Clinical lectures on pulmonary consumption / by the late Theophilus Thompson ; with additional lectures by his son E. Symes Thompson.

  • Thompson, Theophilus, 1807-1860.
Date:
1863
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on pulmonary consumption / by the late Theophilus Thompson ; with additional lectures by his son E. Symes Thompson. Source: Wellcome Collection.

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    their nature ; as is often done, for example, with re- spect to the crepitation of inflamed lungs, and the moist crepitation of consumption. With a view to avoid such iuconvenient commingling of ideas, and to facili- tate the comprehension of the subject in its practical applications, I would venture to propose, as simple, distinct, and suited for clinical purposes, the following division into bubbles, clicking, crepitation, crackling, and vibration. The first column in the opposite table exhibits the arrangement which I propose; the second, the corre- sponding terms in most frequent use; the third contains brief descriptions of the distinctive characteristics of each sound; the fourth notes the occurrence of the sound, whether chiefly in inspiration or expiration, or in both; the fifth shows the most common seat of each sound; and the sixth, the principal disease in which each sound is manifested. I. Bubbling sounds are produced by air passing through secretion in the bronchial tubes, as peculiarly occurs in bronchitis; in those of moderate calibre, con- stituting what has been usually designated mucous rhonchus. The smaller bubbling rhonchus produced in the capillary bronchi, commonly known as subcrepitant, should rather be termed sub-mucous ; if, from respect to long usage, the somewhat questionable term mucous be retained. To these bubbhng sounds the term rhon- chus is appropriate; but I do not dignify with this title sounds probably produced externally to the cells, such as crackle, and true crepitation ; which are not proved to have any relation to the passage of air through se- cretion, or along vibrating tubes.