Practical remarks on some points in the physical diagnosis of phthisis pulmonalis / by John Hughes Bennett, M.D.

  • John Hughes Bennett
Date:
1856
Catalogue details

Licence: Public Domain Mark

Credit: Practical remarks on some points in the physical diagnosis of phthisis pulmonalis / by John Hughes Bennett, M.D. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

    18/42 (page 16)
    No. of Case. Dick, Name. Penman, Sex. M. M. 5. Gaffney, 6. Baur, Campbell, M. M M, Age, 36. 35. 14. 6. 43 Disease and Physical Signs of Chest. Phthisis.—On percussion, dulness under both clavicles — most marked under left. Slight dul- ness at right base posteriorly. (Patient was admitted a month previously with pleurisy on this side.) Respiration under left clavicle harsh and blowing. Ex- piration greatly prolonged. Fine moist rale in right mammary region. Imperfect pectoriloquy exists under left clavicle. No rale. Phthisis.—On percussion, dulness under both clavicles — most marked under left. Dulness at left base posteriorly. Except un der clavicle, percussion of right lung gives good resonance. Res- piration under left clavicle harsh, with prolonged blowing expira tion, and attended with large loose rale. Fine moist rale, audible at left base posteriorly where respiration is weak and distant. Over whole of right lung respiration harsh and ex- piration prolonged. Pectori- loquy under left clavicle. Vocal resonance increased under right Enlarged Spleen mid Liver. Leuco cythemia.—Dulness over whole of left side, as high as 2d rib. Right side above 4th rib in front and 7th 'rib behind, is resonant. Respiration feeble on left side, exaggerated on right. No rale on either side. Favus of Scalp.—No dulness on percussion over any part of chest. Respiration healthy throughout. Chest walls very elastic. Distinct cracked pot sound under left clavicle. * 2. Cracked Pot Sound, with Observations. Cracked pot sound exists under both clavicles. * 3. Phthisis, Capillary Bronchitis.— Percussion shows slight general dulness over both lungs. Marked dulness under left cla- vicle. Fine moist rales audible None. Loud cracked pot sound can be eli- cited on both sides over the whole space between clavicle and nip- ple. * 4. Cracked pot sound loud on left side, not on right. * 5.