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
Licence: In copyright
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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![And since these cells also appear in the sputum in cases of asthma and simple bronchial catarrh, their significance for diagnosis and prognosis is questionable. The occurrence of hcsmoptysis in closed tuber- culosis is deserving of special notice. The streaks and spots of blood, as well as the Hsemoptysis. Still less considerable traces, have an oriorin analogous to those occurring in acute croupous pneumonia, and are as easily explained. Larger haemorrhages are generally followed by expectoration containing bacilli (“ initial haemop- tysis ”), and hence usher in the open stage. But considerable haemoptysis does also occur without the subsequent appearance of tubercle bacilli. Miss C., aged 25, with tubercular heredity on both father's and mother’s side, has had from childhood a c Be of Hjemop scrophulous nose and lip ; and from tysis without puberty has suffered from glandular appearance of swelling and chloi'osis. Four years ago, tubercular glands removed from one side of the neck, and a few months ago from the other. Feeling much run down after the second operation^ patient went to live in the country, but was soon home- sick for town-life again. Three weeks ago, without coughing, she spat up a couple of drachms of blood, and two days later this was repeated. On examination I find RS., slight dulness, weak insp., prolonged exp., and scanty crepitation [/v/ifs/mi]. LS., also some crepitation. RI. and LI., pleural sounds. No bacilli or elastic fibres in the sputum. Enlarged glands in various parts of the body, especially the left axilla. Patient is very excitable, reddens on the slightest occasion, is restless during sleep, and has a very vari- able pulse rate, often over 100. Temperature also very](https://iiif.wellcomecollection.org/image/b24907753_0035.jp2/full/800%2C/0/default.jpg)
