Tuberculosis : its nature, prevention and treatment with special reference to the open air treatment of phthisis / by Alfred Hillier.
- Date:
- 1900
Licence: In copyright
Credit: Tuberculosis : its nature, prevention and treatment with special reference to the open air treatment of phthisis / by Alfred Hillier. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![to-dii}' of so much diagnostic importance as formerly. If derived from the bronchi, it may take a reticulated form, or be composed of several strands, or be very fragmentary ; it may have a similar lorm Avhen it has come from the elastic lamina of an artery; when the alveoli have disintegrated, the resulting elastic tissue may show the outline of the air cells and be much branched. Blood, epithelial, and pus cells may be found in tubercular sputa, and also various forms of septic micrococci. The aspergillus fungus may sometimes be found in the sputa, derived from vomiciu of chronic cases. Pain.—Pain in the chest is sometimescomplaincil of. It is usually referred to the upper part of the chest, in the infra-clavicular or mammary regions, but, not infrequently, it is felt in one or other part of the lower thoracic zone. Pain is due generally to the involvement of the ])leura^; and it may be sharp and piercing in character, or onl}^ be felt during coughing or deep respiration. iH’spnma is not so pronounced as one would expect from the nature of the disease. It is, how- ever, usually present to some degree after exertion; and the number of respirations is increased as the tubercular process advances, and broncho-pneumonic patches are developed. —Ha-morrhago may 6ccur without evidence of other complications. Atone time it-was the fashion to speak of .such haemorrhages as “pre- cursory haemorrhages,” but to-day there is little doubt that, in the great majority of cases, the disease is in existence at the time of the haemorrhage, although such disease may not be recognisable by any other clinical sign. Its occurrence can never be ignored. Hannorrbage occurs in late stages, and, not infre- quently, is the cause of a fatal termination.](https://iiif.wellcomecollection.org/image/b21988614_0072.jp2/full/800%2C/0/default.jpg)
