A manual of auscultation and percussion : embracing the physical diagnosis of diseases of the lungs and heart, and of thoracic aneurism / by Austin Flint.

  • Flint, Austin, 1812-1886.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: A manual of auscultation and percussion : embracing the physical diagnosis of diseases of the lungs and heart, and of thoracic aneurism / by Austin Flint. 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.

    28/296 (page 22)
    tion of an entire lobe, or of two and even three lobes, exists in the second stage of lobar pneumonia. Certain physical signs represent this condition of complete solidi- fication. The different degrees of solidification, namely, slight, moderate, and considerable, occur during the stage of resolution in cases of pneumonia, and these gradations are severally represented by well-defined characters pertaining to physical signs. Solidification, circumscribed, forming nodules which vary in size and number, situated in the upper, lower, or middle portion of the lung, either on one side or on both sides, exists in phthisis, in broncho-pneumonia and collapse of pul- monary lobules, in hydatids, in hemorrhagic infarctus and embolic pneumonia, in pulmonary gangrene, and in carcinoma. It exists, greater or less in degree and more or less extended, in interstitial pneumonia. In these different connections the existence of solidification, its degree and extent, its limitation to one situation or its existence at different points, are determinable by means of physical signs. A morbid condition the opposite of solidification is an abnormal accumulation of air within the air-vesicles of the lungs. This is incident to pulmonary or vesicular emphysema, involving a morbid dilatation of the air- vesicles. The permanent expansion and increased vol- ume of the upper lobes in some cases of this disease, occasion a characteristic deformity of the chest, together with certain deviations from the normal movements of respiration, which are also characteristic. This morbid condition is represented by distinctive sigus furnished by auscultation and percussion. The extravasation of air in the connective tissue, constituting interlobular and