Phthisis and the stethoscope, or, The physical signs of consumption / by Richard Payne Cotton.

  • Cotton, Richard Payne, 1820-1877.
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: Phthisis and the stethoscope, or, The physical signs of consumption / by Richard Payne Cotton. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    same time accompanied by other evidence of the presence of a vomica.* Respiratory-sound. Cavernous respiration, which is in general easily recognised by its dry, hollow, blowing, and metallic qualities, usually commences in the gradual increase of the bron- chial type ; but it may succeed any other mor- bid variety of breathing, or it may begin in spots, where scarcely any respiratory murmur could be previously heard. Intense bronchial respiration sometimes closely resembles the cavernous; and the confusion of the two has often given rise to unnecessary alarm, and thrown undeserved dis- credit upon auscultation. To the practised ear, however, the differences between them are gene- rally pretty evident; the one being rough and more or less blowing and diffused; the other, distinctly hollow and metallic. It is only, in- deed, in the absence of secretion in a cavity that a mistake is likely to happen, since in doubtful cases, if the chest be listened to whilst the patient is either coughing or taking * For fuller information upon this subject, see a paper by the author in the Lancet^ Aj^tH 4th, 1857.