Observations chiefly on pulmonary disease in India and an essay on the use of the stethoscope / by W.E.E. Conwell B.L.-B.S.- & D.M.P.

  • Conwell, W. E. E. (William Eugène Edward), 1785-1836.
Date:
1829
Catalogue details

Licence: Public Domain Mark

Credit: Observations chiefly on pulmonary disease in India and an essay on the use of the stethoscope / by W.E.E. Conwell B.L.-B.S.- & D.M.P. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

    265/276 (page 193)
    but many may be absent, and some are rare. M. Laennec lias never observed (he high colour of the left cheelc, and seldom found complaints of local pain or heat. Kc has found the pulse always of the last character. The stethoscope does not furnish any particular signs of the disease; but the following appear most common. When the disease is not latent, the con- tractions of the ventricles yield a greater shock, and some- times a more marked sound than usual: and at intervals feebler and shorter pulsations are perceived, which correspond with- the intermissions of the pulse, the smallness of which contrasts forcibly with the strength of the heart's pulsations. When those symptoms come on suddenly, with persons not affected with other disease of. the heart, there is great probability of this disease; besides the patient has commonly much dyspnaea,. great anxiety, and even suffers syncope on taking a few steps, or moving suddenly in bed. CHRONIC PERICARDITIS. The signs of this disease, are equally or more uncertain than those of the acute form.. In some cases he has found his: diagnosis true, while in others the pericardium was affected with true chronic inflammation, but full of pus, where he did not suspect tm? latter affection: in these cases the symptoms wrere those of the acute disease, but less violent. In other cau- ses, one or two years elapsed before the cure was perfect;, and the action of the heart and pulse became natural, 2 x