Phthisis and the stethoscope, or, The physical signs of consumption / by Richard Payne Cotton.

  • Cotton, Richard Payne, 1820-1877.
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: Phthisis and the stethoscope, or, The physical signs of consumption / by Richard Payne Cotton. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

    117/130 (page 103)
    LosSj or decrease of the secretion sounds_, with improvement in the respiratory murmurs^ be- come therefore^ at this period of the disease^ the only essential evidence of our patient^ s amend- ment. Other changes towards the physical signs of health may corroborate such amend- ment, but the patient may still be progressing favourably_, or even recovering, in spite of their deficiency. The second stage. The only signs peculiar to this stage consisting of humid crachUng and the large suhcrepitant rhonchus, we have only to consider how these become modified as the patient improves. When the disease has reached its second stage it is very seldom indeed that it stops there. T have seen but very few cases of unequivocal soft- ening of the tubercular deposit, without a subse- quent more or less marked cavity in the pulmo- nary substance. In cases even which ultimately do well, the second stage nevertheless passes on to the third, the expulsion of softened tubercle appearing to be the natural method of its re- moval. I have seen, for instance, numberless cases in which, whilst the general health was