A bedside manual of physical diagnosis : ... with an appendix, containing a plan for the registration of cases in hospital and private pratice : also an abstract of Mr. Farr's statistical nosology / by Charles Cowan.

  • Cowan Charles, 1806-1868.
Date:
1842
Catalogue details

Licence: Public Domain Mark

Credit: A bedside manual of physical diagnosis : ... with an appendix, containing a plan for the registration of cases in hospital and private pratice : also an abstract of Mr. Farr's statistical nosology / by Charles Cowan. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    general be heard, either during or after the cough, utterance, or inspiration. Both these sounds ac- company perforation of the lung, but the latter alone can be considered as pathognomonic of this complication. Displacement of the adjacent organs. The heart is pushed towards the healthy side. The diaphragm and the adjacent organs are de- pressed, as in cases of chronic pleurisy. Remarks.—Pneumothorax may be spontane- ous and simple, but in the vast majority of cases it is complicated with tubercles and dependent on perforation of the lung. Effusion is almost con- stantly present and is unusually easy of detection, from the contrasted clearness of the upper por- tions. Succussion also produces a sound of splash- ing and fluctuation. When the lung is tuber- culated and adherent, there is dulness on per- cussion under the clavicle or elsewhere, with the other acoustic signs. In other cases this con- dition may be inferred from the intenseness and extent of the bronchial sounds round the root of the lung. DIFFERENTIAL DIAGNOSIS. Pneumothorax and emphysema. In emphysema the ribs are never motionless, nor are the intercostal spaces filled up. Percussion is less tympanitic, and during the