On the relation of the chest-movements to prognosis in lung-disease : and on the application of stethometry to examinations for life assurance / by Arthur Ransome.

Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: On the relation of the chest-movements to prognosis in lung-disease : and on the application of stethometry to examinations for life assurance / by Arthur Ransome. 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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    Ventnor, and on his return in January the above notes were taken, and although there was then no pyrexia, or evidence of active advance, the physical signs prove that the disease had made very rapid progress in four months. He died fifteen months afterwards. Case C has a much longer history, and in order to make clear the severity of the case it will be necessary to give somewhat copious extracts from its notes. He was a delicate, quick-growing lad, subject to strumous swellings in the neck. In February, 1865, whilst still at school, he had acute pleurisy on the left side, with abun- dant effusion lasting about nine weeks, which illness was followed by flattening of the left subclavian region, and much contraction at the base of the lung. O11 the right side, harsh and prolonged respiratory murmur was noted. He now remained in fair health for two years, but in March, 1867, he began to lose strength and flesh, had a cough, quick pulse in the evening, night-sweats and chills. Under the left clavicle there was dry crackle, and anteriorly for four inches moist crepitation and dulness on percussion. After a year of varying health he went to Australia, and on his return, excessively weak and emaciated, in the spring of 1869, he was found by an eminent London physician to be in an almost hopeless state. A chest examination gave:— Left Side.—Contracted below the clavicle and inferiorly dull all round the base—a well-marked gurgling rhonchus at the apex—the respiratory sounds faint but audible pos- teriorly along the scapula. Right Side.—Very coarse, almost gurgling rhonchus under the clavicle, same signs in supra spinous fossa— crepitus over half the scapula—the lower two-thirds of this lung were the only portions of the chest where anything like vesicular respiration was audible. There was general pyrexia—occasional chills and night-