The dyspnoea of asthma & bronchitis : its causation, and the influence of nitrites upon it / by Thomas R. Fraser.

  • Fraser Thomas R. (Thomas Richard), Sir, 1841-1920.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: The dyspnoea of asthma & bronchitis : its causation, and the influence of nitrites upon it / by Thomas R. Fraser. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    17/46
    At 3 20', on auscultation, rlionchi and sibili were heard during inspiration and expiration over both sides of the chest, but rather louder over the right than the left side. The pulse was'96 and the respirations were 22 per minute. The relation of inspiration to expiration was f : on both sides. A.t 3 26', ten minims of a 25 per cent, alcoholic solution of nitrite of ethyl, mixed with two drachms of water, were taken by the patient. At 3 26' 30, patient said he was “ not so ill.” At 3 28', at both the right and the left sides, there were rhonchi with expiration, sibili had disappeared, and no accompaniments were heard with inspiration. The time-relation of inspiration to expiration was even on the right side, 1:1; and on the left, |: 1. At 3 31', the pulse was 89 and the respirations were 24 per minute. At 3 35', at both sides, a short rhonchus was heard with inspira- tion, but nothing with expiration. There was also only slight wheezing, and the patient exclaimed, “ I’m almost quite easy now.” At 3 36' 30, botli sides of the chest were entirely free from accompaniments. The time-relation of inspiration to expiration was at the right side, 1^:1; and at the left side, 1: |. At 3 41', the pulse was 72, the respirations were 24 per minute, and the breathing was still quite clear and free from accompani- ments. At 3 51', the patient remarked that he was quite easy,” and had “ no difi&culty in the least” with his breathing; on auscultation, no accompaniments were anywhere to be heard; there was no wheezing; and the time-relation of inspiration to expiration was 1: f. The chest was frequently auscultated from this time until 4.50 A.M., and the breathing was always found to be soft and vesicular in character, and to be entirely free from rhonchi or sibili, while during the whole of this time the patient remained entirely free from dyspnoea. At 4 52', slight wheezing reappeared, the pulse was 72 and the respirations were 20 per minute; and the time-relation of inspira- tion to expiration was, at the right side, 1: li^; at the left side, f: 1. At 4 55', at the left side, slight sibilus was occasionally heard on inspiration, but there were no accompaniments at the iig it si e. At 5 A.M., the auscultatory plienomena were the same as at last note, but the wlieezing was more audible, and c.xpiia ion seeniet slightly more prolonged. Tlie patient coughed at this tunc, wit loi right side, there was slight siWhjs. at the beginning of in.spiration with loud rhonchus dining, exj > ‘ at the left side, wliile inspiration was clear there were rhonchi v ith expiration. The breathing was now a little At 5 18', there were a few slight rhonchi and sil , } o