Pulmonary consumption, pneumonia, and allied diseases of the lungs : their etiology, pathology and treatment, with a chapter on physical diagnosis / by Thomas J. Mays.

  • Thomas Jefferson Mays
Date:
1901
Catalogue details

Licence: Public Domain Mark

Credit: Pulmonary consumption, pneumonia, and allied diseases of the lungs : their etiology, pathology and treatment, with a chapter on physical diagnosis / by Thomas J. Mays. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    517/542 (page 519)
    Differential Diagnosis between Pleurisy and Pneu- monia. Pleurisy. 1. Localized, stitchy or lancinating pain. 2. No convulsions. 3. Dry, short cough. 4. Persistent chilliness for a few days. 5. Irregular fever, rarely above 103° F. 6. No sudden decline in lever. 7. Ini])aired chest motion of and trunk drawn to afTected side; friction sounds. 8. Flatness, with feebleness or absence of fremitus and of vocal resonance after elTusion has occurred, and no prolonged expiration or bronchial breathing. 9. After effusion the intercostal spaces are forced out, and the a]X'x of the heart is dis])laced. 10. Liquid may be withdrawn by exploratory puncture. I'liciinwnia. 1. If pain is present it is cluU. deep and diffused. 2. Convulsions in children. 3. Cough, with rusty or bloody e.xpectoration. 4. One severe rigor at l>eginning. exceptionally two. 5. Fever bigli from the beginning, usually ai)ove 103 F. 6. Sudden decline of fever in crisis, more gradual in lysis. 7. Probably no discernible difference in the chest move- ments. 8. Dulness. with increase of vocal resonance and fremi- tus, and bronchial breathing or prolonged expiration: crep- itation. 9. No displacement of the thoracic organs. 10. No liquid to be withdrawn.