Epoch Making Contributions to Medicine Surgery And the Allied Sciences Being R

Cover Epoch Making Contributions to Medicine Surgery And the Allied Sciences Being R
Epoch Making Contributions to Medicine Surgery And the Allied Sciences Being R
C N B Charles Nicoll Bancker Camac
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It is further necessary, for the manifestation of this phenomenon, in cases of empyema or hydrothorax complicated with pneumo- thorax, that the cavity of the pleura should communicate directly with a bronchial tube by means of a fistula, such as has place when a tuberculous vomica, abscess, or eschar of the lungs opens into the chest. This sign may, on this account, be considered as pathogno- monic of this triple lesion. From it we may also further have an idea of the size of the fistulous perf...oration, as well as of the relative proportion of air and liquid in the chest, since the phenomenon is more distinct according as the fistula is larger; while the extent of the vibrations of the sound corresponds w^ith the extent of the spaces occupied by the air. * Sometimes the tinkling assumes another character, and strikingly resembles the sound produced by blowing into a flask or bottle. This, like the tinkling, is equally produced by the cough, voice, or respiration ; and in some cases the tinkling accompanies one of these and the buzzing of the other.

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