Medical Lectures And Aphorisms;

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The chronicity of a pleural effusion affects the prognosis in a similar way, because the tendency is great for the chest to refill almost as soon as it is emptied in cases of long-standing effusion.
52. Paracentesis of the chest has been known to cause fatal haemoptysis on the spot, as in a case where it was due to the rupture of a minute aneurysm situated in a small phthisical cavity of the lung.
256 CLINICAL APHOEISMS 53. There are three signs for desisting from the aspiration of a pleural ef
...fusion : cough, pain in the chest, and staining of the fluid by blood. The cough- ing which is induced during a paracentesis is probably due to oedema of the lung, set up by the returning blood-stream ; this pi'oduces exudation, and, when the coughing is considerable, serous sputa containing much albumen are the result, involving a risk of death from suffocation, 54. I was wont to think that empyema confined to an apex of the lung did not occur, and that I could therefore exclude empyema as a cause of dullness in this region ; but I have since seen a case.

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