← Table of contents
A system of practical medicine. By American authors. Vol. 3

Volume 3 — INDEX TO VOLUME III.

Reading edition

A.

Abdominal aneurism,

821

viscera, lesions, in catarrhal pneumonia,

358

Abscess, diffuse splenic,

962

embolic, of spleen,

963

of the lung,

296

of the mediastinal space,

861

termination of croupous pneumonia in,

311

,

332

Abscesses, seat and nature, in suppurative endocarditis,

604

Accidents during tracheotomy,

156

Acephalocysts, expectoration of, in pulmonary hydatids,

469

Aconite, locally, in chronic laryngitis,

127

use, in exophthalmic goitre,

767

Acupuncture, use, in thoracic aneurism,

820

Acute general diseases, resemblance of croupous pneumonia to,

317

miliary tuberculosis,

472

A

DDISON'S

D

ISEASE

,

939

Definition, synonyms, and history,

939

Diagnosis,

947

Duration,

941

Etiology,

939

Morbid anatomy,

942

Nervous system, lesions,

944

Spleen, lesions,

943

Suprarenal capsules, lesions,

942

,

943

Pathology,

944

Theories regarding origin,

945–947

Symptoms,

940

Anæmia and hemorrhages,

940

Bronzing of skin, seat and characters,

940

Dyspnoea,

941

Gastro-intestinal disorders,

941

Nervous symptoms,

941

Pain, characters and seat,

941

Pulse in,

941

Urine, condition,

941

Treatment,

948

Adductors of vocal cords, paralysis of,

81

Adenitis, in lymphangitis,

988

Adherent pericardium,

785

Adhesions, pericardial, seat and characters,

785

Adults, grave form of catarrhal pneumonia in,

360

Adventitious products of the heart,

637

Ægophony, significance, in pleurisy,

510

Aërial fistula, following tracheotomy,

163

After-treatment of tracheotomy,

159

Agaricus, use, in pulmonary phthisis,

438

Age, influence on aortic obstruction,

655

on causation of acute catarrhal laryngitis,

93

of acute miliary tuberculosis,

478

of angina pectoris,

759

of aortic regurgitation,

655

of asthma,

190

of bronchitis,

157

of cardiac thrombosis,

722

of catarrhal pneumonia,

353

of croupous pneumonia,

314

of exophthalmic goitre,

764

of fatty degeneration of the heart,

613

of fibroid phthisis,

441

of fibro-serous pleurisy,

492

of gangrene of lung,

301

of hæmoptysis,

275

of hay asthma,

212

of Hodgkin's disease,

922

of laryngismus stridulus,

70

of leukæmia,

909

of mediastinal tumors,

871

of mitral regurgitation,

671

of mitral stenosis,

666

of pernicious anæmia,

899

of phthisis,

396

of pneumothorax,

576

of pseudo-membranous laryngitis,

101

of purulent pleurisy,

540

of simple lymphangitis,

986

of thoracic aneurism,

802

Air, compressed, use, in bronchial asthma,

208

moist, use, in acute catarrhal laryngitis,

97

rarefied, exhalation into, in emphysema,

246

Albuminoid expectoration following thoracentesis,

535

Alcohol, abuse, influence on causation of chronic laryngitis,

121

of the caisson disease,

858

influence on causation of fatty cardiac degeneration,

612

use, in acute miliary tuberculosis,

481

in bronchial asthma,

205

in catarrhal pneumonia,

370

in croupous pneumonia,

348

,

349

,

351

in endocarditis,

651

in gangrene of the lung,

305

in parenchymatous degeneration of the heart-muscle,

611

in pseudo-membranous laryngitis,

108

in pulmonary phthisis,

435

Alcoholism, influence on causation of chronic myocarditis,

607

of pleurisy,

493

of croupous pneumonia,

314

Alkalies, use, in pseudo-membranous laryngitis,

105

in rheumatic pericarditis,

783

in prevention and treatment of pulmonary embolism,

389

,

390

Alkaline sprays, use, in chronic laryngitis,

125

,

127

Allen's nasal forceps,

54

Altitude, influence on causation of hæmoptysis,

277

,

278

Alum, use, in laryngismus stridulus,

73

Ammonium, carbonate, use, in cardiac thrombosis,

745

in croupous pneumonia,

349

in prevention of pulmonary embolism,

389

and chloride of, use, in catarrhal pneumonia,

370

,

371

chloride, use, in chronic laryngitis,

124

,

125

Amphoric respiration in pulmonary phthisis,

417

Amyl nitrite, use, in angina pectoris,

760

in bronchial asthma,

204

in chronic endarteritis of the coronary artery,

830

in fatty cardiac degeneration,

616

Amyloid degeneration of heart-muscle,

616

of suprarenal bodies,

949

A

NÆMIA

,

887

Albumen, continuous loss of, influence on causation,

887

Blood, changes in,

890

,

891

Bone, spleen, lymph-glands, enlargement of, and relation to production of blood-corpuscles,

