The Wheeling daily register. [volume] (Wheeling, W. Va.) 1864-1878, 1873-12-01
FIRST STAGE OF CONSUMPTION.

valence and fatality.
FIRST STAGE OF CONSUMPTION.
Physical Signs-Dullness Of sound on and
under tbe collar bones shortened inspira-
tion, expiration increased both in duration
and intensity, dry hacking cough, OCCASION
ally pulmonary crumpling sound, crack
ling rattes end increased resonance OF the
voice at the top OF the lungs.
General SymptomS-A sense OF weari
ness, slight pains in the chest and should
ers, sensitiveness TO cold, shortness OF
breath on exer ion, in many cases lividlty
of the lips and roots ofthe finger nails, cold
ness OF the hsnds and feet, and in .emales,
even in this early stage, frequent cessation
OF the menses-a symptom Of melancholy
meaning. Cures are often made in this
stage. o>- .rc,
Physit al Signs-Greater dullneSs OF sound
on and under the collar bones and extend
ing below them, inspiratory murmur les
sened in duration and intensity, exploratory
murmur augmented in both, moist crack
ling raft es In the upper looes OF the lungs,
weakened respiration in the lower lobes,
sounds of tho heart heard under the collar
bones, &C.
General Symptoms-Accelerate pulse,
slight fever toward evening, great suscept-
biIity TO cold, bowels generally costive,
eyes peculiarly white and lusuous, skin
and mouth dry in the afternoon, chills
about midday, followed by fever, which
fiushes the cheeks, dry burning heat in the
PALMS of the hands and soles or the feet,
night sweats, emaciation, &C. Cures more
difficult and less frequent in this stage.
THIRD STAGE.
Physical Signs-Cavities in the lungs, il
small the sounds are still dull, II large and
near the surface the sounds are tympanitic,
cavernous rattles, cavernous breathing,
cavernous cough, metallic tlnkling, e1haus-
ton, DC.
and strength, diaTrhoea and night sweats,
swelling OF the feet and legs, sore lips and
mouth, raising matter with specks OF tu-
bercle like small crumbs of cheese, DC. Cures
can never be effected in this stage.
OBSERVATIONS,
Tubercles in the majority Of cases begin
to form at the top Of the lungs. The pulmo-
nary crumpliDg sound is caused by me
chaniCal obstruction to the expansion OF the
lungs. Ii is only heard during inspiration
and sounds as If blowing on fine Paper. The
duIlnesS OF sound on percussing the chest
arises from the absence OF air in the air
cells, those being closed by the tuberculous
deposit. Air forcing through the mucous
in the air tubes causes bubbles, the burst
ing of which produces the rattle. The moist
rattle is caused by the Softening OF the tu-
bercle. The dry crepitant rattle Is caused
10y inflammation around the tubercle. The
placing liquids and is like the sound OF
Blowing through tube immersed in soap.
sUds. The cavernous breathing Is the airs
entering and passing out Of the cavities. In
,3,ctOril0quy words uttered by the patient
seem TO pass through the stethoscope into
the ears of the listener,
Our treatment when employed in time
and faithfully carried out, seldom fails TO
cure Catarrh, FORE Throat, Bronchitis,
Scrofula, and all diseases or the Air Passa-
ges which lead to Consumption.
Fees for consultation, examination, advice
and treatment within the reach OF all.
Medicines for all Diseases by mail and ex-
press to all parts of the country.
Office Hours-S 10 y, l:3O 10 D, and 6:30to 0.
|. H. L0NGD0N, A, My N. D.,
1909 EOFF Gold Fihb) Street,
Opposite the Cathedral,
noy35 WHEELING, w, VA,