Some remarks on the climate of the Swiss Alps, with pulmonary cases treated at Maloja (6,000 feet) / by A. Tucker Wise, M.D.
- Alfred Thomas Tucker Wise
- Date:
- 1887
Licence: Public Domain Mark
Credit: Some remarks on the climate of the Swiss Alps, with pulmonary cases treated at Maloja (6,000 feet) / by A. Tucker Wise, M.D. Source: Wellcome Collection.
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![were made :—Mucous membrane of mouth and fauces anaemic. Dulness over the whole of left lung, with numerous dry and moist rales. Rhonchi heard over the lower lobes of right lung. There was retraction of the cardiac lobe, and displacement of the heart, with flattening beneath the clavicle extending to fourth rib. Fatigued easily, and breathless on slight exertion. Pulse 116 ; temperature 98'8 to 99. Bacilli in sputum. Result.—There was gradual improvement during the summer of 1885. On 19 ih November, 1885, she weighed 7 stone 5 lbs.; at the end of March, 1886, 7 stone 10 lbs.; March, 1887, 8 stone 13 lbs. The aspect of this patient was greatly changed for the better; she was able to skate, toboggan, and mount 500 feet of Maloja Pass without fatigue. The left side of the chest was considerably contracted, but gave slight signs of filling out again. A moderate sized cavity was dry and contracting. There was still a little cough with nummular expectoration in the morn¬ ings. Bacilli were found in large numbers. Pulse 80 to 100. Tem¬ perature normal. The gain in weight in sixteen months was 22 lbs. No. 7.—JEt. 26. Contracted pneumonia in 1877, 1883, and 1885, Absorption of inflammatory products was incomplete in right apex. Ex¬ piratory murmur was harsh, and prolonged over the whole of the right lung. Weight, 11 stone 2J lbs. Result.—Respiration normal. The right infra-scapular region still remained dull on percussion, but the fringes of the lungs in front gave signs of compensatory emphysema. Weight, 11 stone 71bs. No. 8. — iEt. 20. Insidious consolidation of right apex. Dulness over right subclavicular region with augmented vocal vibrations, rough and prolonged vesicular murmurs, bronchophony and morning cough with muco-purulent expectoration, loss of appetite and strength, with night perspirations. Temperature 98'4. Bacilli in sputum. Result.—The ten months—June to March—were passed between Davos and Maloja, at the end of this time there was a disappearance of all serious signs. Slight flattening could be discerned beneath the right clavicles, where the dulness and excessive vocal vibration were almost imperceptible ; bronchophony insignificant; no cough nor expectora¬ tion. Weight, 10 stone 10 lbs. ]So. 9.—iEt. 35. Loss of weight generally for eighteen months with dyspepsia. Loss of voice after speaking for 10 or 15 minutes. Perspires a little at night. There was harsh vesicular murmur over the right apex B](https://iiif.wellcomecollection.org/image/b30799053_0005.jp2/full/800%2C/0/default.jpg)
