Memphis Medical Monthly Volume 39 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. 1918 Excerpt: ...may be normal, fremitus depending on pleural involvement. Chart III.--Factors for final consideration in doubtful cases: 1. Family history (exposure). 2. Past history, including: Losses in weight, winter colds, colds lasting more than three weeks, ease of fatigue, night sweats, hemorrhage from lungs or blood stained sputum, pleurisy, pneumonia, unexplained fever, "malaria." 3. Examination to include, if necessary, x-ray plates, daily temperature record 8, 12, 4, 8, sputum examination. Brown divides the problem into three charts: 1. Are there pathognomonic objective symptoms of tuberculosis, however slight? 2. At what point in his clinical cure may a man be taken in the army? 3. Can a man be disqualified during a prodromal stage by objective and subjective symptoms? Brown recounts the well known symptoms of tuberculosis: Dullness, flatness and high pitched percussion notes, with and without an increase in vocal resonance, fremitus and whispered voice; of tubercular or amphoric breath sounds from cavities, bronchial and bronchovesicular breathing, fine, moist, dry, crepitant rales, sub-crepitant, sibilant, coarse and conglomerate rales in showers, that appear or disappear after cough and full breathing, of friction sounds resembling rales and rales behind a thickened pleura. He insists that the normal and abnormal shade closely together. Neither pulmonary hemorrhage nor the '-finding lof tubercle bacilli in the sputum are pathognomonic. He pleads that a diagnosis be not delayed until the finding of the tubercle bacilli in the sputum. He says that we never wait for a positive Widal to begin measures against the spread of the contagion. Brown formulates the following rule, which he considers absolute; believe a man with a suggestive history actively t...