Diseases of the chest, throat and nasal cavities : including physical diagnosis and diseases of the lungs, heart and aorta, laryngology and diseases of the pharynx, larynx, nose, thyroid gland, and œsophagus / by E. Fletcher Ingals.

  • Ingals, E. Fletcher (Ephraim Fletcher), 1848-1918.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the chest, throat and nasal cavities : including physical diagnosis and diseases of the lungs, heart and aorta, laryngology and diseases of the pharynx, larynx, nose, thyroid gland, and œsophagus / by E. Fletcher Ingals. Source: Wellcome Collection.

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    CHAPTER X. PULMONARY DISBAS'ES.—Contimced. PULMONARY PHTHISIS. Under pulmonary phthisis may be grouped several affections, differ- in. somewhat in their anatomical characteristics, but closely resembling eafh other in their physical signs. From this latter fact it :s especially appropriate, in the matter of diagnosis, to consider them together. The term phthisis will then include all those wasting pulmonary affections which are attended with exudation or infiltration into the pulmonary parenchyma, causing consolidation, and attended or followed by more or less induration and contraction and subsequent breaking down of lung tissue whether these diseases be the result of a simple inflammatory affection, or the cause or the result of tubercular infiltration. The term pulmonary phthisis will therefore include fibroid phthisis and the ordi- nary acute and chronic forms of pulmonary tuberculosis. Any special symptoms or signs which are of value in differentiating between these various conditions will be separately considered. Fibroid phthisis is also known as cirrhosis, induration, or fibroid de- generation of the lung; sometimes as chronic catarrhal pneumonia, and occasionally as bronchiectasis. The ordinary forms of phthisis have also been previously named, as, chronic croupous pneumonia, chronic catarrhal or caseous pneumonia, cheesy or tuberculous infiltration of the lung, chronic tuberculosis, and pneumonic phthisis. PULMONARY TUBERCULOSIS. Pulmonary tuberculosis may be more or less acute or chronic; run- ning its course within a period of six months or a year, or being prolonged in exceptional cases for many years. The term acute tubercular phthisis is properly applied to miliary tuberculosis of the lung as a part of a generally disseminated disease. Upon post-mortem examination usually both lungs are found to be affected. Anatomical and Pathological Characteristics.—A lung which is the seat of ordinary tuberculosis may appear superficially normal or mottled, with grayish-yellow areas over which minute tubercles may be seen in the pleura. This membrane may also be covered with an inflam- matory exudate. The organ is heavier, more solid, and less crepitant than normal. Section usually reveals at the apex one or more ragged.