. A practical treatise on medical diagnosis for students and physicians . to orfhopivea when the effusion is veryextensive ; and dry cough, which adds greatly to the dyspnoea. There isfrequently some evidence of insufficient oxygenation of the blood; whenthis amounts to cyanosis, the condition is one of great danger. The urinepresents changes in amount ; in advancing effusion lessening very much ;but increasing in amount with the decline of the fluid. Pleurisy may becomplicated with bronchitis, ]>neumonia, and pericarditis. Physical Signs. (Plates XXYI. and XXAII.) In this stage are seen(1)
. A practical treatise on medical diagnosis for students and physicians . to orfhopivea when the effusion is veryextensive ; and dry cough, which adds greatly to the dyspnoea. There isfrequently some evidence of insufficient oxygenation of the blood; whenthis amounts to cyanosis, the condition is one of great danger. The urinepresents changes in amount ; in advancing effusion lessening very much ;but increasing in amount with the decline of the fluid. Pleurisy may becomplicated with bronchitis, ]>neumonia, and pericarditis. Physical Signs. (Plates XXYI. and XXAII.) In this stage are seen(1) enlargement of the afected side, increase in semicircumference, withfulness of interspaces; (2) diminution of movement; (3) absence of vocalfremitus and resonance ; (4) dulness or (deadness) on percussion,with great increase in the resistance to the pleximeter finger ; (5) absent orgreatly diminished respiratory murmur ; (6) displacement of organs. The dead percussion-note being caused by fluid, it follows that its upper PLATE XXVI FIG. 1.—Anterior .^^iii^ FIG. 2.—Posterior Aspect.
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