A tabular handbook of auscultation and percussion : For students and physicians / By Herbert C. Clapp.

  • Clapp, Herbert C. (Herbert Codman), 1846-
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: A tabular handbook of auscultation and percussion : For students and physicians / By Herbert C. Clapp. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    ABNORMAL INTENSITY. USUAL SEAT. Not peculiar to any portion of the chest, and not diffused generally throughout both sides of the chest, like the healthy puerile breathing, but limited to certain spots in the vicinity of diseased portions of the lungs, or heard all over the healthy lung, when the other is diseased. If heard all over both lungs, it is to be regarded merely as an individual peculiarity and not as a sign of disease. Variable. The whole or a part of a lung. Feeble respiration, occurring in so many conditions, becomes of diagnos- tic importance only when associated with other phenomena. May occur in any portion of the chest, but always limited to one or more parts, and usually to the whole or some portion of one lung only. DISEASES INDICATED. Pleurisy. Pneumonia. Phthisis. Vesicular emphysema. Apoplectic effusion. Carcinoma. Spasmodic asthma. Pneumothorax. Foreign body in bronchus. Aneurismal or other intra-thoracic tumors pressing on certain bronchi. 1. Croup ; oedema or spasm of the glottis ; inflammatory exudations in the larynx ; for- eign body in a bronchus; mucus, serum, blood, or pus in bronchus ; swelling of mucous mem- brane in bronchitis ; asthma ; permanent con- traction of bronchi; tumors pressing on bron- chi, i. e., aneurism or enlarged lymphatic gland. 2. Phthisis, pneumonia, pulmonary oede- ma, vesicular emphysema, extravasation of blood. 3. Paralysis of costal muscles or of dia- phragm ; general debility; permanent contrac- tion after chronic pleurisy ; old pleuritic ad- hesions ; deformity of chest; the pain of acute pleurisy, pneumonia, intercostal neuralgia, pleurodynia, or peritonitis : the mechanical interference of ascites, pregnancy, and abdom- inal tumors. 4. Pleuritic effusion, thick layer of lymph on pleura, hydrothorax, pneumo-hydrotho- rax, tumors, thick layer of fat on outside of chest. Same diseases as feeble respiration, with this difference, that it indicates more decided anatomical lesions. Most commonly observed in connection with excessive effusions of fluid or air in the pleura.