the side cough, and tickling m the throat. When the effusion is from the air-cells’ there is, in addition to the symptoms which I have mentioned difficulty in breathing, heat m the front of the chest, flushing in the face, followed by great paleness ; sometimes from the air-cells therf has been spit up so much as ten pints in twenty-four hours. Treatment :—The patient should not if possible, be allowed to lie down. Ice ought to be applied to the chest; and,
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