Correlation of Clinical Signs with Ventilatory Function in Obstructive Lung Disease
Authors: IRVIN C. SCHNEIDER
Journal: Annals of Internal Medicine (1965)

Article1 March 1965Correlation of Clinical Signs with Ventilatory Function in Obstructive Lung DiseaseIRVIN C. SCHNEIDER, M.D., AUGUSTUS E. ANDERSON JR., M.D., F.A.C.P.IRVIN C. SCHNEIDER, M.D.Search for more papers by this author, AUGUSTUS E. ANDERSON JR., M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-62-3-477 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Excerpt"I, for a long time, thought it very uncommon because I had observed only a few cases of it; but since I have made use of the stethoscope, I have verified its existence as well in the living as in the dead subject, and am led to consider it by no means infrequent" (1). Since this observation by Laennec nearly a century and a half ago, it has been common practice to diagnose emphysema with confidence on clinical grounds. Such faith likely was justified on the part of the maestro, but it has been our distinct impression that the modern...References1. LAENNEC RT: A Treatise on the Diseases of the Chest, translated from the French, Hofner Publishing Company, New York, 1962. Google Scholar2. AZCUYANDERSONFORAKER AAEAG: Morphological spectrum of emphysematous and aging lungs. Ann. Intern. Med. 57: 1, 1962. LinkGoogle Scholar3. MONROE RT: Diseases of Old Age: A Clinical and Pathological Study of 7941 Individuals over 61 Years of Age. Harvard University Monographs in Medicine and Public Health, No. 11, Harvard University Press, Cambridge, 1951. CrossrefGoogle Scholar4. FLETCHER CM: Discussion on the diagnosis of pulmonary emphysema: the clinical diagnosis of pulmonary emphysema—an experimental study. Proc. Roy. Soc. Med. 45: 577, 1952. MedlineGoogle Scholar5. COMROEFORSTERDUBOISBRISCOECARLSEN JHREABWAE: The Lung, 2nd ed., Year Book Medical Publishers, Inc., Chicago, 1962. Google Scholar6. PIERCEEBERT JARV: The barrel deformity of the chest, the senile lung and obstructive pulmonary emphysema. Amer. J. Med. 25: 13, 1958. CrossrefMedlineGoogle Scholar7. BARNHARDPIERCEJOYCEBATES HJJAJWJH: Roentgenographic determination of total lung capacity. Amer. J. Med. 28: 51, 1960. CrossrefMedlineGoogle Scholar8. FLETCHER CM: Chronic bronchitis: its prevalence, nature and pathogenesis. Amer. Rev. Resp. Dis. 80: 483, 1959. MedlineGoogle Scholar9. MORIANDERSONECKERT PAAEP: The radiological spectrum of aging and emphysematous lungs. Radiology 83: 48, 1964. CrossrefMedlineGoogle Scholar10. GAENSLER EA: Analysis of ventilatory defect by timed capacity measurements. Amer. Rev. Tuberc. 64: 256, 1951. Google Scholar11. BALDWINCOURNANDRICHARDS EDADW: Pulmonary insufficiency. I. Physiological classification, clinical methods of analysis, standard values in normal subjects. Medicine 27: 243, 1948. CrossrefMedlineGoogle Scholar12. MENEELYKALTREIDER GRNL: Volume of lung determined by helium dilution: description of method and comparison with other procedures. J. Clin. Invest. 28: 129, 1949. CrossrefMedlineGoogle Scholar13. DAYMAN H: The expiratory spirogram. Amer. Rev. Resp. Dis. 83: 842, 1961. MedlineGoogle Scholar14. RUBIN EH: Thoracic Diseases, W. B. Saunders Company, Philadelphia, 1961. Google Scholar15. HARRISONADAMSBEEMRESNICKTHORNWINTROBE TRRDRBWHGWMM: Principles of Internal Medicine, 2nd ed., Vol. II, McGraw-Hill, New York, 1954. Google Scholar16. GUILFORD JP: Fundamental Statistics in Psychology and Education, McGraw-Hill, New York, 1956. Google Scholar17. KEEN WW: Quoted in Manual of Physical Diagnosis with Special Consideration of the Heart and Lung by LEWISON, M., FREILICH, E. B., Year Book Publishing Company, Chicago, 1941. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: IRVIN C. SCHNEIDER, M.D.; AUGUSTUS E. ANDERSONJR., M.D., F.A.C.P.Affiliations: Jacksonville, FloridaFrom the Research Laboratory, Baptist Memorial Hospital, and the Department of Medicine, Duval Medical Center, Jacksonville, Fla.This investigation was supported by a research grant from the Florida Tuberculoses and Health Association, and grants HE-04088 and HE-06065 from the National Heart Institute, National Institutes of Health, U. S. Public Health Service, Bethesda, Md.Requests for reprints should be addressed to Irvin C. Schneider, M.D., 351 Marshall Taylor Doctors Bldg., Jacksonville, Fla. 80120. 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