Lectures On the Diagnosis And Treatment of Diseases of the Chest Throat And Na
Lectures On the Diagnosis And Treatment of Diseases of the Chest Throat And Na
E Fletcher Ephraim Fletcher Ingals
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In adults, the inflammatory products are more fluid, and consequently rales are more abundant. The diagnosis of this disease is very difficult, unless a con- siderable number of lobules are affected. Even then, the disease cannot always be detected by the physical signs alone, but, as in some cases in other affections of the lungs, the history and symptoms must be weighed 'with the signs, before a positive opinion can be formed. For example, in a child suffering from bronchitis, if the respirat...ion suddenly becomes accelerated, the temperature elevated, and the cough, which may previously have been loose and easy, becomes dry, paroxysmal, hacking, and painful, we have good reason to think that the vesicular portion of the lung has become involved in the inflammatory process. If in addition to these symptoms, we find the signs of consolidation which have just been enumerated, the diagnosis may be considered certain. Lobular pneumonia is often preceded and accompanied by collapse or atelectasis, of many of the air-vesicles ; for this reason the signs of the two diseases are usually considered identical.
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