Tuberculosis : Recast From Lectures Delivered At Rush Medical College, in Affiliation With the University of Chicago
Tuberculosis : Recast From Lectures Delivered At Rush Medical College, in Affiliation With the University of Chicago
Bridge, Norman, 1844-1925
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Amphoric sound depends on a cavity of some 128 Tuberculosis size open to the movement of air into and out of it or across its open mouth. A cavity of moderate size might contain air, but might have its opening into the bronchus closed at the moment of ausculta- tion, and there would be no amphoric sound. And the tympanic percussion tone of a cavity is never produced by a small excavation or by one full of fluid — but flatness is more likely instead. A number of physicians think they can demon- ...strate cavities where, I am sure, none exist. The pure and ideal tubular breathing is sometimes mis- taken for evidence of a cavity; or it is this sound with coarse rhonchi,or the latter alone, or some other and perhaps unusual tone that is similarly far re- moved from the amphoric breathing and voice, that is seized upon as proof of cavity. On the other hand, small cavities, and many of them at once, often exist and give no evidence of their presence except, perhaps, by gurgling rales. Sometimes loud rales and rhonchi confined to one lung are transmitted through the large bronchi to the other lung, and give an impression to the aus- cultator that it also is diseased.
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