888–894

Hemorrhage, influence on causation,

887

Inanition, influence on causation,

889

Toxic causes of,

889

Anæmia in Addison's disease,

940

in exophthalmic goitre,

763

in pulmonary phthisis,

406

A

NÆMIA

, P

ROGRESSIVE

P

ERNICIOUS

,

898

Course,

903

Definition and history,

898

Diagnosis,

905

Etiology,

899

Age and sex, influence on causation,

899

Hygiene, bad, influence on causation,

899

Loss of blood, chronic discharges, etc.,

900

Mental worry and anxiety,

900

Pregnancy and parturition,

900

Morbid anatomy,

904

Bones, changes in,

905

Lymph-glands, changes in,

905

Spleen, changes in,

905

Pathology,

905

Prognosis,

906

Symptoms,

900

Blood and blood-corpuscles, changes in,

901

Gastro-intestinal disorders,

903

Hæmic heart-murmurs,

902

Hemorrhages in,

901–903

Oedema in,

901

Onset, mode of,

900

Skin, changes and color of,

901

Temperature,

903

Urine, changes in,

903

Treatment,

906

Arsenic, use,

907

Diet in,

907

Iron, use,

907

Milk, injection of,

908

Transfusion of blood,

907

Anæmic necrosis of heart-muscle,

610

Anæsthesia of larynx,

65

Anæsthetics, use, in laryngismus stridulus,

73

Anatomy of tracheal region,

146

,

147

A

NEURISM

, A

BDOMINAL

,

821

Diagnosis,

822

Symptoms,

821

Treatment,

822

Compression of aorta, good results of,

822

Aneurism, diagnosis of, from mediastinal tumors,

876

A

NEURISM

, T

HORACIC

,

801

Definition,

801

Diagnosis,

814

From abscess,

814

From tumors,

814

Duration,

815

Etiology,

802

Age and sex, influence on causation,

802

,

803

Occupation, influence on causation,

803

Syphilis and gout, influence on causation,

803

Morbid anatomy,

801

,

802

Symptoms,

803

Auscultation in,

811

Bone, signs of pressure upon,

807

Bruit, characters,

811

Cyanosis and oedema,

807

Dysphagia in,

806

Dyspnoea in,

805

Frémissement cataire, frequency,

808

Inspection,

807

Localization of tumors,

812

Myosis in,

805

Of varicose form,

813

Oral whiff of Drummond, significance,

812

Pain, characters,

804

Palpation in,

808

Percussion in,

812

Physical signs in,

807

Pressure signs,

804–807

Pulse, peculiarities of,

808–810

Thrill in pulse,

809

Veins, signs of pressure upon,

807

Voice, modifications of,

806

Terminations,

815

Treatment,

816–820

Acupuncture, use,

820

Barwell's operation of ligation,

818

,

819

Ergotin, hypodermic use,

816

Electrolysis, method of applying,

819

,

820

Opiates, use,

817

Potassium iodide,

818

Pressure, use,

816

Starvation method,

816

Tufnell's method of rest and diet,

816

,

817

Wire, introduction of, into sac,

816

Aneurism of the coeliac axis,

841

of the coronary artery,

830

of the heart,

636

of the hepatic artery,

840

of the interior mesenteric artery,

839

of the superior mesenteric artery,

836

of the pulmonary artery,

833

Aneurismal form of hæmoptysis,

284

Angina, in anæmic necrosis of heart-muscle,

610

A

NGINA

P

ECTORIS

,

755

Death, cause of,

760

Definition,

755

Diagnosis,

757

Etiology,

758

Morbid anatomy,

758

Prognosis,

759

Symptoms,

755–757

Treatment,

760

Amyl nitrite, use,

760

Chalybeates, use,

760

Digitalis and nux vomica,

761

Opium and morphia, use,

760

Preventive,

760

Stimulants,

760

Angina pectoris in aortic regurgitation,

661

Anginoid attacks in chronic myocarditis,

608

,

609

Anomalies, congenital, of heart and great vessels,

687

of blood-vessels of tracheal region,

147

of suprarenal bodies,

949

Ante-mortem heart-clots, character,

737

Anthracosis, appearance of lungs in,

458

Antimony, use, in bronchitis,

179

,

180

in croupous pneumonia,

347

Antipyrin, use, in acute miliary tuberculosis,

480

,

481

in simple lymphangitis,

990

Antiseptics, use, in croupous pneumonia,

352

Antispasmodics, use, in functional heart disease,

754

in laryngeal oedema,

116

in laryngismus stridulus,

73

in spasm of the glottis,

74

Anxiety, in cardiac thrombosis,

731

Aorta, atheroma of,

800

disease of, influence on causation of hypertrophy of the heart,

620

diseases of,

800

occlusion of,

824

,

825

perforation of,

824

rupture of,

823

stenosis of,

825

Aortic arch, localization of aneurism of,

812

conus, defects of, in cyanosis,

708

obstruction,

654

regurgitation,

659

stenosis and regurgitation, treatment,

683

trunk, narrowing, in cyanosis,

708

and mitral orifices, defects of, in cardiac malformations,

690

Aortitis, acute,

800

Apex-beat, in dilatation of the heart,

634

in hypertrophy of the heart,

625

,

627

normal position of,

654

significance of position of, in diagnosis of functional heart disease,

750

Apex of lung, tendency to tuberculous deposit in,

408

Aphonia, in paralysis of adductors of vocal cords,

82

in pulmonary phthisis,

403

Apomorphia, use, in catarrhal pneumonia,

371

in acute catarrhal laryngitis,

97

,

98

Apoplexy of suprarenal bodies,

949

pulmonary,

293

Appetite, impaired, in pulmonary phthisis,

406

Arch of aorta, localization of aneurisms of,

812

Arsenic, use, in acute miliary tuberculosis,

482

in Addison's disease,

948

in atrophic nasal catarrh,

49

in bronchial asthma,

207

in carcinoma of larynx,

131

in chronic congestion and enlargement of the spleen,

959

in chronic laryngitis,

125

in dilatation of the heart,

636

in Hodgkin's disease,

931

in leukæmia,

921

in pernicious anæmia,

907

in pulmonary phthisis,

436

Arterio-sclerosis of the coronary artery,

828

of the pulmonary artery,

833

Artery, coronary, diseases of,

828

hepatic, aneurism of,

840

pulmonary, diseases of,

833

inferior mesenteric, diseases of,

834

superior mesenteric, diseases of,

836

Arytenoideus, paralysis of,

84

Aspiration in pericardial effusion,

776

,

780

of the pleura, dangers of,

596

history, etc.,

593–596

Aspirators in thoracentesis, varieties,

530

,

532

Asthenic pneumonia, treatment,

351

A

STHMA

, B

RONCHIAL

,

184

Definition,

184

Diagnosis,

198

From dyspnoea of bronchitis and cardiac disease,

198

of laryngeal affections,

199

From embolism of pulmonary artery,

200

From emphysema,

198

From spasm of diaphragm,

199

Duration,

189

Etiology,

190

Age and sex, influence on causation,

190

Cold and damp, influence on causation,

192

Enlarged bronchial glands,

191

Heredity, influence on causation,

190

Pollen of plants, vapors, gases, etc.,

192

Uterine, nasal, and stomachic irritation,

193

History,

184

Morbid anatomy,

197

Pathology,

193–197

Prognosis,

200

Sequelæ,

189

Synonyms,

184

Symptoms and course,

185

of intervals,

184

paroxysms, description, frequency, and time of onset,

185–187

heart-circulation, state of, during,

188

physical signs of,

187

,

188

Physiognomy of asthmatics,

186

,

190

Treatment,

201

Hygienic and dietetic,

206

Locality, change of,

206

Of intervals,

206

Of paroxysms,

201

Use of arsenic,

207

of belladonna and stramonium,

203

of chloroform,

202

of cigarettes, medicated,

203

,

207

of compressed air,

208

of electricity,

205

of emetics,

204

of lobelia and tobacco,

204

of morphia and chloral hydrate,

201

,

202

of nitrite of amyl,

204

of nitro-glycerin,

208

of potassium bromide,

204

iodide,

207

nitrate,

203

of stimulants,

205

Asthma complicating emphysema,

239

hay,

210

Astringents, use, in chronic laryngitis,

125

,

126

in laryngeal oedema,

116

Atelectasis, influence on causation of bronchial dilatation,

228

Atelectasis. See

Lung, Collapse of

.

Atheroma of the aorta,

800

of the coronary artery,

828

of the pulmonary artery,

833

Atmospheric causes of goitre,

977

Atomizer, use, in hyper- and paræsthesia of the larynx,

64

Atresia of the pulmonary artery,

702

Atropia, use, in profuse expectoration of bronchiectasis,

231

in pulmonary phthisis,

438

in the caisson disease,

858

Atrophic form of chronic nasal catarrh,

47

lobar emphysema,

248

Atrophy of suprarenal bodies,

949

of the heart,

618

Auricles of the heart, hypertrophy of,

627

Auriculo-ventricular orifice and tricuspid valve, defects of,

689

rings, condition, in cardiac dilatation,

633

Auscultation during paroxysm of asthma,

187

of mediastinal tumors,

874

in bronchial dilatation,

229

in bronchitis,

170–174

in cardiac malformation,

710

,

711

thrombosis,

728

valvular disease,

657

,

663

,

668

,

673

,

675

,

677

,

680

in catarrhal pneumonia,

359

,

360

,

362

,

363

in collapse of the lung,

253

in croupous pneumonia,

335

,

337

,

338

in emphysema,

238

in endocarditis,

648

in fibro-serous pleurisy,

507–510

in hydrothorax,

572

in mediastinal abscess,

862

in pericarditis,

775

in pneumothorax,

579

in pulmonary phthisis,

412–418

in purulent pleurisy,

543

,

544

in pyo-pneumothorax,

545

in thoracic aneurism,

811

Auscultatory percussion in fibro-serous pleurisy,

503

Auto-laryngoscopy,

29

Axillary glands, enlargement of, in Hodgkin's disease,

926

B.

