The Wheeling daily register. [volume] (Wheeling, W. Va.) 1864-1878, 1873-12-02
FIRST STAGE OF CONSUMPTION.

FIRST STAGE OF CONSUMPTION.
Physical Substitutes OF sound on and
under the collar bones, shortened inspira-
| ton, expiration increased both in duration
and intensity, dry hacking cough, occasion
ally pulmonary crumpling sound, crack
| ling rattles and increased resonance OF the
voice at the top OF the lungs.
| General SymptOmS-A sense or weari-
ness slight pains in the chest and should
ers, sensitiveness 10 cold, shortness OF
| breath on eXer ion, in many cases lividity
ofthe lips and roots ofthe finger nails, cold
ness Of the hands and feet, aud in .emales,
even in this early stage, a frequent cessation
OF the menses "a symptom of melancholy
meaning. Cures are often made in this
stage.
Physical 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 lObeS OF the lungs,
weakened respiration in the lower lobes,
sounds Of the heart heard under the collar
bones, &c.
General OBSERVATION-DISCLOSURES pulse,
slight fever toward evening, great suscepti-
bility TO cold, bowels generally costive,
eyes peculiarly white and lustrous, skin
and mouth dry in the afternoon, chills
about midday, followed by fever, which
palms of the hands and soles OF the feet,
night sweats, emaciation, &C. Cures more
difficult and less frequent in this stage.
THIRD STAGE.
Physical Signs-Cavities in the lungs II
small the sounds are still dull, II large and
near the surface the sounds are tympanitic,
cavernous rattles, cavernous breathing,
cavernous cough, metallic tinklipg, eGhaus-
ton, &c.
General Symptons-Great loss Of flesh
and strength, dlarrhoea 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, &C. Cures
can never be effected in this stage.
OBSERVATIONS.
Tubereles IN the majority Of cases begin
10 form at the top OF the lungs. The pUlmO-
nary crumpliDg sound is caused by me
chaulcal obstruction to the expansion ofthe
lungs. 1t Is only heard during inspiration
and sounds as II blowing on fine paper. The
ru!lnesS Of sound on percussing the chest
rises 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 10y the soitening OF the tu-
bercle. The dry crepitant rattle Is caused
by inflammation around the tubercle. The
gurgliug rattle is caused by the airs dis
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
pectorilOquy 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 Catsrrh, sore Throat, Bronchitis,
Scrofula, ard all diseases OF 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 Cx-
press to all parts of the country.
Office HOurs-S 10 y, l:3O TO 3, and $50 to g,
|. H. L0NGD0N, A, My M. D.,
1909 EOFF (old Filthy Street,
Opposite the Cathedral,
noy2j WHEELING. w. VA.