Diseases of the chest and the principles of physical diagnosis . Fig. 346. -Empyema encysted in lower part of chest. Note the flattening and low posi-tion of the diaphragm and the downward displacement of the liver. a bronchus or it may rupture externally through the chest wall—em-pyema necessitatis (see Fig. 348). Infection of both pleural sacs simultaneoush^ is very rare. I havemet with one such instance in which a bilateral croupous pneumonia wasfollowed by a bilateral purulent effusion. In considering the morbid anatomy of pleurisy it was pointed out that DISEASES OF THE PLEURA 593. -^^^ F
Diseases of the chest and the principles of physical diagnosis . Fig. 346. -Empyema encysted in lower part of chest. Note the flattening and low posi-tion of the diaphragm and the downward displacement of the liver. a bronchus or it may rupture externally through the chest wall—em-pyema necessitatis (see Fig. 348). Infection of both pleural sacs simultaneoush^ is very rare. I havemet with one such instance in which a bilateral croupous pneumonia wasfollowed by a bilateral purulent effusion. In considering the morbid anatomy of pleurisy it was pointed out that DISEASES OF THE PLEURA 593. -^^^ Fig. 347.—Pyothorax (right-sided). 1, Esophagus. 2, Descending aorta. 3, Rightauricle. 4, Right ventricle. 5, Left auricle. 6, Left ventricle. The heart is displaced to the left and rotated on its long axis. The left lung is pushedbackward and no longer overlaps the heart. The esophagus is also displaced to the left.
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1920
