Pneumothorax : a historical, clinical and experimental study.

  • Emerson, Charles Phillips, 1872-1938.
Date:
1903
Catalogue details

Licence: Public Domain Mark

Credit: Pneumothorax : a historical, clinical and experimental study. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    82/464 (page 74)
    Williams' tracheal tone may deceive in pleurisy but the change of pitch on opening the mouth, and the absence of movable dulness shows the condition. All the other features of this disease, course, prognosis, etc., are dis- cussed. At the beginning of this article the author discusses the various physical signs in diagnosis of pulmonary diseases at length and reports his many experiments on them. Wintrich emphasized the fact that the most frequent cause of pneumo- thorax was the rupture of a tuberculous excavation which breaks down before adhesions form, hence are not made out physically. IIS. Viedebantt. De pneumothorace. Berlin, 1855. This thesis contains no cases, no original work, almost no literature. 113. Vallin (in the service of Malherbe, to whom by some the article is ascribed). Observation de pneumothorax, consecutif a une pnetj- MONIE LOBULAIRE TERMINEE PAR ABCES OUVERT DANS LA PLEVRE. Jour, de la sect, de tried, de la soc. acad. Loire-Inf., Nantes, 1855, XXXI, p. 98. A woman, 42 yrs. old, was admitted to the hospital in a wretched con- dition but without apparent organic lesion. Signs of bilateral bronchitis, then right-sided pleurisy, then of pneumothorax developed. About eleven days after the last complication, the patient died. Autopsy was performed forty hours later. The gas was collected from the pleura and tested for H2S and C02, both of which were present in abundance. The perforation was found opening from the pleura into a cavity about the size of a hen's egg, and in the consolidated part of the lung. The cause of the cavity is discussed. The writer is confident it was not tuberculosis and decides it was abscess. 114. M'Dowel. On an Unusual Form of Pneumothorax. Dublin Hosp. Gaz., 1856, n. s. Ill, p. 227. The case was one of Sudden occurrence of pneumothorax on the left side, arising from the accidental rupture of an air vesicle; dry pleuritis; absence of tubercular disease; recovery. A man, 33 years old, in quite good health, although with cough for two months, during a fit of laughing felt a sudden burst in his left side. Immediately he was seized with intense pain and dyspnoea. The right side was remarkably and unusually tympanitic to percussion. This abnormal clearness of the stroke sound extended in front across the sternum, and replaced the normal dulness of the cardiac region. The heart had undergone an unusual displacement toward the right side. The left side was dilated and exceeded the right in circumference by at least half an inch; it also appeared smoother and was almost motionless during respiration. The respiratory murmur was almost extinct in the left lung, but no abnormal sound could be detected, neither metallic tinkling, splash on succussion, or amphoric respiration. The pleura therefore seemed dis- tended with air without any admixture of fluid.