Fibroid diseases of the lung : including fibroid phthisis / by Andrew Clark, W. J. Hadley and Arnold Chaplin.

  • Clark, Andrew, Sir, bart., 1826-1893.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Fibroid diseases of the lung : including fibroid phthisis / by Andrew Clark, W. J. Hadley and Arnold Chaplin. Source: Wellcome Collection.

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

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    mortem observations were uncommon. Later on, we find the use of the stethoscope advancing the accuracy of the recognition of the physical signs noted, but as yet only naked-eye appearances of the post-mortem examination are recorded, for these early observers had no microscope. From the invention of the stethoscope and microscope up to the present time, we may notice the ebb and flow of opinion one way and another, gradually leading to the recognition of what we now believe to be the usual characteristic course of the disease—the signs and symptoms before death, associated with the no less characteristic conditions of the lungs, and other organs to be observed at the general and microscopical examinations after death. Carefully bearing in mind, then, what we have in hand—viz., Fibroid Disease of the Lung with or without ulceration—and taking into consideration the various antecedent conditions which may give rise to this affection, we must study, under whatever designation we may find them classed, accounts of cases and pathological researches dealing with any of these conditions, which—although they may be different in their beginnings, and although, further, they may slightly differ in their course and post-mortem appearances—tend nevertheless ultimately to this affection. We must be prepared, as stated, to find authors treating of the subject under different names, describing different pathological conditions, and holding diverse opinions as to its origin. We Lope to be able from the mass of information thus gleaned, to arrive at a more correct idea of the various ways in which these conditions may arise, and of the different signs and symptoms attending their progress and termination. Bayle.—The first writer touching on the subject is Bayle, who, in his Becherches sur la JPhthisie, published in 1810, speaking of phthisis with melanosis, described six cases of induration of the lung, with contraction and deposits of black pigment. At about the same period, Broussais published accounts of chronic pneumonia; but Chomel, writing some years later, was inclined to think that Broussais had mistaken the results of pleurisy and phthisis for this condition. Bayle (after describing a tuberculous phthisis, in which tubercles became aggregated in masses, and eventually broke down; and a granular phthisis, in which the tubercles were hard, translucent, and showed no sign of caseation),