Remarks on the frequency and character of the pneumonias of 1890 : an address delivered before the New York Academy of Medicine, April 17, 1890 / by William Pepper.

Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Remarks on the frequency and character of the pneumonias of 1890 : an address delivered before the New York Academy of Medicine, April 17, 1890 / by William Pepper. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    15/18 (page 15)
    # often developed only on the deep breathing following coughing. In most cases, also, the rales were coarser and heard somewhat in expiration, though chiefly in in- spiration, and in cases which were clearly croupous. After the exudation was absorbed, the affected area continued in some cases for a considerable time to give impaired resonance, weak breath-sounds, and fine expansion crepitus. Case IV.—Mrs. W. was seen in consultation with Dr. James Collins. She was a woman in good general health when she was attacked with a slight chill, followed by fever and coughing, which soon became associated with some pain, especially in the right side. There were also pains throughout the body evidently due to influenza. The fever was of the regular type, with a maximum of 104!° and with daily variations of from 20 to 3!°. At the close of the fourteenth day the temperature reached ioo°, but did not remain down long as symptoms of in- creased pulmonary trouble in the form of catarrhal pneumonia developed, and for the next five days the fever ranged between ioo° and 103°, dropping again on the seventeenth day to 99!°. The next two days pre- sented an even greater range of remission from 104° to 99§°, and the following day rose from ioo° to 104!° ; from the eighteenth day to the twenty-eighth day the fever ranged from 103° to 105°, reaching 105J0 once. It then gradually fell and reached 990 on the thirtieth day, and during convalescence did not again rise above ioo°. From the thirteenth day to the thirtieth day the patient was so ill that her life was despaired of. Both lungs were extensively involved, but at no point was there any considerable area of dulness. The respiratory murmur was extremely feeble and in many places almost in- audible. At other points it was feebly blowing, with pro- longed expiration. Percussion resonance on very light percussion gave very irregular results at different points of the pulmonary area. The cough was feeble and