Thoracic Diseases: Their Pathology, Diagnosis And Treatment

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Thoracic Diseases: Their Pathology, Diagnosis And Treatment
Calvin Newton
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The latter occurs most fre- quently in cases following pneumonia. Both, however, are ex- tremely fetid, though the odor differs slightly. " The fetor of the breath is peculiar, and it begins to appear even in the first stage of the disease. It is greater, however, in the second and the third stages, in which the sloughing process is going on. This fetor, as well as the sputa, is pathognomonic of the affection ; and the former is sometimes so extreme, as to ren- der the room of the patient scarc...ely endurable.
The physical signs, previous to the third stage, are very limited. The thin serous liquid which exudes, in primary gangrene, from the affected portion of the lung, may be sufficient to give a sub- crepitant and a mucous rale, as it passes through the tubes ; but if the disease be limited to a small space, and that deep-seated in the lung, the healthy sounds of respiration will be heard as usual. If the disease be extensive, the current of air in the air passages being prevented, the respiratory sounds at the part will be sup- pressed.


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