Treatment of croupous pneumonia in children / by Joseph E. Winters.

  • Winters, Joseph Edcil, 1848-1922.
Catalogue details

Licence: Public Domain Mark

Credit: Treatment of croupous pneumonia in children / by Joseph E. Winters. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    the hand at the scrobiculus cordis and pressing upward and backward arresting descent of diaphragm and compelling lateral expansion, physical signs of central pneumonia may be elicited which would otherwise remain undiscovered. Listen high in axilla with pho- nendoscope 'and stethoscope for central pneumonia. With ear to skin and hand at scrobiculus cordis compel crying to bring out signs in obscure cases—final recourse. Latent Pneumonia. Pneumonia in infants often remains circumscribed at root of lung and affords no physical sign. Prolonged sitting in judgment on symptoms is designatory in cases otherwise undecipherable. Owing to remittent type of fever these cases are fre- quently denominated malaria. In two cases fantastic diagnosis of suppurative pyelitis was made. Recovery was prompt and complete in both. Natural history of disease negatived this absurdly ab- surd diagnosis. Naked science has no value. Science which connotes with natural history of disease; science illuminated and enlightened by experience; science tethered by common sense has great and indispensable value for practitioner and patient. It is mischievous when it severs the moorings of sense. Analysis of symptoms and natural history of disease are the most trustworthy and the least fallible factors of diagnosis. Treatment. Nervous shock and state of 'pulmonary vessels are para- mount. At onslaught nervous shock is often as profound and pervading as after surgical operation. If there is the least restlessness; if there is not almost continuous uninterrupted sleep, opium should be administered the first visit.