On chronic bronchitis : especially as connected with gout, emphysema, and diseases of the heart, being clinical lectures delivered at the Middlesex Hospital / by E. Headlam Greenhow.

  • Greenhow, Edward Headlam.
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: On chronic bronchitis : especially as connected with gout, emphysema, and diseases of the heart, being clinical lectures delivered at the Middlesex Hospital / by E. Headlam Greenhow. Source: Wellcome Collection.

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

    70/296 (page 46)
    large public building, wbicli was being dried by means of open braziers burning a mixture of coke and cbar- coal. He very soon began to suffer from bronchial irri- tation, excited by breatliing tlie air impregnated with the unwholesome fumes evolved by this combustion; and, before he had completed the job on which he was engaged, he suffered severely from cough, expec- toration, and dyspnoea, which had continued up to the time of his coming under my care. On admission his respiration was very laborious, the dyspnoea was great, and the cough and expectoration were most troublesome. The chest was everywhere resonant on percussion, and bronchitic sounds were heard throughout almost all parts of both lungs; the respiration was harsh, and expiration generally pro- longed. The man looked ill and was much emaciated, but the apex of the heart was felt beating in its usual position, and there was no reason to believe in the existence of any considerable degree of emphysema. The case, in fact, when I first saw it, was one of primary chronic bronchitis produced solely by the cause I have stated. The urine being perfectly normal, I desired a blister to be applied to the sternum, and ordered him a five-grain compound hemlock pill at bedtime, and a draught to be taken three times a day, containing half a drachm of com- poxmd tinctm'e of gentian, ten minims each of diluted nitro-hydrochloric acid and ipecacuanha wine, with twenty minims each of the tinctures of larch and henbane in an ounce and a half of water.