A manual of auscultation and percussion : embracing the physical diagnosis of diseases of the lungs and heart, and of thoracic aneurism / by Austin Flint.

  • Flint, Austin, 1812-1886.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: A manual of auscultation and percussion : embracing the physical diagnosis of diseases of the lungs and heart, and of thoracic aneurism / by Austin Flint. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    of the disease are those which denote pulmonary cavities, namely, tympanitic resonance on percus- sion within a circumscribed space; cracked metal or amphoric resonance; cavernous respiration ; cav- ernous whisper and sometimes pectoriloquy; am- phoric respiration and voice, and gurgling (vide Chapter V. for description of these signs). The cavernous signs are generally associated with the signs of solidification. In some cases, however, in which the disease has been non-progressive and retrogressive, the cavernous signs are present with- out the signs which denote solidification of lung. Fibroid Phthisis—Interstitial Pneumonia, or Cirrhosis of Lung-. In this affection the physical conditions are, solidi- fication from hyperplasia of the interstitial pulmonary tissue, dilatation of bronchial tubes (bronchiectasis), and diminished volume of the lung affected. The affection, as a rule, is either limited to or especially marked on one side. The whole of a lung, or only a portion of it, may be affected. Bronchitis always coexists. There is notable dulness on percussion, the di- minished resonance being sometimes tympanitic. The degree of resonance may vary at different ex- aminations, owing to differences in the amount of morbid products within the bronchial tubes. The respiration is bronchial, or broncho-vesicular. At times, from obstruction of bronchial tubes, it may be suppressed. Bronchophony and increased vocal resonance arc the vocal Bigns, together with the corresponding whispering Bigns. The Bide oi the