Notes of two interesting cases of pulmonic and cardiac disease / by J.W. Fleming.

  • Fleming, Jim (James William)
Date:
1860
Catalogue details

Licence: Public Domain Mark

Credit: Notes of two interesting cases of pulmonic and cardiac disease / by J.W. Fleming. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    ( « ) q'uantlty of air into the cavity of the pleura, ^Yhich, rising through the fluid, cannot escape Ly the same route, and is consequently condensed, until its elastic pressui’e forces the purulent matter through the fistulous r track into the air passages, when it is brought up liter- ally in mouthfuls like blood in cases of hoemoptysls. The changes of shape of the Heart, and Liver were i certainly most unusual, and that air was the efficient i agent in their production seems self-evident; and as additional proof, it may be stated, that the cavity of j the left pleura, at all times, contained more air than i liquid, from the early part of October up to the day of ,] his death. -j NOTE II. i Case 2nd.—Singular Affection of the Heart, Fistulous communication between right auri- cle AND VENTRICLE, AND LEFT VENTRICLE. Thomas D. iEt. 30. An Irish Carman, of short . stature, stout and healthy looking,—formerly of rather J intemperate habits—was admitted on the 31st May, ‘ 1847, with pain and swelling of the left testis attended with pain in the loins, especially on the left side, urine ,■ high colored and depositing a reddish sediment. The ^ swelling of the testis and lumbar pain soon abated un- i, der treatment, but he became subject to irregular attacks of purging, recurring at intervals, for neaily tlnee weeks. During this time it was remarked that the pulse in | the left wrist was almost wanting, though there was no j obvious irregular distribution of the artery, and on ex- i amining the chest there was a loud bellows sound ac- •, companying the ventricular systole, most distinct about .