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A Manual of the Physical Diagnosis of Thoracic Diseases

A Manual of the Physical Diagnosis of Thoracic Diseases


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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1887 edition. Excerpt: ... The subcrepitant rale, as heard over extensive areas of tubercular lung, was formerly associated with the diagnosis of softening or second stage of phthisis. It is in such cases either a subcrepitant r≤ of bronchial origin, due to collateral hypersemia or local catarrhal process, or, in other cases, a plastic intrapleural subcrepitus, due to plastic pleuritis provoked by the tuberculosis reaching the pulmonary surface and investing pleura. The crepitant rale is a single sound, high-pitched, fine, and crackling at the end of the inspiratory act. It is described as fine as the crackling of salt on a hot stove, or the crackling of the hair rubbed by the finger-tip on the temple or back of the ear. It is best heard in cases of acute lobar or croupous pneumonia in the transition period from the first to second stage. Until recently but one explanation of crepitant rale was entertained; that it was produced in the air vesicles by the ingress of inspired air. This view is still held by a majority of authorities. The Crepitant Rale. As to the mechanism of its production there is divergence of opinion. One theory is that the rale is produced by air breaking through exudation matter. Another, that the air sacs being collapsed, on inspiration their glutinous walls separate, giving rise to the crepitant rale. The same sound may be simulated by pressing a piece of sponge rubber close to the ear and then letting it relax. In its relaxation it produces far more sound than in its compression. Still another theory is, that it is due to stretching of the intervesicular tissue. The inflammatory exudation, it is claimed, starches or stiffens, as it were, the intervesicular tissue, and renders its expansion more difficult and productive of sound. It...


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Product Details
  • ISBN-13: 9781130619980
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 34
  • Spine Width: 2 mm
  • Width: 189 mm
  • ISBN-10: 1130619982
  • Publisher Date: 13 Sep 2013
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 82 gr


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