A treatise on the diseases of the chest : in which they are described according to their anatomical characters, and their diagnosis established on a new principle by means of acoustick instruments : with plates / tr. from the French of R.T.H. Laennec, with a preface and notes by John Forbes.
- René Laennec
- Date:
- 1821
Licence: Public Domain Mark
Credit: A treatise on the diseases of the chest : in which they are described according to their anatomical characters, and their diagnosis established on a new principle by means of acoustick instruments : with plates / tr. from the French of R.T.H. Laennec, with a preface and notes by John Forbes. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![Cases the intervening substance appeared like a compound of fibro-cartilage and black pulmonary matter. There were no tubercles whatever in the lungs; but the whole of the inferior lobes, and the lower portion of the superior, had a consistence equal to that of liver, which, when cut, exhibited a granulated surface, and poured out a purulent fluid intermixed with blood. The heart was somewhat larger than natural, and was filled with coagula. The right ventricle, in particular, was evidently enlarged, and both of these were thin, especially the right. Case 3, Page 20. (No. iii. of the Author). Phthisis Pul]\ionalis. Ulcer converted into semi-cartilaginous fistula. A woman, aged 40, had been long subject to much cough, and dyspnoea, varied by temporary aggravations, especially by certain states of the weather. These symp- toms, which she called Asthma, had not incapacitated her for labour, until the last fifteen days, at the end of which time she came into hospital. At this time she could not at all lie down,—the respiration was very short and difficult, the lips violet, and there was anasarca of the lower limbs. The chest yielded, on percussion, a pretty good sound throughout, though, perhaps, somewhat less than natural. Immediately below the clavicle on each side, the cylinder discovered a well-marked rattle. The thoracic parietes were much and forcibly elevated at each inspiration. The cough was very frequent, and followed by expectoration of opaque yellow sputa. Pectoriloquism was not discover- able. The pulse was frequent^ small, and regular; the external jugulars were swelled and distinctly pulsative; the pulsations of the heart (examined by the stethoscope) were deep, regular, little sonorous, and without impulse to the ear. From this examination I thought myself justified in considering the heart as sound, notwithstanding the con- trary indication afforded by the general symptoms; and accordingly gave my diagnostic—Phthisis without disease](https://iiif.wellcomecollection.org/image/b2106281x_0439.jp2/full/800%2C/0/default.jpg)
