Reports on the Diseases of the Chest, Volume 2

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1876
 

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Page 32 - ... 3. A mild current should be used at first, and continued for some time. 4. Absolute rest before and after the operation, if possible, in a perfectly horizontal posture, should be maintained for months. 5. In regard to drugs, we should be governed by circumstances; gentle laxatives are admissible; perhaps digitalis, if the pulse be too rapid.
Page 47 - ... to confine the fumes before the leaves are put on the hot charcoal. From two and a half to five grains of the leaves are sufficient, when smoked, and from five to twenty grains, when burned. If the smoke is drawn deeply into the chest, the relief is immediate, expectoration of phlegm taking place. It is in the spasmodic form of asthma, where there is little or no expectoration, that the greatest relief is obtained ; for, when the tubes are loaded with mucus, the smoke cannot get access to their...
Page 246 - ... of the aortic semilunar valves, is best heard to the right of the sternum in the second intercostal space. At this point, the ascending aortic arch approaches the anterior chest wall. The second sound, produced by the closure of the pulmonary valves, is best heard in the second or third intercostal space to the left of the sternum. In young individuals the second sound is usually louder in the latter position, while in older individuals the reverse is the case (Cabot). An increase in intensity...
Page 31 - Tuffnell, or still further as suggested by myself,* is advisable, and in which there can be no doubt, from the physical exploration of the chest, that aneurism of the arch of the aorta exists ; if, moreover, we find that the lungs are not very much involved, and if we have made up our minds that the case tends certainly to death, perhaps attended with severe suffering, — in such a case there can be no doubt that we should...

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