EMPHYSEMA: REBREATHING, BASAL METABOLIC RATE DETERMINATIONS, VITAL CAPACITY
Authors: Henry M. Thomas
Journal: Annals of Internal Medicine (1936)

Article1 November 1936EMPHYSEMA: REBREATHING, BASAL METABOLIC RATE DETERMINATIONS, VITAL CAPACITYHENRY M. THOMAS JR., M.D., F.A.C.P.HENRY M. THOMAS JR., M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-10-5-596 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe classical picture of pulmonary emphysema is accepted without question by physicians, pathologists and roentgenologists. The chest is barrel-shaped and remains in the position of inspiration—moves as a whole—with diminished expansion and calls into play the accessory muscles of respiration. The percussion note is hyperresonant with obliteration of the compensatory spaces and the breath sounds are soft and expiration prolonged and sighing. The descent of the bases may be diminished, abdominal breathing is increased, although in long, narrow-chested individuals the diaphragms may descend freely. The lungs at autopsy are pale and voluminous, do not collapse on standing and microscopically present...Bibliography1. KOUNTZALEXANDER WBHL: Emphysema, Medicine, 1934, xiii, 251-316. CrossrefGoogle Scholar2. RICHARDS DW: Disturbed action of thoracic muscles in dyspnea (personal communication Dec. 7, 1934). COURNAND, A., BROCK, H. J., RAPPAPORT, I., and RICHARDS, D. W., JR.: Disturbance of action of respiratory muscles as a contributing cause of dyspnea, Arch. Int. Med., 1936, lvii, 1008. Google Scholar3. HAMMAN L: Diseases of the lungs (in Oxford Medicine, 1920, ii, 68-81). Google Scholar4. HURTADOFRAY AWW: Studies of total pulmonary capacity and its subdivisions; correlation with physical and radiological measurements, Jr. Clin. Invest., 1933, xii, 807-823. CrossrefGoogle Scholar5. HURTADO A: Studies of total pulmonary capacity and its subdivisions; observations on cases of obstructive pulmonary emphysema, Jr. Clin. Invest., 1934, xiii, 1027-1051. CrossrefGoogle Scholar6. CHRISTIE RV: Lung volume and its subdivisions; methods of measurement, Jr. Clin. Invest., 1932, xi, 1099-1118. CrossrefGoogle Scholar7. MCCANNHURTADOHALTREIDERFRAY WSANLWW: Pulmonary capacity and respiratory function in pulmonary fibroses, Trans. Assoc. Am. Phys., 1934, xlix, 45. Google Scholar8. CHRISTIEMCINTOSH RVCA: Measurement of intrapleural pressure in man and its significance, Jr. Clin. Invest., 1934, xiii, 279-294. CrossrefGoogle Scholar9. NEERGAARD K: Beitrag zur Lehre vom Emphysem, Verhandl. d. deutsch. Gesellsch. f. inn. Med., 1930, xlii, 624. Google Scholar10. BAKER B: Personal communication. Google Scholar11. THOMAS HM: Present status of vital capacity as test of pulmonary efficiency, Med. Clin. N. Am., 1935, xviii, 1685-1695. Google Scholar12. PEABODYSTURGIS FWCC: Clinical studies on the respiration. IX. The effect of exercise on the metabolism, heart rate, and pulmonary ventilation of normal subjects and patients with heart disease, Arch. Int. Med., 1922, xxix, 277. CrossrefGoogle Scholar13. ROBBWEISS GPS: The rôle of the pulmonary circulation in the dyspnea of circulatory failure and of hyperthyroidism, Proc. Am. Soc. Clin. Invest., Jr. Clin. Invest., 1932, xi, 823. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Baltimore, Maryland*Presented in part before the American Clinical and Climatological Association, Oct. 22, 1935. Received for publication July 2, 1936.From the Medical Department of the Johns Hopkins Hospital. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Vital Capacity in Pulmonary EmphysemaGEORGE C. LEINER, M.D., F.A.C.P., SOL ABRAMOWITZ, B.S., MAURICE J. SMALL, M.D., F.A.C.P.Pathophysiologie der AtmungPathophysiologie der AtmungEVALUATION OP PULMONARY FUNCTION TESTS IN DETERMINATION OP RISK PRIOR TO THORACIC SURGERY 1 November 1936Volume 10, Issue 5Page: 596-604KeywordsAutopsyBreathingEmphysemaLungsMusclesPathologistsRespirationThorax ePublished: 1 December 2008 Issue Published: 1 November 1936 PDF downloadLoading ...