Treatise on the immediate cause, and the specific treatment of pulmonary phthisis : and tubercular diseases / by J. Francis Churchill.
- John Francis Churchill
- Date:
- [1859]
Licence: Public Domain Mark
Credit: Treatise on the immediate cause, and the specific treatment of pulmonary phthisis : and tubercular diseases / by J. Francis Churchill. Source: Wellcome Collection.
Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
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![the whole of the left side, especially over the back; rattling over the upper portion of the left lung, most noticeable behind; at the base, moist crepitation, most de- cided on the back, with great resonance of the voice; on the right side there was increased respiratory murmur. Diagnosis.—A cavity at the apex of the left lung, with tubercles in the second stage at the base. Ordered four grains of the hypophosphite of lime. November bUi.—Feels stronger; has less difficulty in breathing. Increased the dose to six grains. November 1th.—Increased to ten grains. November 10th.—Continued improvement; has been able to make quite long ex- cursions on foot and in a carriage. November 13th.—The weather has suddenly grown cold; to-day there is great dyspnoea, and the cough and expectoration have increased. Auscultation shows excessive rattling over the whole of the posterior portion of the left lung. Sus- pended treatment. November lilh.—The patient was suddenly seized in the night with a violent pain in the left side ; the respiration is quick; face anxious; auscultation shows strong cavernous respiration, occupying the whole left side of the chest, with great resonance on percussion. Diagnosis.—Pneumo-thorax. [An accumulation of air in the cavity of the pleura; a complaint generally sudden in its invasion, and fatal in its character.]—Trans. Patient died on the 17 th. No autopsy. CASE NO. XXIII. Mr. A : 32 years old; born in England; unmarried. Has been sick seven years; came to reside in Havana six years ago, by advice of various physicians in London, who informed him that the disease then existed in his lungs. After his arrival, his cough diminished, although it never wholly stopped; he has lost flesh and strength continually since his landing; has never been treated here; but last year, finding himself weaker and more ill, he, by the advice of his physician, tried a change of air by returning again to his own coun- try. After his arrival in England, all the symptoms of his disease increased, and he was obliged hastily to take passage for Havana, which place he reached at the end of October. Since then he has been constantly growing worse ; has never had hemop- tysis. February 2d, 1856.—There is now excessive emaciation, with a deadly pallor; his debility is so great that he can scarcely take a few steps, even in his own room; constant and fatiguing cough ; expectoration purulent, and amounting in quantity to nearly a quart and a half each day; appetite very slight; alternate constipation and diarrhcea; constant fever, increasing at night; night sweats so excessive, that he is forced to change his clothing several times during the night; great wakeful- ness; pulse, 110. On percussion, I found decided dullness below the right clavicle, for a space of an inch in breadth ; below, however, the sonorousness was increased beyond that on](https://iiif.wellcomecollection.org/image/b21030066_0059.jp2/full/800%2C/0/default.jpg)
