Clinical lectures on the principles and practice of medicine . wever, he was lost sight of byhis friends; but it was afterwards ascertained that he had become a parish school-master in the west of Scotland, and that his health had been re-established. He 740 DISEASES OP THE EESPIEATOEY SYSTEM. returned to Edinburgh six years before his death, and endeavored to gain a liveli-hood by teaching Latin and French. He succeeded but very imperfectly, and fellinto dissipated habits. Latterly he had become subject to attacks of mania, appa-rently the result of drink. It was after an unusually severe att
Clinical lectures on the principles and practice of medicine . wever, he was lost sight of byhis friends; but it was afterwards ascertained that he had become a parish school-master in the west of Scotland, and that his health had been re-established. He 740 DISEASES OP THE EESPIEATOEY SYSTEM. returned to Edinburgh six years before his death, and endeavored to gain a liveli-hood by teaching Latin and French. He succeeded but very imperfectly, and fellinto dissipated habits. Latterly he had become subject to attacks of mania, appa-rently the result of drink. It was after an unusually severe attack of this kindthat he was brought into the Intirmary, where he died in the manner previouslydescribed. This case points out the following important facts,—1st, That, at theage of twenty-two or twenty three, the patient had had a tubercularulcer in the right lung, the size of which must have been very consider-able when the contracted cicatrix alone was three inches long. 2d, Thattubercular exudation existed in the apex of the left lung. It is, there- ^ 1. Fig. 461. fore, very probable that the statement made by his friend at the exami-nation was correct—namely, that when young, he labored under all thesymptoms of advanced phthisis pulmonalis. It is shown, 3dly, That af- Fig. 461. The section of the upper portion of lung in Keiths case seen from with-in, the apex having been left entire to show the deep puckerings which covered its sur-face. The line of the healed cavity is densely loaded with black carbonaceous deposit,in which are seen five cretaceous concretions, three of them encysted. This preparation,now in my possession, is perhaps a unique specimen, proving the healing, by cicatriza-tion, of an enormous tubercular excavation in the lung. Natural size. PHTHISIS PULMONALIS. 741 ter receiving the appointment of a parish schoolmaster, after changing hisresidence and occupation, while his social condition was greatly improved,these symptoms disappeared. We may consequen
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectmedicine, bookyear187
