Diseases of the chest and the principles of physical diagnosis . pitchedtympany,Breathsounds :,.broncho-vesicular Expansion 1— • Inter-spaces reso-nance O-percussiondulness+ + +.Breathsounds O-Phrenicshadow O. 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 bilater
Diseases of the chest and the principles of physical diagnosis . pitchedtympany,Breathsounds :,.broncho-vesicular Expansion 1— • Inter-spaces reso-nance O-percussiondulness+ + +.Breathsounds O-Phrenicshadow O. 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
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1920
