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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![TrnEiicvLOsis. Ot) term is contiucd l»y the wTiter of this work to a tuberculous condition. Some acute forms of phthisis which undergo partial or complete arrest of the disease develop a cirrhotic or fibroid change. Fibroid disease may follow an acute lobar pneumonia in which resolution has been defective, with a resulting interstitial change. Symptoms.—In jjatients who have had recurrent attacks of bronchitis, and who complain of having “suffered from their chest” for a long period of time, fila-oid phthisis may present very uncertain signs. As compensatory emphysema is such a marked pathological feature, dyspnoea, or “ shortness of l)reath,” is a common symptom. Cough, often jiaroxysmal, with ])urulent expectoration, and bron- chitic and asthmatic attacks occurs. Dilatation of the right ventricle of the heart and its attendant symptoms arc present, and there is usually a degree of brochiectasis. 'I'his disease is very chronic, and may run on for even twenty years, the patient as often as not succumhing to disease other than ])ulmonary. Ila3mo))tysis, by no means an infrequent symptom, is usually recovered from, while an apyrexial course is a common feature of the disease. Bacilli may at times oidy be found in the sputa with difficult}, and for long periods they may he entirely absent. Physical Signs.—Retraction of the interspaces and flattening and immobility of the affected side are noted on inspection; the heart is often displaced and uncovered from contraction of the lungs, and the area of pulsation much increased. Percussion may elicit areas of great dulnc.ss. Often hyper- resonance occurs as the result of emjihysema. The unaffected lung usually is cmphysematou.s. The condition of the vocal fremitus and resonance](https://iiif.wellcomecollection.org/image/b21988614_0082.jp2/full/800%2C/0/default.jpg)