Bacelli's sign of pleurisy,

510

,

517

,

543

Bacillus tuberculosis, relation of, to acute miliary tuberculosis,

477

to hæmoptysis,

279

,

280

to pulmonary phthisis,

398

Balfour's treatment of aneurism,

818

Balsams, use, in chronic bronchitis,

182

Bandage, use, in phlegmasia dolens and lymphangitis,

848

,

991

Barrel-shaped chest of emphysema,

237

Barwell's operation for cure of thoracic aneurism,

818

Basedow's disease. See

Exophthalmic Goitre

.

Baths, cold, use, in bronchial asthma,

206

in croupous pneumonia,

349

hot, use, in laryngismus stridulus,

73

Belladonna, use, in pulmonary phthisis,

438

and stramonium, use, in bronchial asthma,

203

Bellocq's canula, use, in epistaxis,

52

Benign form of pulmonary embolism, symptoms,

382

growths of the larynx,

128

tumors of the trachea,

140

Benzoin, use, in chronic laryngitis,

124

,

126

Bilious pneumonia,

334

Binaural stethoscope, use, in auscultation,

412

Black sputa of pitmen,

455

,

459

Blaud's pills, use, in chlorosis,

896

Bleeder families,

933

Bleeding in heart disease, question of,

686

Bleedings, seat and amount, in hæmophilia,

935

Blisters, use, in acute myocarditis,

606

in capillary bronchitis,

180

in chronic phlebitis,

848

in pericardial effusion,

784

in pleurisy,

521

in thoracic aneurism,

817

Blood changes in, in croupous pneumonia,

313

in hæmoptysis,

287

in Hodgkin's disease,

924

in leukæmia,

911

,

915

in pernicious anæmia,

901

condition of, in chlorosis,

894

in hæmophilia,

936

diseases of the,

882

Blood-corpuscles, changes in, in pernicious anæmia,

901

relation of spleen, lymph-gland, and bone-marrow to production,

890

,

891

Blood-glandular system, diseases of,

882

Bloodletting, local and general, in pulmonary congestion and oedema,

263

,

264

Blood-vessels, pulmonary, changes in, in emphysema,

243

relation of, to miliary tubercles,

474

,

475

Bone-marrow, hyperplasia of, in anæmia,

892

influence on blood-formation,

885

lesions, in leukæmia,

916

in pernicious anæmia,

905

Bones, pressure upon, in thoracic aneurism,

807

Bowditch's connection with history of thoracentesis,

591–595

Brain, lesions, in croupous pneumonia,

313

in pernicious anæmia,

905

and membranes, lesions, in catarrhal pneumonia,

358

in leukæmia,

918

Breath, fetid, in chronic pharyngitis,

122

Breathing, in collapse of lung,

252

Bright's disease, complicating phthisis,

407

influence on causation of pericarditis,

771

of congestion and oedema of the lungs,

259

Bromides, use, in exophthalmic goitre,

767

Bronchi, diseases of,

164

Bronchial asthma,

184

breathing, in pleurisy,

508

catarrh, complicating emphysema,

247

influence on causation of collapse of lung,

251

glands, enlargement of, in croupous pneumonia,

313

lesions, in bronchitis,

175

,

176

in catarrhal pneumonia,

357

in pneumonokoniosis,

457

lesions of syphilis of the lungs,

451

respiration in croupous pneumonia,

337

B

RONCHIAL

T

UBES

, D

ILATATION OF

(Bronchiectasis),

227

Definition, history, and etiology,

227

Diagnosis and prognosis,

230

Morbid anatomy,

230

Symptoms,

228

Treatment,

230

B

RONCHITIS

,

164

Definition,

164

Diagnosis,

176

From phthisis,

177

From pneumonia,

176

Of chronic form, from emphysema,

177

Etiology,

164

Age and sex, influence on causation,

165

Cold and damp, season, etc.,

166–168

Exciting causes,

168

Predisposing causes,

165

History,

164

Morbid anatomy,

175

Mortality,

165

,

177

Prognosis,

177

Synonyms,

164

Symptoms—acute form,

169

Capillary form,

171

Cough, characters,

171

Dyspnoea in,

171

Physical signs of,

171

Chronic form,

174

Cough and expectoration, characters of,

174

Mechanical form,

170

Pseudo-membranous form,

173

Rheumatic form,

172

Treatment,

178

Of acute and capillary forms,

178–180

Antimony, use,

180

Counter-irritation,

178

Emetics,

180

Expectorants,

179

Quinia, use,

179

Venesection,

178

Of chronic form,

181

Alteratives,

182

Change of climate,

183

Compressed air,

183

Diet,

181

Inhalations,

182

Iron, use,

182

Of pseudo-membranous form,

180

Of rheumatic form,

180

Bronchitis and pneumonia, influence on causation of phthisis,

394

complicating emphysema,

239

tracheotomy,

162

of acute infectious diseases, influence on causation of catarrhal pneumonia,

354

Broncho-vesicular respiration, characters and significance of,

412

Brown atrophy of heart-muscle,

616

induration of lungs,

256

Bruit, in thoracic aneurism,

811

C.

