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.
447/506 page 403
![On the 7th June, the respiration was still very distinct on the right side, but on the left it was quite inaudible except at the top of the chest, where, however, it was much weaker than formerly,—and at the roots of the lung, where it was much more distinct than formerly. The left side sounded still worse on percussion than at first. These re- sults induced me to add to my former diagnostic:—the peripneumony has begun to resolve towards the root of the lung ; but there has supervened a pleurisy, with sero-puru- lent effusion, of the left side. On the 12th the respiration was very slightly perceptible below the left clavicle ; and on the 16th it could scarcely be at all distinguished over the whole anterior and superior half of this side of the chest; but the resonance, on percussion, had again be- come very distinct over this space. From this last sign I added to the diagnostic—Pneumo-thorax. There was now much cough, and the expectoration was copious, opaque and ropy. On the 17th the pain, which had left him since April, returned very severe, between the fifth and sixth ribs of the left side. On the 1 st July the sound of respiration was quite extinct over the left side. 3rd, Resonance of the chest equal on both sides ; respiration very distinct on the right, not at all on the left side, either before or behind, oxcept at the roots of the lung, and perhaps a little under the clavicle. The pain and cough being more violent, he expectorated in the space of a few minutes half a pint of yellow opaque purulent sputa. This kind of expectoration continued for some days, with increase of pain and dysp- noea. Pectoriloquism, sought for in several points, was not discovered*. This-man died on the 31st. Dissection twenty-four hours after death. [For this see the work, page 59]. Case l(j, Page iS7. (No. xxxvi. in the original). ILe- mopt ysis. Pulmonary Apoplexy in a subject affected with * Ncitlwr was the metallick tinkling observed. The hippocratic succussiou l*as not tried.](https://iiif.wellcomecollection.org/image/b2106281x_0447.jp2/full/800%2C/0/default.jpg)
