Felix Von Niemeyer's Clinical Lectures on Pulmonary Phthisis

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: chronic inflammatory processes of the pulmonary tissue, with termination in its destruction. Fourthly.?Bronchial haemorrhages occur in already existing pulmonary phthisis still more frequently than they precede it; they appear (in rare case, however) even at a period in which the pulmonary disease is still...
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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: chronic inflammatory processes of the pulmonary tissue, with termination in its destruction. Fourthly.?Bronchial haemorrhages occur in already existing pulmonary phthisis still more frequently than they precede it; they appear (in rare case, however) even at a period in which the pulmonary disease is still latent. Fifthly.?Bronchial haemorrhages, which occur during the course of a pulmonary phthisis, can hasten the fatal termination of this disease by inducing chronic destructive inflammatory processes. The symptomatology of pulmonary phthisis varies according to whether the symptoms are occasioned, from beginning to end by pneumonic processes, or whether the latter become complicated at a later period with tuberculosis, or finally, whether the disease begins with a tuberculosis. In most cases these three forms can be distinguished from one another with tolerable certainty. From our present position we shall subject to a brief criticism the separate symptoms upon which the diagnosis of pulmonary phthisis is generally founded, and then investigate particularly to which of the above processes each one of these symptoms belongs. Further on we shall endeavor to describe the course of each of these three forms of pulmonary phthisis. Increased frequency of respiration occurs in all forms of pulnaonary phthisis, though in a different degree, and owing to a variety of causes. A moderate increase in frequency is not always accompanied by dyspnoea. It is very frequently the case, that patients with pulmonary phthisis in an advanced stage experience dyspnoea only temporarily, as for instance where there is an increase of combustion caused by some exertion. During moments of rest, the means which they possess of conveying without disagreeable exertion a sufficient quantit...