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.
84/283 page 58
![depends on the slate of the pleura and the lungs. All the auscultatory phenomena vary considerably; weak breath sounds, with prolonged expiration, are common, and point to the presence of emphysema, while not infrequently cavernous or bronchial breathing may be heard at the apices or bases, accord- ing to the varying condition of the underlying lung. Prognosis. — Death may occur from gradual failure of the right chamber of the heart with dropsy, and more rarely from haBinoptysis, or from general inanition from waxy degeneration of the organs. On the other hand, under favourable con- ditions, arrest of the disease and even cure may be obtained. TUBERCULOSIS OF THE SEROUS MEMBRANES. 1.—General Tuberculosis of the serous mem- branes sometimes occurs. It may a.ssume an acute or a chronic form. {a) The acute form is caused by previously exist- ing visceral disease, which may affect the peritoneum, the pleura, and also even the pericardium. (h) There is also a chronic form, with characteristic caseation and disintegration, with matting and adhesion of the membranes and the formation of tubercular ])us. This condition may terminate fatally, or a fibroid condition may supervene and a ])eriod of arrest be established. In these cases the membranes are much thickened and fibrous, the serous or pus effusion is scanty or absent, and the tubercular nodules become hard and nodular and show little tendency to ciiscation. General tuberculosis of serous membranes is a much more common form of tubercu- losis among the negroid races than among Europeans. In the Kimberley Hos})ital I have seen many cases both of the acute and chronic forms.](https://iiif.wellcomecollection.org/image/b21988614_0084.jp2/full/800%2C/0/default.jpg)
