Volume 1

Clinical treatises on the symptomatology and diagnosis of disorders of respiration and circulation / by Edmund von Neusser ; authorized translation by Andrew MacFarlane.

  • Neusser, Edmund von, 1852-1912.
Date:
1907-1909
Catalogue details

Licence: Public Domain Mark

Credit: Clinical treatises on the symptomatology and diagnosis of disorders of respiration and circulation / by Edmund von Neusser ; authorized translation by Andrew MacFarlane. Source: Wellcome Collection.

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    dance. In the sputum of tuberculous women the eosinophile cells sometimes undergo a surprising in¬ crease at the time of menstruation. As menstruation in the development of temperature acts similarly to a tuberculin injection, it is possible that both premen¬ strual dyspnoea and the above findings in the sputum should be regarded from the same standpoint, as due perhaps to a toxic influence. A not infrequent cause of the sudden development of dyspnoea in pulmonary tuberculosis is pneumo¬ thorax, but in the vast majority of cases cyanosis, as well as dyspnoea, does not appear at all or is only slightly indicated, especially when the pneumothorax develops in a circumscribed area, or from a perfora¬ tion of a severely affected lung incapable of respira¬ tion. If, however, dyspnoea exists to an extent to cause anxiety, it should be considered as a prognosti- cally serious symptom. It is caused by a pneumo¬ thorax occurring in the less diseased lung while the other lung is severely affected. In some cases of pulmonary tuberculosis the dysp¬ noea may be occasioned by glands compressing the pneumogastric nerve, and occurs not infrequently in paroxysmal attacks with violent coughing, defying all treatment. Furthermore, dyspnoea may occur paroxys- mally with rapid elevations of temperature, particu¬ larly when the nightly exacerbations of fever take place. It is attributable less to the effect of the toxins and rather to the temperature, as after the administra¬ tion of antipyretics and the reduction of fever by