Caffeine, use, in dilatation of the heart,

635

C

AISSON

D

ISEASE

,

854

Definition,

854

Duration,

855

Etiology,

857

Morbid anatomy,

855

Pathology,

855

Symptoms,

854

Headache, vertigo, and coma,

855

Nausea and vomiting,

854

Pain, seat and characters,

854

Paralyses,

854

,

855

Treatment,

858

Atropia, use,

858

Compressed air,

859

Ergot, use,

859

Morphia, use,

858

Of paralysis,

859

Calcareous degeneration of the heart-muscle,

616

Calcification of the vein,

852

Calcium sulphide, use, in acute phlebitis,

846

Canulas, tracheotomy,

151

,

152

Cancer of adrenals in Addison's disease,

943

of the heart,

639

of the lungs,

460

of the pericardium,

792

of the pleura,

583

of the veins,

853

Capillary bronchitis,

171

emboli of lungs, effects,

385

vessels, relation to miliary tubercles,

475

Caput Medusæ,

849

Carbolic acid, danger of, in injections into pleural cavity,

561

use, in abscess of lung,

300

in gangrene of lung,

305

injections, in goitre,

980

and iodine, injections, in pericardial effusions,

795

Carcinoma of the larynx,

128

of the mediastinum, seat and characters,

869

of the nasal passages,

55

of the thyroid gland,

978

of the trachea,

141

Cardiac action, irregular, in fatty degeneration of the heart,

615

disease influence on causation of chronic splenic enlargement,

957

hæmoptysis, symptoms,

285

hypertrophy, relation to adherent pericardium,

786

murmurs, relation to valvular disease,

651

sedatives, use, in hypertrophy of the heart,

630

C

ARDIAC

T

HROMBOSIS

,

718

Complications and sequelæ,

733

Definition,

718

Diagnosis,

740

From dyspnoeic uræmia,

742

laryngeal affections,

743

nervous shock of acute endocarditis,

744

pulmonary embolism,

743

Duration and terminations,

732

Etiology,

721

Age and sex, influence on causation,

722

Mechanical causes,

723

Vital or pathological causes,

724

Endocarditis, influence on causation,

725

History,

719

Morbid anatomy and pathology,

734

Of ancient clots,

737

cadaveric and terminal clots,

735

Physical characters of clots,

735–740

Prognosis,

744

Synonyms,

718

Symptoms,

726

Blowing murmur of Bouillaud, significance,

730

Dyspnoea,

730

Mental condition,

731

Pain,

730

Physical signs,

727

Physiognomy in,

730

Pulse, characters,

729

Syncope,

730

Treatment,

745

Alkalies, as solvents, use,

745

Ammonium carbonate and liquid ammonia, use,

745

Counter-irritation,

746

Digitalis and nux vomica, use,

746

Intravenous injections of ammonia,

745

Rest, value,

746

Sodium bicarbonate, use,

745

Stimulants, use,

746

Cardicentesis,

798

Caseated morbid products, influence on causation of pulmonary phthisis,

400

Caseous pneumonia following pleurisy,

514

pus, influence on causation of acute miliary tuberculosis,

473

Casts of bronchi, in pseudo-membranous bronchitis,

176

Catarrh, chronic nasal,

42

Catarrhal pneumonia in children, symptoms,

359

relation of, to collapse of lung,

354

,

355

tendency, influence on causation of hæmoptysis,

275

Catheterization of larynx in true croup,

107

Cavernous form of hæmoptysis,

284

Cavities, diagnosis of, in pulmonary phthisis,

416

tubercular, injection of,

439

,

440

Cell-walls, changes in, as a cause of emphysema,

334

Cerebral anæmia, in aortic obstruction,

656

disturbance in functional heart-disease,

749

hyperæmia in tricuspid regurgitation,

649

Cerebral symptoms in cardiac thrombosis,

731

of croupous pneumonia,

329

of pericarditis,

774

Chest, alterations of, in pleuritic effusions,

497

,

498

changes in, in emphysema,

236

,

237

Cheyne-Stokes breathing in fatty degeneration of the heart,

615

Children, catarrhal pneumonia in,

359

Chills in croupous pneumonia,

320

in pleurisy,

494

in purulent pleurisy,

542

Chloral hydrate, use, in bronchial asthma,

202

in catarrhal pneumonia,

372

Chlorides, diminution of, in croupous pneumonia,

330

Chloroform, use, in bronchial asthma,

202

Chlorosis,

894

Definition and etiology,

894

Morbid anatomy,

894

Symptoms,

895

Treatment,

896

Chondritis of the larynx,

117

Chorea of the larynx,

76

Chronic bronchitis,

174

influence on causation of bronchiectasis,

228

congestion and enlargement of the spleen,

956

endarteritis of the coronary artery,

828

of the pulmonary artery,

833

interstitial pneumonia,

391

,

440

lobular emphysema,

233

myocarditis,

607

pericarditis,

784

phlebitis,

848

purulent pleurisy, symptoms,

342

Cigarettes, medicated, use, in bronchial asthma,

203

,

207

Circumscribed pleurisies,

545

Cirrhosis of the liver, influence on causation of splenic enlargement,

957

of lung, displacement of heart by,

603

Classification of hay asthma,

221

of pleurisy,

454

of pneumonokoniosis,

454

of pulmonary embolism,

373

Climate, change of, in acute laryngitis,

96

in chronic bronchitis,

183

influence on frequency of hæmoptysis,

277

Climatic treatment of pulmonary phthisis,

427

Clothing, proper, for phthisical patients,

433

,

434

Clots, ancient or ante-mortem, of heart, characters,

737

cadaveric, in cardiac thrombosis,

735

terminal, in cardiac thrombosis,

735

Clubbing of fingers in cyanosis and cardiac malformations,

711

Cocaine, use, in chronic laryngitis,

127

in coryza,

42

in epiglottic ulceration,

112

in hyper- and paræsthesia of the larynx,

65

in morbid growths of the larynx,

131

Codeia, use, in bronchitis,

180

,

182

in cough of miliary tuberculosis,

480

Cod-liver oil, use, in acute miliary tuberculosis,

482

in atrophic nasal catarrh,

49

in chronic bronchitis,

182

in chronic laryngitis,

125

in pulmonary phthisis,

434

in purulent pleurisy,

549

in ulceration of trachea,

139

in vesicular emphysema,

245

Coeliac axis, aneurism of,

841

diseases of,

841

Coffee, use, in bronchial asthma,

205

black, use, in cardiac thrombosis,

746

Colchicum, use, in rheumatic bronchitis,

181

Cold applications in epistaxis,

51

influence on causation of congestion and oedema of the lungs,

258

of pericarditis,

770

of perichondritis and chondritis of larynx,

117

use, in catarrhal pneumonia,

371

in pericarditis,

783

in reduction of temperature in croupous pneumonia,

349

in simple lymphangitis,

990

and damp, influence on causation of asthma,

192

of bronchitis,

166

of croupous pneumonia,

315

of fibro-serous pleurisy,

491

and moisture, influence on causation of acute catarrhal laryngitis,

93

Collapse of lung,

250

Color of ante-mortem heart-clots,

739

Columnæ carneæ, lesions, in chronic myocarditis,

607

Communicability of pulmonary phthisis,

396

Complications after tracheotomy,

161

of acute coryza,

41

of cancer of the lungs,

464

of cardiac thrombosis,

733

of catarrhal pneumonia,

364

of emphysema,

239

of fibro-serous pleurisy,

512

of mediastinal abscess,

864

of pulmonary phthisis,

400

Compressed air, use, in bronchial asthma,

208

in chronic bronchitis,

183

in emphysema,

245

Compression in treatment of abdominal aneurism,

823

Congenital anomalies of the heart and great vessels,

687

malpositions of the heart,

601

Congestion, acute, of spleen,

953

and enlargement of the spleen, chronic,

956

and oedema of the lungs,

258

Congestive form of hæmoptysis,

283

Contagiousness of acute miliary tuberculosis,

472

of pseudo-membranous laryngitis,

102

of pulmonary phthisis,

396–400

Conus arteriosus dexter, obstruction with open ventricular septum in cyanosis,

703

Convallaria, use, in dilatation of the heart,

635

Convulsions, in croupous pneumonia,

329

in pseudo-membranous laryngitis,

102

C

ORONARY

A

RTERY

, D

ISEASES OF

,

828

Chronic Endarteritis (Arterio-sclerosis; Atheroma),

828

Diagnosis and prognosis,

829

,

830

Etiology and symptoms,

828

Pathology,

829

Treatment,

830

Aneurism of,

830

Embolism of,

831

Embolism and thrombosis of,

831

Obliterating endarteritis of,

830

Occlusion of,

831

Rupture of,

833

Thrombosis of,

832

Corpuscles of the blood, changes in, in Hodgkin's disease,

924

in leukæmia,

912

in pernicious anæmia,

901

Coryza, acute,

41

Cough in acute catarrhal laryngitis,

94

in asthma,

188

in bronchial dilatation,

228

in capillary bronchitis,

171

in cardiac malformations and cyanosis,

710

in catarrhal pneumonia,

358–361

,

363

in chronic bronchitis,

174

pharyngitis,

122

in croupous pneumonia,

322

in emphysema,

236

in fibro-serous pleurisy,

495

in hydatids of pleura,

585

in laryngismus stridulus,

71

in mitral regurgitation,

671

stenosis,

667

in morbid growths of the trachea,

140

in pseudo-membranous laryngitis,

102

in pulmonary congestion in oedema,

260

phthisis,

400

treatment,

436

in purulent pleurisy,

542

in thoracic aneurism,

806

nervous,

71

Counter-irritation in acute bronchitis,

178

in atelectasis,

255

in cardiac thrombosis,

745

,

746

in catarrhal pneumonia,

369

in croupous pneumonia,

347

in pericarditis,

783

Course of anæsthesia of the larynx,

67

of cardiac thrombosis,

732

of fibro-serous pleurisy,

510

of hyperæsthesia of the larynx,

163

of hypertrophy of the heart,

621

of laryngismus stridulus,

71

of leukæmia,

818

of pernicious anæmia,

903

of pulmonary congestion and oedema,

261

Crepitant râle of croupous pneumonia,

335

Crico-arytenoid muscles, hysterical paralysis of,

83

Cricotomy,

148

,

156

Critical phenomena in croupous pneumonia,

331

Croup, false. See

Laryngismus Stridulus

.

Croupous pneumonia,

307

Cubebs, use, in chronic laryngitis,

124

Cyanosis, admixture theory of origin,

712

congestive theory of origin,

714

in cardiac malformation,

709

in fibroid phthisis,

442

in fibro-serous pleurisy,

496

in mitral regurgitation,

671

and congenital anomalies of the heart and great vessels,

687

Cysts, fibrinous, in cardiac thrombosis,

738

hydatid, of lungs, number and seat,

467

of suprarenal bodies,

949

of the heart,

637

Cystic goitre,

978

D.

