. A practical treatise on medical diagnosis for students and physicians . rt, such as chronic bronchitis andwhooping-cough, act in the same manner. Chronic mitral valvular dis-ease and the lessened elasticity of the lung tissue of advancing age bothfiivor congestion of the lung, and thereby predispose to emphysema. Thedisease is hereditary; several members of a family may be affected. Itoccurs in many in childhood, is in abeyance in adult life, and reappears inold age. Symptoms. The prominent symptoms in hypertrophic emphysema aredyspnoea, cyanosis, and cough, with expectoration from associate
. A practical treatise on medical diagnosis for students and physicians . rt, such as chronic bronchitis andwhooping-cough, act in the same manner. Chronic mitral valvular dis-ease and the lessened elasticity of the lung tissue of advancing age bothfiivor congestion of the lung, and thereby predispose to emphysema. Thedisease is hereditary; several members of a family may be affected. Itoccurs in many in childhood, is in abeyance in adult life, and reappears inold age. Symptoms. The prominent symptoms in hypertrophic emphysema aredyspnoea, cyanosis, and cough, with expectoration from associated bron-chitis. There is no fever. The dyspnoea is in proportion to the degreeof emphysema, and is aggravated by the coexistence of bronchitis, asthma,and eccentric hypertrophy of the right ventricle, which are very frequentcomplications in cases of long standing. When the degree of emphysemais only moderate, dyspnoea is not complained of except upon climbing orwalking briskly, or after a hearty meal. But when the degree of em- PLATE XXIV. FIG. 1.—Anterior Aspee C_ -\. \
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