British medical journal . hiliim shadows. On the plate (Fig. 3) increased hilum opacityand arborizations; right tracheobronchial opacity containingone visible gland, bifurcation opacity, and gland visible onright; lymphatic mottling within upper interspaces withscittered tuberculous foci. and strands passing toright d;ai>hragm are deuse. Cardioptosis and dilated rightauricle. The condition is active. There is a dimness, radiating from the right tracheo-bronchialshadow, which is due to a fine pleuritic infiltration. Opacitiesare visible along the lower borders of vertebral ends of f
British medical journal . hiliim shadows. On the plate (Fig. 3) increased hilum opacityand arborizations; right tracheobronchial opacity containingone visible gland, bifurcation opacity, and gland visible onright; lymphatic mottling within upper interspaces withscittered tuberculous foci. and strands passing toright d;ai>hragm are deuse. Cardioptosis and dilated rightauricle. The condition is active. There is a dimness, radiating from the right tracheo-bronchialshadow, which is due to a fine pleuritic infiltration. Opacitiesare visible along the lower borders of vertebral ends of fifthand sixth ribs. The inner strands of Stiirtz, running npwardaand backwards towards the tracheo-bronchial glands, may bsproduced gradually by a centripetal dissemination from thepleuritic infection intervening uetween the gi&nds and thestriae. We consider that the subpleural foci of Gohn may arisethrough the medium of the tuberculous pleurisy, which hasspread over the visceral pleura from affected tracheo-bronchial. 5ia. 4.—Eadioaram 3, Joseph aged 12 years. and bifurcation glands. Such a pleurisy may be ultra-clinical,but none the less effectual as a means for the dissemination oftubercle from paratracheal glands to the substance of the lung. Case boy, aged 12 years. Complains of cough, shortness ofbreathiand generaf weakness ; has always been delicate. Present Condition. Complexion is pale; tonsils enlarged (scraping is negative);glands in axillae, along sterno-mastoids, in anterior and pos-terior triangles ; they are firm and discrete ; spleen just palp-able; blood count, 4,240,000 red; white ; haemoglobin,80 per cent.; polymorphs, 53 per cent.; lymphocytes, 47 percent.; small, 3S per cent.; lymphocytosis; pulse 76-96; 20-24; temperature, morning average ^, evening, 98^.Chest expansion moderate; abdominal respiration increased;percussion note over left upper lobe in front and behind isimpaired; breath sounds at apices harsh aud expiratio
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Keywords: ., bookcentury1800, bookdecade1850, booksubjectmedicine, bookyear185