Dangers of thoracentesis,

534

Death, cause of, in angina pectoris,

760

in croupous pneumonia,

345

in leukæmia,

919

in pericarditis,

783

in pulmonary embolism,

380

,

381

in thoracentesis,

536

,

537

in valvular heart disease,

681

mode of, in cardiac thrombosis,

732

in Hodgkin's disease,

929

Decubitus in fibro-serous pleurisy,

495

Definition of acute miliary tuberculosis,

472

of Addison's disease,

939

of angina pectoris,

755

of anæsthesia of larynx,

65

of bronchitis,

164

of bronchial asthma,

184

dilatation,

227

of brown induration of lungs,

256

of cancer of the lung,

460

of cardiac thrombosis,

718

of catarrhal pneumonia,

353

of chronic laryngitis,

121

nasal catarrh,

42

of collapse of the lung,

250

of congestion and oedema of lungs,

258

of croupous pneumonia,

307

of dilatation of the heart,

630

of endocarditis,

639

of emphysema,

232

of epistaxis,

50

of gangrene of the lung,

301

of hæmophilia,

931

of hæmoptysis,

266

of hæmothorax,

582

of hay asthma,

210

of Hodgkin's disease,

921

of hydrothorax,

570

of hyperæsthesia of the larynx,

62

of hypertrophy of the heart,

619

of laryngeal oedema,

112

of leukæmia,

908

of lymphangitis,

986

of mediastinal tumors,

864

of morbid growths of larynx,

128

of trachea,

139

of pericarditis,

169

of perichondritis and chondritis of the larynx,

117

of pernicious anæmia,

898

of pleurisy,

483

of pneumonokoniosis,

454

of pneumothorax,

573

of pulmonary abscess,

296

embolism,

373

hydatids,

466

phthisis,

391

of purulent pleurisy,

539

of simple tracheitis,

133

of spasm of the glottis in adults,

74

of stenosis of trachea,

142

of syphilis of the lung,

447

of the caisson disease,

854

of thoracic aneurism,

801

Deflected septum in chronic nasal catarrh,

44

Degenerations of heart-muscle,

609–616

of the suprarenal bodies,

949

of the veins,

852

Dermoid cysts of the mediastinum,

870

Delirium in croupous pneumonia,

329

Dentition, influence on causation of laryngismus stridulus,

70

Depressing influences, influence on causation of croupous pneumonia,

315

Diagnosis of abdominal aneurism,

823

of abscess of the lung,

299

of acute and chronic bronchitis,

176

of acute catarrhal laryngitis,

95

of acute congestion of spleen,

955

of acute miliary tuberculosis,

480

of acute myocarditis,

606

of acute phlebitis,

846

of Addison's disease,

947

of adherent pericardium,

788

of anæsthesia of larynx,

66

of aneurism of the coeliac axis,

842

of angina pectoris,

757

of aortic obstruction,

657

regurgitation,

664

of asthma,

198

of atrophic emphysema,

249

of bronchial dilatation,

230

of cancer of the lung,

464

of the pleura,

584

of cardiac thrombosis,

740–744

of catarrhal pneumonia,

365

of chronic congestion and enlargement of the spleen,

958

endarteritis of the coronary artery,

829

laryngitis,

124

myocarditis,

609

of collapse of the lung,

254

of coryza,

41

of croupous pneumonia,

339

of cyanosis,

709

of dilatation of the heart,

634

of echinococcus of the spleen,

969

of embolic splenic abscess,

964

of embolism of the coronary artery,

832

of the superior mesenteric artery,

838

of endocarditis,

650

of epiglottic affections,

109–112

of exophthalmic goitre,

763

of fatty cardiac degeneration,

615

infiltration of the heart,

612

of fibroid phthisis,

443

of functional heart disease,

749–752

of gangrene of the lung,

304

of hæmophilia,

937

of hæmoptysis,

289

of hæmothorax,

582

of hay asthma,

221

of hemorrhagic pleurisy,

568

of Hodgkin's disease,

929

of hydatids of the pleura,

585

of hydrothorax,

572

of hyperæsthesia and paræsthesia of the larynx,

64

of hypertrophic lobar emphysema,

243

of hypertrophy of the heart,

627

of interlobular emphysema,

249

of lardaceous spleen,

967

of laryngeal oedema,

115

of laryngismus stridulus,

72

of leukæmia,

919

of mediastinal abscess,

863

tumors,

876

of mitral regurgitation,

674

stenosis,

669

of morbid growths of the larynx,

130

of the trachea,

141

of paralysis of adductors of vocal cords,

83

,

85

of tensors of vocal cords,

85

,

86

of pseudo-membranous laryngitis,

103

of pericardial effusion,

778

of pericarditis,

776

of pernicious anæmia,

905

of pleurisy,

514

of pneumonokoniosis,

459

of pneumothorax,

580

of pulmonary apoplexy,

294

congestion and oedema,

262

embolism,

387

hydatids,

469

phthisis,

410

regurgitation,

677

stenosis,

676

of purulent pleurisy,

543

of simple lymphangitis,

988

tracheitis,

134

of spasm of the glottis in adults,

75

of stenosis of the aorta,

827

of the trachea,

142

of syphilis of the lungs,

453

of thoracic aneurism,

815

of thrombosis of the coronary artery,

832

of tricuspid stenosis,

677

Diaphoretics, use, in laryngeal oedema,

116

in pulmonary abscess,

264

Diaphragm, displacement of, in pleurisy,

497

,

498

,

507

Diaphragmatic pleurisy,

563

Diarrhoea in Hodgkin's disease,

925

in leukæmia,

910

in pernicious anæmia,

903

in pulmonary phthisis,

406

treatment,

439

Diathesis, the tubercular,

477

Diet after tracheotomy,

161

in acute miliary tuberculosis,

481

in Addison's disease,

948

in bronchial asthma,

206

in cardiac valvular disease,

683

,

685

in catarrhal pneumonia,

369

,

370

in croupous pneumonia,

348

in collapse of the lung,

256

in endocarditis,

651

in fatty degeneration of the heart,

616

in hay asthma,

224

in pericarditis,

783

in pernicious anæmia,

907

in pseudo-membranous laryngitis,

108

in simple lymphangitis,

