. A practical treatise on medical diagnosis for students and physicians . FIG. 2.—Posterior \i, X \%//\^ ^ \i Acute Pulmonary Tuberculosis. Consolidation of the entire right upper lobe ai:id of the left apex. PULJIOyARY TUBERCULOSIS. 893 When the acute pulnionarv tuberculosis is primary, the character of thedisease is soon made clear bv the early development of consolidation ofthe lungs, usually of an apex first, rapidly followed by softening andthe formation of cavities. The sputum becomes mucopurulent, is fre-quently streaked ^vith• blood, and pure bhxid is often coughed up. Thesput
. A practical treatise on medical diagnosis for students and physicians . FIG. 2.—Posterior \i, X \%//\^ ^ \i Acute Pulmonary Tuberculosis. Consolidation of the entire right upper lobe ai:id of the left apex. PULJIOyARY TUBERCULOSIS. 893 When the acute pulnionarv tuberculosis is primary, the character of thedisease is soon made clear bv the early development of consolidation ofthe lungs, usually of an apex first, rapidly followed by softening andthe formation of cavities. The sputum becomes mucopurulent, is fre-quently streaked ^vith• blood, and pure bhxid is often coughed up. Thesputum contains yellow elastic tissue and abundant tubercle bacilli. Thepatient often presents a cachectic appearance ; emaciation has been veryrapid, and has reached an extreme degree; there is frequently a redflush about the cheek-bones, which, with the bright eyes, contrastsstrongly with the hollow cheeks and temples, and the white, wasted handsand clubbed lingers with bluish nails. : is shown in the duskycountenance and blue finger-tips
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