A Treatise on the Diagnosis and Treatment of Diseases of the Chest, Part 1

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Hodges and Smith, College-Green., 1837 - Lungs - 557 pages
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Page 98 - If the patient's sufferings have commenced at that period of time, after primary sores on the genitals, when secondary symptoms usually make their appearance ; if some of his complaints are clearly traceable to this source ; if along with debility, night-sweats, emaciation, nervous irritability, and broken rest at night, we find cough; and if this group of symptoms...
Page 222 - ... after an experience greater than falls to the lot of most men, the opinions of this philosophical investigator of disease have remained unaltered. How changed would be the character of medicine, if, in support of many of our remedies, there could be brought forward such evidence, and such an advocate.
Page 379 - ... tumor. A tumor, consisting of several smaller ones, occupied the situation of some of the mesenteric glands, and equalled two fists in size. It consisted of the same cerebriform substance as that observed in the chest, and appeared to have arisen from degeneration of the mesenteric glands. This tumor pushing the transverse arch of the colon upwards, and the small intestines downwards, pressed upon the ductus communis choledochus, so as to prevent altogether the passage of bile into the duodenum,...
Page 480 - ... place between the viscera and the peritoneum of the abdomen, a very peculiar sensation has been communicated to the touch, varying between the crepitation, produced by emphysema and the sensation derived from bending new leather in the hand. And in each of the cases which I shall now detail, I have had the opportunity of discovering, by examination after death, that such adhesions had existed in the parts where this sensation was discoverable ; whereas in no case have I observed the phenomenon,...
Page 401 - After each stroke of the ends of the fingers" (say the first discoverers of this sign) "a number of little tumours appeared, answering exactly to the number and situation of the points of the fingers, when they had struck the integuments of the chest. These having continued visible for a few moments, subsided, but could be again made to appear on repeating the percussion.
Page 428 - Percussion gives a dull sound over the superior parts of the chest, although the caverns which partially occupy this part of the lungs, and the emaciated state of the parietes, may render the sound less dull than in the preceding stage. The stethoscope affords more certain signs :. the respiration is obscure, and in some places inaudible, while in others it is particularly clear, but has the character of the bronchial, or tracheal, or even the cavernous respiration of Laennec. There is a mucous...
Page x - It cannot be too often repeated, that physical signs only reveal mechanical conditions, which may proceed from the most different causes ; and that the latter are to be determined by a process of reasoning on their connexion and succession, on their relation to time, and their association with symptoms : it is in this that the medical mind is seen. Without this power, I have no hesitation in saying, that it would be safer to wholly neglect the physical signs, and to trust in practice to symptoms...
Page 226 - I have performed the operation myself on the child, and have seen it frequently done by others, and in no one case has the life of the patient been saved,. I have known and heard of it often, but never understood that it produced a recovery.
Page 40 - It has shewn that the introduction of auscultation, and its subsidiary physical signs, has been one of the greatest boons ever conferred by the genius of man on the world. A new era in medicine has been marked by a new science, depending on the immutable laws of physical phenomena, and, like other discoveries, founded on such a basis, simple in its application and easily understood. A gift of science to a favoured son : not as DIAGNOSIS OF THORACIC DISEASE.
Page 198 - It is only when the surfaces are rendered dry by an arrest of secretion, or roughened by the effusion of lymph, that their motions produce sounds perceptible to the ear.

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