Phthisis : its morbid anatomy, etiology, symptomatic events and complications, fatality and prognosis, treatment and physical diagnosis ... / by Austin Flint.

  • Flint, Austin, 1812-1886.
Date:
1875
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Licence: Public Domain Mark

Credit: Phthisis : its morbid anatomy, etiology, symptomatic events and complications, fatality and prognosis, treatment and physical diagnosis ... / by Austin Flint. 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.

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    (9< CHAPTER III. SYMPTOMATIC EVENTS AND COMPLICATIONS. Bronchorrhagia preceding and accompanirig the development of phthisis—Exciting causes —Dependence on local congestion—Its occurrence without being accompanied or fol- lowed by phthisis—Propositions embodying conclusions from clinical studies—Hemor- rhage in cavities—Death from bronchial and cavernous hemorrhage—Moral effects of hemorrhage—Relief of pulmonary symptoms an effect in some cases—Increase of disease after hemorrhage in some cases—Coagulation of blood in the bronchial tubes— Influence of bronchorrhagia on fatality, arrest, tolerance, recovery, and duration— Treatment of bronchorrhagia—Diarrhoea, its significance as respects intestinal lesions, its relations to other complications and to the pulmonary affection, its bearing on prog- nosis and on the duration of phthisis—Miscellaneous events referable to the digestive system ; epidemic cholera, sporadic cholera, choleraic dysentery, gastric ulcer, perito- nitis, pharyngitis—Laryngitis, its frequency and symptoms, its chronological relations to the pulmonary affection, its influence on the fatality and duration of phthisis, the prognosis as regards recovery from the laryngitis and the treatment—Lobar pneumonia as an intercurrent affection in phthisis, its influence on phthisis, its agency in causing death— Circumscribed pneumonia leading to error as regards the amount of the phthisi- cal affection—Pleurisy with effusion, its agency in determining death in certain cases, and its influence on the progress of phthisis sometimes salutary—Perforation of lung with pneumothorax, symptoms denoting its occurrence, exciting causes, its occurrence after thoracentesis, the propriety of thoracentesis when the pleural sac becomes filled with liquid, the propriety of this operation when the accumulation of liquid air occasions much dyspnoea, the propriety of a free incision into the chest in phthisis with pneumo- thorax, coses illustrative of this procedure in perforation following emphysema, chrono- logical relations of perforation to the commencement of phthisis and the subsequent duration of the disease—Pulmonary calculi —Pneumorrhagia and gangrene—Dorso- intercostal neuralgia—Latency of phthisis and the sudden evacuation of collections of liquefied morbid products, tuberculous abscesses—Affections of the heart and peri- cardium—Articular rheumatism—Disease of the kidneys—Thrombosis of the iliao veins—Angular curvature of spine—Cerebral meningitis—Perineal fistula, its signifi- cance and influence on the progress of phthisis—Pregnanoy, its influence on the progress of phthisis—Clubbed fingers—Rosy complexion. I do not propose to study my cases with reference to data for the clinical history of phthisis. Of a considerable number of the cases, the notes are sufficiently full and complete to be made subservient to this end. I could analyze from one to two hun- dred cases with a view to ascertain the positive and negative facts respecting the various symptoms, such as cough and expectora- tion, appetite, digestion, nutrition, febrile movement, perspira- tions, pleuritic pains, etc. etc. It seems to me, however, that