A treatise on the principles and practice of medicine . Figs. 33, 34, and 35.—Cuts from Dieulafoy, showing: Fig. 33, the posterior surface ofthe lungs and their interlobar fissures; Fig. 34, the lateral aspect of the left lung; and , that of the right lung. adhesions is of no consequence. Compensatory emphysema, pain,thoracic oppression, obliteration of the complementary pleural space,dulness, decreased vocal fremitus and breathing, failure of Littensphenomenon and stagnation of bronchial secretion may occur when theadhesions are thick, and stasis may ensue. Peritonitis, mediastinitis 46


A treatise on the principles and practice of medicine . Figs. 33, 34, and 35.—Cuts from Dieulafoy, showing: Fig. 33, the posterior surface ofthe lungs and their interlobar fissures; Fig. 34, the lateral aspect of the left lung; and , that of the right lung. adhesions is of no consequence. Compensatory emphysema, pain,thoracic oppression, obliteration of the complementary pleural space,dulness, decreased vocal fremitus and breathing, failure of Littensphenomenon and stagnation of bronchial secretion may occur when theadhesions are thick, and stasis may ensue. Peritonitis, mediastinitis 464 DISEASES OF THE PLEURA and obliterative pericarditis may complicate the case. In some instancesthe pleura calcifies or ossifies, leaving a deposit measuring 3 cm. or morein thickness. 3. Sudden death may result after exertion, coughing, urination or defe-cation; it results chiefly from such extreme venous compression that thevenous trunks can return little blood to the heart. Less frequent causesare cardiac paralysis or thrombosis, pulmonary edema


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