Palmonary Tuberculosis And Its Complications, With Special Reference to Diagnosis And Treatment

Cover Palmonary Tuberculosis And Its Complications, With Special Reference to Diagnosis And Treatment
Palmonary Tuberculosis And Its Complications, With Special Reference to Diagnosis And Treatment
Bonney, Sherman Grant, 1864- [from Old Catalog]
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It is conceded that, for the ready detection of a pulmonary cavity by means of auscultation, its long diameter must approximate six centimeters in length. If the canity is centrally located and surrounded by consolidated lung, the respiratory sounds may simulate to some extent bronchial breathing, the cavernous signs being obscured by the intervening consolidation. The physical conditions requisite for the production of cavernous breathing are the entrance of air into the pulmonary cavity with ...each inspiration* and it5 exit upon expiration. This predicates the fact that t!ie walls of the ra\ity must he flaccid and yielding, and that communication be estab- lished with an unobstructed bronchus. The bronchial tube leading to a ca>nty frequently l:)ecomes occluded by a thick plug of mucus, in which event the characteristic sign is incapable of recognition. This accounts for the alternating presence or absence of cavernous respiration over the site of a cavity at different periods. In suspected cases, when the signs are not perfectly clear as to the exist-ence of pulmonaiy exca^ ^Ijon* the patient should be instructed to cough in an effort to dislodge obstructing plug.

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