990

restricted, in thoracic aneurism,

817

Dietetic treatment of pulmonary phthisis,

431

Digestive disorders in functional heart disease,

749

influence on causation of pernicious anæmia,

900

Digitalis, use, in acute myocarditis,

606

in angina pectoris,

761

in aortic disease,

684

in chronic endarteritis of the coronary artery,

830

in croupous pneumonia,

349

in dilatation of the heart,

635

in exophthalmic goitre,

767

in fatty degeneration of the heart,

616

in functional disease of the heart,

754

in hypertrophy of the heart,

630

in mitral disease,

685

in pericarditis,

783

in pulmonary congestion and oedema,

263

in vesicular emphysema,

247

,

248

Dilatation of the pulmonary artery,

833

of the bronchial tubes,

227

of the heart,

630

of the trachea,

143

of the veins,

849

Diphtheria, influence on causation of anæsthesia of the larynx,

66

paralysis of the larynx,

80

of the trachea,

136

Displacement of adjacent organs in pleurisy,

504

of the heart in pneumothorax,

577

Displacements of the heart,

601–604

Disseminated form of catarrhal pneumonia, lesions,

357

Diverticular dilatation of trachea,

143

Double pleurisy,

562

pneumonia, prognosis,

343

Drainage of pleural cavity, methods of,

552–562

Dropsy in aortic regurgitation,

661

in mitral regurgitation,

672

of emphysema, treatment,

247

time of appearance in tricuspid regurgitation,

679

Drummond's oral whiff in aneurism,

812

Ductus arteriosus Botalli, defects of, in cardiac malformation,

691

Duration of anæsthesia of the larynx,

67

of asthma,

189

of cancer of the lungs,

463

of cardiac thrombosis,

732

of catarrhal pneumonia,

368

of fibro-serous pleurisy,

511

of Hodgkin's disease,

929

of laryngismus stridulus,

71

of life in cardiac malformations and cyanosis,

711

of mediastinal abscess,

863

tumors,

875

of pulmonary phthisis,

424

of stenosis of the aorta,

825

of the caisson disease,

855

of thoracic aneurism,

815

Durham's tracheotomy canula,

151

Dysphagia in chronic pharyngitis,

122

in hysterical affections of the glottis,

83

in inflammation of the epiglottis,

110

in laryngeal oedema,

114

in mediastinal tumors,

872

,

873

in morbid growths of larynx,

129

in perichondritis and chondritis of the larynx,

118

in thoracic aneurism,

806

Dysphonia in morbid growths of larynx,

129

in perichondritis and chondritis of the larynx,

118

in pulmonary phthisis,

408

Dyspnoea in acute catarrhal laryngitis,

94

in Addison's disease,

941

in angina pectoris,

756

in aortic regurgitation,

661

in cardiac thrombosis,

730

in catarrhal pneumonia,

359

,

360

,

363

in chronic pharyngitis,

122

in croupous pneumonia,

321

in cyanosis and cardiac malformation,

710

in dilatation of trachea,

144

in fatty infiltration of the heart,

612

in fibro-serous pleurisy,

493

,

495

in Hodgkin's disease,

925

in hydatids of pleura,

585

in hydrothorax,

571

in hypertrophy of the heart,

626

in laryngeal oedema,

114

in leukæmia,

913

in mediastinal tumors,

872

in mitral regurgitation,

671

stenosis,

667

in morbid growths of the larynx,

129

in paralysis of abductors of vocal cords,

88

in pernicious anæmia,

903

in pneumothorax,

578

in pulmonary embolism,

379–381

in stenosis of the trachea,

143

in thoracic aneurism,

805

E.

Echinococcus of the spleen,

968

Effects of cardiac hypertrophy,

626

of pulmonary embolism,

383

Effusions, characters, in purulent pleurisy,

540

,

541

of fibro-serous pleurisy,

487–491

of pericarditis,

772

Elaterium, use, in hydrothorax,

572

Electric illuminator, use, in laryngoscopy,

24

Electricity, use, in anæsthesia of the larynx,

68

in angina pectoris,

761

in bronchial asthma,

205

in paralysis of the larynx,

90

Electrolysis, use, in goitre,

980

in thoracic aneurism,

819

Embolic abscess of the spleen,

963

Embolism and thrombosis of coronary artery,

831

of pulmonary artery,

835

complicating cardiac thrombosis,

733

from aortic obstruction,

656

influence on causation of gangrene of the lung,

302

of inferior mesenteric artery,

839

of pulmonary artery distinguished from asthma,

200

of superior mesenteric artery,

836

relation to acute myocarditis,

604

symptoms of, in endocarditis,

647

Emetics, use, in acute catarrhal laryngitis,

97

in catarrhal pneumonia,

371

in collapse of the lung,

255

in pulmonary congestion,

263

in pseudo-membranous laryngitis,

106

E

MPHYSEMA

,

232

Definition and history,

232

Varieties,

232

Interlobular or Extra-vesicular Emphysema

,

249

Vesicular Emphysema

,

232

Acute lobular form,

232

Symptoms and treatment,

233

Atrophic lobar form,

248

Symptoms and treatment,

248

,

249

Chronic lobular form,

233

Hypertrophic lobar form,

233

Complications,

239

Diagnosis,

243

Duration,

242

Etiology,

234

Changes in alveolar wall, influence on causation,

234

Expiratory and inspiratory theories of causation,

235

,

236

Heredity, influence on causation,

234

Morbid anatomy,

242

Prognosis,

244

Symptoms,

236

Cough and dyspnoea,

236

Chest, shape of,

237

Physical signs,

236–238

Respiration, peculiarities of,

238

Treatment,

245

Cod-liver oil, use,

245

Compressed air, use,

245

,

246

Digitalis, use,

247

Expectorants, use,

246

Expiration into expired air,

246

Iron, use,

245

Potassium, iodide,

246

Quinia hydrobromate, hypodermatically,

247

Strychnia, use,

245

Emphysema after tracheotomy,

162

distinguished from asthma,

198

following asthma,

189

Empyema, pulsating,

596

See

Pleurisy, Purulent

.

