Glasgow Medical Journal (Volume 15) baixar o livro de graça

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1881. Excerpt: ... ation and gangrene; but caseation in such cases is almost unknown, and tubercles, whether primary or secondary, are extremely rare, more rare perhaps, than in any other kind of death from chronic disease in any organ. ON PHTHISIS PULMONALIS, ESPECIALLY ITS RELATION TO TUBERCULOSIS. Br JOSEPH COATS, M.D. In approaching the study of phthisis pulmonalis we have two things to consider, in the first place the exact nature of the anatomical changes, and in the second place what may be called the proper pathology of the disease. At the very outset of the inquiry we are met with the question, Is phthisis pulmonalis a tubercular disease? and this leads to the further questions, What are the characteristics of tubercular disease? How are we to recognise tuberculosis? In order to answer these questions, we must take, to begin with, undoubted cases of tubercular disease, and endeavour from them to find what are the essentials in their pathology. For this purpose we shall take, in the first place, acute general tuberculosis, and afterwards an undoubted case of local tuberculosis, and endeavour by the comparison of these two to determine the essential features of tuberculosis. The General Pathology Of Tuberculosis. In acute miliary tuberculosis we have a disease running its course in a few weeks with high fever, and leading to a fatal issue apparently in very much the same way as a case of typhoid fever, either uncomplicated or complicated only with pulmonary catarrh. According to my experience, in a large proportion of cases this disease is mistaken for typhoid fever during life. On examining the body a condition is found which can, I think, be fairly designated an eruption. Myriads of little grey bodies are found in the most diverse organs--in the lungs, kidneys, liv...