. A practical treatise on medical diagnosis for students and physicians . Lobar Pneumonia. Consolidation of the right lower lobe. Transmitted bronchial breathingand signs of bronchitis over the left lung posteriorly. CHRONIC lyTERSTITJAL PyFrJIOMA. 891 ov cotton. l^)ieuiito)wko); Ls the term, employed by Zenker, forthe ehninie interstitial pneumonia due to the inhalation of dust. Symptoms. The disease runs a very chronic course, attended by miu/lt,and nuicopurulent and sometimes bloody , even liciiiorrhiuje ;Init there is no fever and not much loss of flesh. DyHpn
. A practical treatise on medical diagnosis for students and physicians . Lobar Pneumonia. Consolidation of the right lower lobe. Transmitted bronchial breathingand signs of bronchitis over the left lung posteriorly. CHRONIC lyTERSTITJAL PyFrJIOMA. 891 ov cotton. l^)ieuiito)wko); Ls the term, employed by Zenker, forthe ehninie interstitial pneumonia due to the inhalation of dust. Symptoms. The disease runs a very chronic course, attended by miu/lt,and nuicopurulent and sometimes bloody , even liciiiorrhiuje ;Init there is no fever and not much loss of flesh. DyHpnoea occurs onascending- heights only. Dilatation of the right heart is likely to ensue,with cardiac murmurs and increased latend dulness and increase of dys-pnoea. Death is hastened by the disease, and is often brought on by acutepneumonia. Fig. Fibroid (tuberculous) phthisis ; right apex. Heart displaced as indicated by oval. (Original.) Physical Signs. (See Plates, Bronchiectasis.) Inspection. The dis-ease is unilateral. The chest-wall is 7etracted. The ribs are drawntogether, so that the interspaces are obliterated. The shoulder is drawnover the sunken thorax. The spinal column is curved. The heart is dis-placed ; it is drawn toward the affected side. If the right lung is theseat of disease, an impulse is seen to the right of the sternum; if theleft, the precordial area of impulse is increased and extends is no expansion whatever (immobility) of the affected apex or healthv lung is the seat of compensatory emphysema. (See Fig. Palpation. Inspection is confirmed. Fremitus is increased, especiallyat the apex. At the base, pleural thickening lessens the fremitus. 892 DISEASES OE THE LUNGS AND PLEURA. Percussion. The physical signs show increased density of lung tissue,,with dulncss on percussion, or, ove
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