. A practical treatise on medical diagnosis for students and physicians . FIG. 2.—Posterior Hyperresonanee. Enlargemen Emphysema. ; of lungs and diminished respiratory movementtished fremitus. Signs of bronchitis. EMPHYSEMA OF THE LUNG. 905 physema is great, dyspnoea is constant; it interferes with all exertion,frequently necessitates orthopncea, and prevents continuous speech, sothat patients speak in broken sentences or syllables. Cyanosis is marked. The livid lip is common in asylums for old face is of a dingy pale color, but becomes bluish on exertion. Theextremities are a


. A practical treatise on medical diagnosis for students and physicians . FIG. 2.—Posterior Hyperresonanee. Enlargemen Emphysema. ; of lungs and diminished respiratory movementtished fremitus. Signs of bronchitis. EMPHYSEMA OF THE LUNG. 905 physema is great, dyspnoea is constant; it interferes with all exertion,frequently necessitates orthopncea, and prevents continuous speech, sothat patients speak in broken sentences or syllables. Cyanosis is marked. The livid lip is common in asylums for old face is of a dingy pale color, but becomes bluish on exertion. Theextremities are also dusky, and the blueness is general in severe cyanosis, the round shoulders, and the drawn, chronically anxiousexpression, if I may so term it, make it easy to pick out the emphysema-tous subjects in a ward of chronic cases. Respiration is not accelerated, and may be diminished in frequency. Itis often accompanied by ivheezing when chronic bronchitis coexists. The cough varies greatly in frequency; it may be altogether absent,since its presence simply indicates an associated bronch


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