A compend of the practice of medicine; Especially adapted for the use of medical students - Brossura
Sinossi
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1883 Excerpt: ...the respiratory movements. Second stage, feeble or absent vesicular murmur on the affected side, depending upon partial or complete compression of the lungs by the fluid. Above the fluid puerile breathing, and just at the upper margin of the fluid a friction sound may be heard. The vocal resonance is diminished or absent over the site of the fluid and markedly increased above, egophony being present at the upper margin of the liquid. With the absorption of the fluid the vesicular murmur gradually returns, associated with a moist friction sound. Prognosis. Idiopathic pleurisy usually terminates by recovery within three weeks. Pleurisy the result of constitutional causes has its prognosis modified by the condition with which it is associated. Empyema, unless the result of a diathesis, terminates favorably. Double pleurisy is unfavorable. Diagnosis. Acute pneumonia is often mistaken for the effusion stage of pleurisy. The points of distinction are, in pneumonia there are high fever and a characteristic sputa, bronchial breathing, exaggerated vocal fremitus and resonance, and no displacement of the heart, the reverse occurring in pleurisy. Enlargement of the liver may be mistaken for pleurisy with effusion, the chief point of distinction being, in enlargement of the liver the superior line of dullness is depressed upon full inspiration, while in pleurisy with effusion inspiration does not modify the location of the dullness. Treatment. At the onset, in plethoric patients, wet cups over the affected side; if great dyspnoea, severe pain and high arterial tension, even venesection, and in ansemic or weak persons, dry cups, in all cases followed by hot fomentations or poultices to the chest. The severe pain is promptly relieved by the hypodermatic injection of morp...
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