Phthisis and the stethoscope, or, The physical signs of consumption / by Richard Payne Cotton.

  • Richard Payne Cotton
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: Phthisis and the stethoscope, or, The physical signs of consumption / by Richard Payne Cotton. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    bined with weakness; or tlie breatliing may be simply ]iarsli_, without being otherwise changed in its character. In true harsh respiration^ the soft and breezy nature of the murmurs is lost^ and both the inspiratory and expiratory sounds are rough^ dry^ and somewhat blowing. The more such qualities are developed_, the more ex- tensive and advanced is the local mischief. In favourable cases_, harshness slowly subsides_, and usually gives place to a general feebleness of the respiratory murmurs; but in cases of unfavour- able tendency,, it gradually increases^ and after a period of uncertain duration^ either passes im- perceptibly into the bronchial type^ or becomes associated with^ and frequently masked by, cer- tain secretion sounds, to be spoken of presently. JerMng breathing—which is easily recognised by the uneven, broken, or divided character of the inspiratory murmur, although not so com- mon at the very commencement of pulmonary tuberculosis as either of the preceding, is never- theless very frequently met with during the first stage of the disease. Sometimes it is amongst the earliest indications of local mischief, but oftener, I think, it is preceded by some other