A practice of physic: comprising most of the diseases not treated of in "Diseases of females," and "Diseases of children" (Volume 2).

  • Dewees, William P. (William Potts), 1768-1841.
Date:
1830
Catalogue details

Licence: Public Domain Mark

Credit: A practice of physic: comprising most of the diseases not treated of in "Diseases of females," and "Diseases of children" (Volume 2). Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    hesions to its corresponding costal pleura. This detailed diag- nosis was written and handed over to Dr. Cheyne on the evening of my first visit. 1274. March 26th.— Had no sleep last night; face expressive of considerable suffering; a bluish tint of lips and nails is percep- tible. Says he feels no pain whatever. Cough peculiarly deep and hollow; slight mucous expectoration. At the right side, sound on percussion continues hollow inferiorly, even over the region usually occupied by the liver, where a full inspiration sounds precisely like blowing into an empty bottle, (bourdon- nement amphoric. J Speaking as well as coughing, is now fol- lowed by the tintement rnetallique. In the superior part of the thorax, the sound on percussion is clear and hollow anteriorly, where all the respiratory murmur is extinct. Quantity of gaseous effusion increases. 1275. 28th. Does not recollect any sudden aggravation of his symptoms about the period when his breathing became materially affected. Never suffered much pain of right side; thinks on the whole that the other side now gives him, and has, for the last three months, the greater uneasiness of the two. Sits up, and walks about. Pulse 120; respiration 36. No change in the ste- thoscopic sounds. 1276. April 1st.—Pain of left side removed by the applica- tion of a blister; dyspnoea increased; number of respirations 38; diarrhoea; profuse night sweats. At the right side, sound on percussion is become dull posteriorly in the space corresponding to the inferior portion of the thoracic cavity, where no sound whatever can be heard. Fluid accumulates. Above the eighth rib, the sound on percussion is hollow; the ordinary inspirations sound like blowing into a bottle. Expiration is followed by a musical sound, resembling the vibrations of a fine wire chord. Coughing produces a peculiar sound, exactly similar to the ring- ing of a porcelain jar; the voice much more obscurely so. On making the patient sit up in bed, and shaking him gently by the shoulder, (the stethoscope being applied posteriorly about the convexity of the seventh rib,) a fluid is clearly heard dashing against the sides of the thorax. The patient is sensible of this fluctuation, says he hears it, though / could not without apply-