Clinical lectures on pulmonary tuberculosis.

  • Thompson, Theophilus, 1807-1860.
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on pulmonary tuberculosis. 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.

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    headache, nausea, and mucous expectoration with black pigment. The pulmonary expansion is deficient, but there is no bronchophony, or increased vocal fremitus. A systolic murmur may be heard at the mitral apex. Two years since, she coughed up half a drachm of blood every morning for a week, not at the catamenial period; but latterly only streaks. There is a slight murmur over the right jugular vein. And here I may inciden- tally remark that, according to my observation, the venous murmur occurs less frequently in consumptive patients than in those debilitated by other diseases; and that, as a general rule, those cases of consumption in which it is observed are apt to proceed more favour- ably than others. This young woman had been an in- valid for four years, suffering from gastrodynia, pal- pitation, and slight cough; and had been treated with valerian, steel, and a host of other nervine medicines including sumbul. In July, 1850, she came under the care of my friend Dr. Cotton, at which time she was affected with weak respiration, some dulness on percussion in the right side, and marked hysterical symptoms. In 1851 there was some dulness in the right suprascapular region. The hysterical symptoms are now less marked, but the dulness on percussion in the right side is undoubted. Phthisis has probably set in, but seems to be kept in check by the treatment. In this case, as in that of Miss L., first narrated, the dulness on percussion, although during the last three months too well established, seemed at an early period observable, sometimes on the one side, sometimes on the other; and I cannot help suspecting that alterna- tions of this sort may be induced by what I would yen-