The Hawaiian star. [volume] (Honolulu [Oahu]) 1893-1912, 1905-11-28
DR.: SINCLAIR ON CONSUMPTION
A PORTION OF THE VERY INTERESTING AND IMPOR-
TANT PAPER READ BEFORE THE HAWAIIAN TERRI
TORIAL MEDICAL SOCIETY AT ITS RECENT ANNUAL
MEETING IN HONOLULU

The following portion the paper Tuberculosis Pumonas
read by Dr. n Sinclair before the meeting the Territorial
a Society The portions OF the paper regarding the treatment of the
disease have already been published by the Star
Tuberculosis pumonas the important disease that the med
ca practitioner has deal with Not alone of the vital
Importance has the patient affected but also Of the
great to public health every OF this disease must be-
All physicians have the opportunity for observing OF
this the incentive perhaps study of the subject
Having had both the opportunity and the incentive as Medical super
nendent OF the Leah Home and believing have acquired
stray odds and ends of information of value the profession large
although can lay but little clam to Originality venture to present
this pOme OF some facts that have found OF value
tc myself in dealing with this disease.
Further do consider comparatively limited experience,
disease of such scope tuberculosis pumonas sufficient
render authority the subject my remarks will be guided
by those OF others who estimation are such Also early
ncpent having comprised the great minority of the cases
coming under observation have given the authorities precedence
referring to them with this apology for what may in parts appear
a compilation rather than original thesis, will begin
The best classification of tuberculosis pumonas have found to
keep the varieties clear in ones mind that of Bridge but have TAX
the liberty Of rearrangng to convenience although fund
amentaly it is that of the authority quoted.
have separated the eight varieties he mentions into four character
lied by the formation of deal of 6bos and four with little
hbrosi this latter group being with exception much
rapid in than the former.
OF with fbrosis two localized
less crcumscrbng the disease in two the fbross dfuse
OF the classes in which the brosis is duse may be in
form confined the membrane ITSELF lining the bronc and
broncoe the other form affect the tissues Immediately
beneath the mucous membrane.
OF the which fbrosis ccumscbed the fbros
may be considerable and suffice wall off the lesion from the rest
the lung be just sufficient to off by its contraction
the blood supply the sep between the air vesces thereby causing
absorption of these desangunaed partitions resulting constantly
progressive amagamaton OF air veces in the affected
ing the capacity OF the air vesce but at the very evident cost OF
The first mentioned form the classes under consideration in
which the disease completely walled off is the most favorable in
prognos of all forms OF the disease the amagamatng vascular
orm will take the liberty of naming it. while favorable than
Others the favorable of the brOus varieties but
be years before a fatal termination
OF the four forms that form the great second division OF the vare
ties OF the disease namely those with little hbros again
divide these into circunsCrbed and difuse.
OF the that localized without bros distinctive
the suppuae process that and the portion the
lung involved seriously affected Mixed infection takes place
cavities form from the resulting suppuaton and of alb
sopHOn OF septic products there is dperpyrea This is the
rapid that has received the of gaOpng cOnsumptOn
Indeed death often due puabsopton from the mixed in
lection, than simple uberCular process.
The second FORM Of the localized nonbous varieties comprises
class which the apex Of the right lung affected and
this heal without further involvement of the lung the healing
may be followed by ubercuar process the left apex which may
turn heal progress fatal termination without the right
becoming again involved This class of already alluded
the exceptional form tubercua disease the lung without
hbrosis that malignant of the brou FORMS In fact
where the right apex heals and the left does become affected
lit is probably the most benign.
OF the duse varieties without fbrosis is characterized by
rapid spread the disease other kidneys, stomach
forth and is serious condition The other class is char
acterzed by wide and extensive deposits scattered rather uniformly
large portion OF lung may be both lungs, the
military tuberculosis