The Bradshaw lecture on massive collapse of the lung.

William Pasteur

Date:: 1908

Credit: The Bradshaw lecture on massive collapse of the lung. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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$diminished in circumference by i in. This contraction was noticeable as far as the 5th rib, but below this level there was a slight but definite inspiratory expansion of from in. to J in., and slight elevation of the lower six ribs. The movements at the epigastrium were nor- mal, but of very limited extent. The abdomen was rather full, and the prominence of the epigastric region in particular was unusual. The breathing was rather hurried, but regular. The second case was that of a sturdy boy, aged 7, suffering from diphtheritic paralysis. On admission to hospital there was slight in- spiratory expansion of the upper ribs, but on the third day paralysis of the intercostals was complete. The upper six ribs were motion- less, there was no forward movement of the manubrium, the front of the chest was very flat and the interspaces depressed. In inspira- tion the lower six ribs were visibly raised, and the circumference in the meso-metasternal plane increased by J in. The movements at the epi- gastrium were well marked and normal in kind, The state of the upper half of the thorax offered a striking contrast. At the level of the 2nd and 3rd costal cartilages expansion was re- placed by an inspiratory lessening in girth of from \ in. to -J in. This reversal of the normal movement was gradually lost at the 5th rib$

The Bradshaw lecture on massive collapse of the lung.

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