. Physical diagnosis . DISEASES AFFECTING THE PLEURAL CAVITY 313 (b) Encapsulating adhesions in which the air is confined to acircumscribed area. (a) The examination of the sputa and of the compressed lung mayyield evidence regarding tuberculosis. On the sound side the com-pensatory hypertrophy covers up foci of dulness or rales so that it isdifficult to make out Fig. 193.—Diaphragmatic Hernia. The outline of the displaced diaphragm visible belowthe left clavicle. Heart displaced to right of sternum. (From v. Ziemssens Atlas.) (6) Encapsulated pneumothorax gives us practically all the s
. Physical diagnosis . DISEASES AFFECTING THE PLEURAL CAVITY 313 (b) Encapsulating adhesions in which the air is confined to acircumscribed area. (a) The examination of the sputa and of the compressed lung mayyield evidence regarding tuberculosis. On the sound side the com-pensatory hypertrophy covers up foci of dulness or rales so that it isdifficult to make out Fig. 193.—Diaphragmatic Hernia. The outline of the displaced diaphragm visible belowthe left clavicle. Heart displaced to right of sternum. (From v. Ziemssens Atlas.) (6) Encapsulated pneumothorax gives us practically all the signsof a phthisical cavity, from which it is distinguished by the fact thatwith a cavity the nutrition of the patient is almost always much worse. Encapsulated pneumothorax needs no treatment. Hence theimportance of distinguishing it from the non-encapsulated form ofthe disease, in which treatment is essential. PLEURISY. Clinically, we deal with three types:(a) Dry or plastic pleurisy.(6) Pleuritic effusion, serous or purulent,(c) Pleural thickening. 314 PHYSICAL DIAGNOSIS (a) Dry or Plastic Pleurisy. Doubtless many cases run their course without being frequency with which pleuritic adhesions are found post mortemwould seem to indicate this. It is usually the characteristic stitch in the side which suggestsphysical examination. The pain and the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectdiagnos, bookyear1912
