DIAGNOSTIC TABLE OF ACUTE BRONCHITIS. CROU POUS PNEUMONIA. sion. 1. Mode of Inva- Coryza and other symptoms A single, severe, prolonged of "cold." Not marked rigor at the outset usually. rigors, but only slight and 2. Sensations about the 3. Cough. repeated chills, if any. Soreness, heat, or rawness Pain in the side frequently, In paroxysms, often severe. Considerable, and in par oxysms. 4. Expectoration Abundant; changes its Considerable; viscid, tenacharacter as the case pro- cious, and "rusty." gresses from mucous to muco-purulent, etc. Sense of dyspnoea in pro portion to the extent of the disease; may be extreme. Pulse-respiration ratio not proportionately 5. Disturbance of breathing. altered. 6. Degree of py-Often absent or slight, and 7. Aspect of the Tendency to cyanosis if the patient, and disease is extensive. In Very rapid breathing, and Considerable; temperature general con- some cases adynamic anotic. Usually great dition. symptoms set in. prostration. 8. Physical Various dry and mucous At first crepitant rhon signs. 9. Course râles and rhonchal fremi- chus; followed by signs of consolidation, viz., diminished movement; increased by vocal fremitus; dulness; bronchial or tubular breathing; increased and metallic vocal resonance; finally signs of resolution. Usually one base is affected. The side is not notably enlarged; nor is there any displacement of organs. and Variable. No crisis. Ten- Often a marked crisis, and termination. dency to death by apnoea disease ends within a cer or adynamia in capillary tain period. bronchitis. 1 F. T. Roberts, Theory and Practice ter bronchitis or collapse, and with out distinct rigors. Generally occurs af- Several moderate rigors or Follows acute pneumo rigors, often repeated. cially localized. rious parts of the chest. Pains about the chest Severe stitch-like pain in Generally pains in vaoften, but not spe- the side. repress it. fits. Short, hacking, and Slight, and patient tries to Frequent and violent painful. Often less than be- Absent or very slight, and Abundant; either bronfore, not "rusty." of no special characters. chitic, or sometimes "rusty," or attended with hæmoptysis. Rapidity of breathing Quick, shallow breathing Great dyspnoea, and Temperature high, Not great, and no regularity vals. Often very high, especially in the tubercular form, but no regularity in temperature. The face is usually Nothing special. No par- Severe prostration and flushed. Often ticular prostration, or ten-weakness, with promuch anxiety and dency to cyanosis. restlessness, with loss of flesh and strength. fuse perspiration and rapid wasting. In the tubercular form extreme adynamia. There may be signs At first friction-sound or At first merely signs of of consolidation in fremitus; succeeded by bronchitis; followed scattered spots with signs of fluid, viz., side by consolidation, softråles. Both lungs often enlarged; move- ening, or excavations are usually involved ments interfered with; in different parts, esin irregularly scat- diminished vocal fremi- pecially towards the tered patches. When tus; dulness occasionally bases. In the tuberthe disease follows movable; weak or sup- cular form frequently extensive pulmon- pressed breathing and scattered râles conary collapse, there vocal resonance; ego- stitute the only phymay be a peculiar phony sometimes; and sical signs. pyramidal form of displacement of organs: dulness. finally, signs of absorp tion, with redux frictionsound or fremitus. Usu ally on one side. No crisis, and course No crisis, and course very Generally very rapid often prolonged. variable. course, and fatal termination. of Medicine. Philadelphia, 1880. Symptoms. Acute Laryngitis. Chronic Laryngitis. DIAGNOSTIC TABLE OF THE MORE Tubercular Laryn. gitis. SUBJECTIVE Voice. . Hoarse, sometimes Hoarse, faltering, Hoarseness of peculiar character; aphonic in later stages. except when ce dema is present, Respiration. Not embarrassed Not embarrassed. Hurried; embar rassed in later stages. then dyspnoea. Painful; amount ter moist. starchy expecto- and character de pending upon the Deglutition. Usually painful. Not interfered with. lung implicated. Difficult and painful. Pain. . Feeling of con- Feeling of fulness. Only in degluti Exposure to draft. Impure air; abuse Same as of lung Ulcerations and Variable; no ul- Depends upon size Form of glottis and nature of the changed. growth; large Unaltered except Normal parts when changed by seldom changed. cicatrices of ul cers. Pharynx, velum, None. and skin impli other parts. ed. Primary cancer in Cerebr'l disease, hysteria, acute and chronic laryngitis. Favorable when Favorable. Depends upon size Unfavorable. of Diseases of the Throat, &c. Philadelphia, 1879. |