The diagnosis of tuberculosis of the lung, with special reference to the early stages / by K. Turban ; with an introduction by Sir Dyce Duckworth ; translated by E.C. Morland.

Turban, Karl.

Date:: 1905

Credit: The diagnosis of tuberculosis of the lung, with special reference to the early stages / by K. Turban ; with an introduction by Sir Dyce Duckworth ; translated by E.C. Morland. Source: Wellcome Collection.

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

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$these sounds from the true rales dependent on catarrh. Loud piping [Pfeifeii] and whining \Giemen\ arising on one side may be conducted across to the other, especially in small chests, Conduction of Rales. , . e.g., in children and very slim adults, a fact which has not escaped careful observers. The conducted sounds may be heard all over the healthy side or only in regions adjoining the side affected. An occasional but little noticed occur- rence is the conduction of moist rales from one side to symmetrical points of the other. I have made this observation in front over the clavicle and the first intercostal space near the sternum, behind along the whole vertebral column, above and over the spine of the scapula and somewhat further out. In conduction of rales from one apex to the other I have found without exception signs of infiltration at the latter; in other situations where conducted rales were heard there was often no evidence of disease forthcoming. At the place of origin the r^es were always loud, partly or wholly consonating, and the build of the body almost always very slight. Bony conduction is a ready explanation when it occurs in front through the sternum and its firm union with the clavicle and first rib, or behind through the vertebral column ; if it occurs further out than this some factor must come into play, such as a layer of good conducting- infiltration, or of thickened pleura on the side of$