Enchondroma of the mediastinum,

871

Encysted pleurisies,

545

,

546

Endarteritis, obliterating, of the coronary artery,

830

of the pulmonary artery,

833

of the superior mesenteric artery,

839

E

NDOCARDITIS

,

639

Definition,

639

Diagnosis,

649

From aortitis,

650

From pericarditis,

649

Etiology,

645

Acute and chronic Bright's disease,

646

Acute rheumatism,

645

,

646

Pyæmia, puerperal fever, the specific fevers, etc.,

646

History,

639

Morbid anatomy,

640–645

Of acute exudative form,

640

Of interstitial form,

643

Of ulcerative form,

642

Prognosis,

650

Symptoms,

646

Dyspnoea,

647

Mitral murmurs, frequency and characters of,

648

Of exudative form,

647

Of interstitial form,

647

Of ulcerative form,

647

Pain in,

647

Physical signs,

648

,

649

Physiognomy,

647

Pulse, characters,

647

Tricuspid and aortic murmurs, characters,

649

Treatment,

650

Iron, use,

651

Opium, use,

651

Rest, value,

651

Stimulants, use,

651

Endocarditis, influence on causation of cardiac thrombosis,

725

ulcerative, influence on causation of splenic infarction,

961

Engorgement stage of croupous pneumonia,

308

Enlargement of the spleen, chronic,

951

,

956

in lardaceous disease,

967

in syphilis,

971

Epigastric pulsation in mitral disease,

672

in tricuspid disease,

679

Epiglottis, erosion of,

110

treatment,

111

inflammation of,

109

,

110

ulceration of,

111

symptoms and treatment,

112

Epistaxis,

50–52

in croupous pneumonia,

331

Ergot, use, in epistaxis,

51

in embolism of superior mesenteric artery,

839

in hæmophilia,

938

in hæmoptysis,

291

in morbid growths of larynx,

131

Ergotin, use, in aneurism,

816

in exophthalmic goitre,

766

in hæmoptysis of heart disease,

685

in hæmothorax,

583

in pulmonary phthisis,

437

Erosion of epiglottis,

110

Eruptive fevers, influence on causation of pericarditis,

771

of pleurisy,

493

Erysipelas of the trachea,

136

Ether, use, in pneumothorax,

582

Etiology of acute catarrhal laryngitis,

93

miliary tuberculosis,

473

splenic congestion,

953

of Addison's disease,

939

of anæsthesia of the larynx,

65

of aneurism of the coeliac axis,

841

of the coronary artery,

830

thoracic,

802

,

803

of aortic obstruction,

655

regurgitation,

660

of asthma,

190

of atheroma of the aorta,

800

of atrophic lobar emphysema,

252

of bronchial dilatation,

227

of bronchitis,

164

of brown induration of the lungs,

256

of cancer of the lungs,

460

of cardiac malformation,

694

thrombosis,

721

of catarrhal pneumonia,

353

of chronic congestion and enlargement of spleen,

956

endarteritis of the coronary artery,

828

laryngitis,

121

of collapse of the lung,

250

of congestion and oedema of the lungs,

258

of croupous pneumonia,

324

of dilatation of the heart,

631

of the veins,

849

of embolism of the coronary artery,

831

of emphysema,

234

of endocarditis,

645

of epistaxis,

50

of exophthalmic goitre,

764

of fatty degeneration of the heart,

612

of fibroid phthisis,

440

of fibro-serous pleurisy,

491

of functional heart disease,

752

of gangrene of the lung,

301

of goitre,

976

of hæmophilia,

932

of hæmoptysis,

272

of hæmothorax,

582

of hay asthma,

212

of hemorrhagic pleurisy,

565

of Hodgkin's disease,

922

of hydrothorax,

570

of hyperæsthesia of the larynx,

62

of hypertrophy of the heart,

619

of hysterical affections of the glottis,

83

of lardaceous spleen,

966

of laryngeal oedema,

113

of laryngismus stridulus,

70

of leukæmia,

909

of lymphangitis,

986

of mediastinal abscess,

861

tumors,

871

of mitral regurgitation,

671

stenosis,

666

of morbid growths of the larynx,

127

of the trachea,

139

of paræsthesia of the larynx,

63

of paralysis of abductors of vocal cords,

87

of adductors of vocal cords,

81

of constrictors of larynx,

80

of tensors of vocal cords,

85

,

86

of the whole larynx,

79

of pericarditis,

769

of perichondritis and chondritis of larynx,

117

of perisplenitis,

965

of pernicious anæmia,

899

of pneumonokoniosis,

454

of pneumothorax,

573

of pseudo-membranous laryngitis,

101

of pulmonary abscess,

296

apoplexy,

293

embolism,

374

hydatids,

466

phthisis,

394

stenosis,

675

of purulent pleurisy,

539

of spasm of the glottis in adults,

74

of stenosis of the aorta,

826

of the trachea,

142

of syphilis of the lung,

447

of the caisson disease,

857

of tricuspid regurgitation,

678

Eucalyptol, use, in bronchial dilatation,

231

Evil effects of goitre,

979

Exciting causes of asthma,

191

of bronchitis,

168

of gangrene of the lung,

302

of hay asthma,

214

Excision of the spleen,

960

of the sternum in mediastinal abscess,

863

of the thyroid gland,

981

Exercise, importance, in pulmonary phthisis,

432

,

433

in chronic bronchitis,

183

E

XOPHTHALMIC

G

OITRE

(Graves' Disease; Basedow's Disease),

761

Definition,

761

Diagnosis,

763

Etiology,

764

Morbid anatomy,

764

Prognosis,

765

Symptoms,

762

Dyspnoea,

763

Digestive disorders,

763

Eyeball, protuberance of,

762

Increased heart-action,

762

Thyroid body, enlargement of,

762

Treatment,

765

Aconite, use,

766

Digitalis, use,

767

Ergot, hypodermically,

766

Ice-bag to præcordiæ,

767

Iron, use,

766

,

767

Iodine, use,

766

Hydropathic packing and the needle-bath,

766

Galvanization,

767

Of exophthalmia,

766

Opiates, use,

766

Expectorants, use, in bronchitis,

179

in simple tracheitis,

135

in pulmonary phthisis,

436

Expectoration, albuminoid, following thoracentesis,

535

characters in, in acute catarrhal laryngitis,

79

in asthma,

188

in bronchial dilatation,

228

in capillary bronchitis,

171

in catarrhal pneumonia,

359–361

in croupous pneumonia,

322

in chronic bronchitis,

174

in fibroid phthisis,

441

Expectorations, characters in fibro-serous pleurisy,

496

in gangrene of the lung,

303

in pulmonary congestion and oedema,

260

in pulmonary phthisis,

401

in simple tracheitis,

133

,

134

of acephalocysts in pulmonary hydatids,

469

Expiratory movement in asthmatic paroxysm,

186

theory of origin of emphysema,

235

Exploratory puncture in mediastinal abscess,

863

value, in diagnosis of pleurisy,

518

of purulent pleurisy,

543

,

548

Extra-pulmonary hæmoptysis,

285

Exudations of fibro-serous pleurisy, characters,

486

Exudative endocarditis, acute,

640

Eyeball, protuberance of, in exophthalmic goitre,

640

F.

