A manual of medical diagnosis / by A.W. Barclay.

  • Andrew Whyte Barclay
Date:
1857
Catalogue details

Licence: Public Domain Mark

Credit: A manual of medical diagnosis / by A.W. Barclay. 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.

    139/642 (page 115)
    ■albuminuria. In such cases, a condition of sini])le :hy]jertropliy of the heart, so often associated with dis- ease of the kidney, may possibly have something to do Rwith its occurrence ; but this is certainly not its con- •stant cause. As a consequence of local disease, it most ^commonly arises from polypoid or fungoid growths in i the nose. §2. llcemoptysis.—Literally, spitting of blood ; tlie .term is now restricted to h:emorrliage from the lungs. IThe appearance of blood in the sj)uta fi-om any other lungs -source may be called spindous, that from the .■genuine hfemoptysis. A. Spurious : a very frequent occurrence in hys- iterical females ; or a consequence of a relaxed or »aphthous state of the tonsils, or sponginess of the it is derived in both cases from the mouth or I fauces. In the latter their altered condition will be stseen on inspection ; in the former the general state of hhealth, and the presence of hysterical symptoms, will serve to confirm the opinion we are led to form from aan examination of the sputa. The blood, which aji- •pears as streaks or small clots, is mixed with brownish aand sometimes foetid saliva, which has a glairy appearance, is free from froth, and is only j:)artially idntermixed with bronchial mucus ; the secretion from tthe lungs floats upon the saliva, is untinged with blood, sand does not differ from that which is occasionally expectorated by all persons in health. B. Genuine hfemoptysis occurs in very varying quantity, from a slight streak in the frothy mucus secreted by irritated air-tubes, such as is met with in early phthisis or bronchitis, to an increthble amount of pure unmixed blood. In the former there is little difficulty in making out that its source is pulmonic, when we have the evidence of existing cough, accom- panied by expectoration clearly coming from the llungs, with which blood of a florid colour is evidently idntermixed : but when the quantity is larger, it is I 2 ■i .