Annual report / King Edward VII Sanatorium, Midhurst.

  • King Edward VII Sanatorium (Midhurst, England)
Date:
1907-
Catalogue details

Licence: In copyright

Credit: Annual report / King Edward VII Sanatorium, Midhurst. Source: Wellcome Collection.

    11/62 page 9
    Clinical Results—Classification of Patients. As in the former reports, the patients treated during the past year have been classified for statistical purposes under three groups. This classification (Turban-Gerhardt), described in the official journal of the International Tuberculosis Committee, is substantially as follows :— I. Disease of slight severity, limited to small areas of one lobe on either side, which, in case of in¬ fection of both apices, does not extend beyond the spine^of scapula or the clavicle, or in case of affection of the apex of one lung does not extend below the second rib in front. II. Disease of slight severity, more extensive than Group i, but affecting, at most, the whole of one lobe, or severe disease extending at most to the half of one lobe. III. All cases of greater severity than Group II., and all those with considerable cavities. By disease of slight severity is to be understood-, dis¬ seminated foci characterised by slight dullness, indefinite rough or weak vesicular, vesico- bronchial, or broncho-vesicular breathing, and fine and medium rales. By severe disease: massive infiltration recognised by de¬ finite dulness, broncho-vesicular or bronchial breathing, with or without rales. Cases with signs of considerable cavities, giving rise to tympanitic percussion with amphoric or cavernous breathing, and numerous coarse consonating rales, come under Group III. Pleuritic dulness, if only of slight extent, is to be left out of account; if it is considerable, pleuritis should be specially mentioned under tuberculous compli¬ cations. The following terms are used to describe the conditions of patients on discharge from the Sanatorium :— “ Disease arrested ” : General health completely restored in every respect without any sign of disease of lung except such as is compatible with a completely healed lesion. Sputum, if still present, free from tubercle bacilli.
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