Faintings in Addison's disease,

941

False membranes of true croup, nature,

100

seat and character, in purulent pleurisy,

541

Fatality of Addison's disease,

941

Fatty degeneration of the heart,

612

of the veins,

852

infiltration of the heart,

611

Fevers, influence on causation of dilatation of the heart,

632

Fibroid heart,

607

phthisis, influence on causation of bronchial dilatation,

228

Fibroma of nasal passages,

55

Fibromata of trachea, frequency,

140

Fibro-serous pleurisy,

484

Fibrous goitre,

977

Fistula, aërial, following tracheotomy,

163

in phthisical persons, treatment of,

439

Fistulæ, pleuro-bronchial, seat and characters in purulent pleurisy,

542

Fistules, pericardial,

796

Flatness, level of, pleuritic effusions,

487

,

491

,

500

Fluctuation in pulmonary hydatids,

468

Flush of pneumonia,

328

Follicular goitre,

977

and fibrous goitre, treatment,

979

,

980

Fomentations, use, in phlebitis,

846

Fragility of pulmonary vessels as a cause of hæmoptysis,

275

Frémissement in pulmonary hydatids,

468

cataire in thoracic aneurism,

808

Friction sounds in fibro-serous pleurisy,

507–509

in pericarditis,

775

,

777

Functional heart disorders,

747

G.

Gallic acid, use, in epistaxis,

51

in hæmoptysis,

291

Gangrene of the lung,

301

influence on causation of pneumothorax,

575

complicating catarrhal pneumonia,

364

termination of croupous pneumonia in,

332

Gastric pneumonia,

334

Gastro-intestinal canal, lesions, in catarrhal pneumonia,

358

in croupous pneumonia,

313

in Hodgkin's disease,

928

in leukæmia,

917

in pernicious anæmia,

904

disorders in abdominal aneurism,

821

in Addison's disease,

941

in catarrhal pneumonia,

360

,

362

in croupous pneumonia,

330

in endocarditis putrida,

647

in functional heart disease,

749

in Hodgkin's disease,

925

in leukæmia,

910

in mitral regurgitation,

671

in pernicious anæmia,

903

in pulmonary phthisis,

406

in tricuspid regurgitation,

679

Galvanism, use, in Addison's disease,

948

Galvanization, use, in exophthalmic goitre,

767

Galvano-cautery knife, use, in tracheotomy,

150

snare, use, for removing nasal growths,

56

use, for removal of nasal hypertrophies in hay asthma,

224

in chronic nasal catarrh,

44

,

45

,

47

,

48

,

50

in epistaxis,

51

Gelatinous goitre,

978

treatment,

981

General diseases, influence on causation of phthisis,

396

Geographical distribution of goitre,

975

of hay asthma,

218

Gestation, influence on causation of goitre,

977

Giddiness in Addison's disease,

941

Glacier- and ice-water, influence on causation of goitre,

976

Glands, bronchial lesions of, in bronchitis,

175

Glottis, hysterical affections of,

83

spasm of, in adults,

74

,

75

G

OITRE

,

974

Definition,

974

Etiology,

976

Atmospheric causes,

977

Gestation and syphilis, influence on causation,

977

Glacier- and ice-water, influence on causation,

976

Geographical distribution,

975

Symptoms,

974

Treatment,

979

Electrolysis, use,

980

Ergot, use,

980

Excision of gland,

982

Injections, use,

989

,

981

Iodides of lead and mercury, locally,

980

Iodine, use,

979–981

Iodoform, use,

979

local,

979

Natural mineral waters, use,

980

Of follicular and fibrous form,

979

Of gelatinoid or cystic form,

981

Of vascular form,

980

Syrup of iodide of iron,

979–981

Tincture of iron, injections,

981

Varieties,

977

Goitre, exophthalmic,

761

Gold, chloride of, use, in epiglottic erosion and ulceration,

111

,

112

Gout, influence on causation of aortic regurgitation,

660

of thoracic aneurism,

803

Granulations, exuberant, complicating tracheotomy,

162

Grave form of pulmonary embolism,

380

Graves' disease. See

Exophthalmic Goitre

.

Great vessels, malformations of,

690

Gray hepatization stage of croupous pneumonia, lesions,

310

Gummy tumors of the spleen,

971

Gummata of the lung,

449

,

450

H.

Hæmatemesis, distinguished from hæmoptysis,

289

Hæmopericardium,

788

,

789

H

ÆMOPHILIA

,

931

Classification, synonyms, and history,

932

Definition,

931

Diagnosis,

937

Etiology,

932

Age and sex, influence on causation,

933

Heredity, causation,

932

Morbid anatomy,

936

Pathology,

936

Prognosis,

938

Symptoms,

934–936

Blood in,

936

External bleedings, seat,

935

Interstitial bleedings, seat and characters,

935

Joints, affections of,

935

,

936

Treatment,

938

Diet,

938

Ergot and iron, use,

938

Prophylaxis,

938

H

ÆMOPTYSIS

,

266

Definition,

266

Diagnosis,

289

From hæmatemesis,

289

Etiology,

272

Age, influence on causation,

275

Bacillus tuberculosis, relation of, to,

279

,

280

Catarrhal predisposition, influence on causation,

275

Exciting causes,

278

Fragility of blood-vessels, influence on causation,

275

Heredity, influence on causation,

272–275

Injury, influence on causation,

279

Pregnancy, influence on causation,

278

Sex, influence on causation,

276

Season, climate, etc., influence on causation,

277

,

278

History,

266–272

Mortality,

290

Pathology and morbid anatomy,

286

Aneurisms of pulmonary artery, appearance of,

287

Heart, changes in,

288

Of cardiac hæmoptysis,

288

Of pulmonary infarction,

288

Seat of, and changes in hemorrhages,

288

Prognosis,

290

Synonyms,

266

Symptoms,

281

Frequency of attacks,

284

Of aortic aneurism discharging into air-passages,

285

Of cavernous form,

284

Of extra-pulmonary form,

285

Of hemorrhagic infarction and cardiac form,

285

,

286

Of simple, congestive, and ulcerative forms,

283

,

284

Physical signs,

282

Treatment,

291

,

292

Absolute quiet, necessity of,

291

Astringent inhalations,

291

Ergot and turpentine, use,

291

Gallic acid, use,

291

Ice, use,

291

Ipecacuanha, use,

292

Opium, use,

291

,

292

Quinia for fever following,

292

Hæmoptysis in hypertrophy of the heart,

627

in pulmonary phthisis,

401

influence on causation of pulmonary phthisis,

395

H

ÆMOTHORAX

,

582

Etiology and pathology,

582

Symptoms,

582

Treatment,

583

H

AY

A

STHMA

,

210

Classification,

221

Definition,

210

Diagnosis,

221

Etiology,

212

Age, sex, and heredity, influence on causation,

212

,

213

Certain plants and grasses,

215

,

216

Dust and animal parasites,

216

Exciting causes,

214

Heat and dryness,

214

,

215

Occupation and temperament,

213

,

214

Pollen theory of origin,

216–218

Predisposing causes,

212

Geographical distribution,

218

History,

210

Prognosis,

222

Symptoms and course,

218–221

Treatment,

222

Diet,

224

Climate, change of,

224

Galvanism,

224

Nasal hypertrophies, removal of,

224

,

225

Nasal injections, use,

224

Quinia, use,

224

Headache and vertigo in mitral regurgitation,

672

in acute congestion of spleen,

954

in croupous pneumonia,

329

in Hodgkin's disease,

925

in leukæmia,

911

Head-reflector, use in laryngoscopy,

22

Heart and circulation, effect of asthmatic paroxysm upon,

188

H

EART AND

G

REAT

V

ESSELS

, M

ALFORMATIONS OF

,

687

Diagnosis,

709

Duration of life in,

709

Etiology,

692

Defects of arterial outlet of right ventricle, the most frequent primary cause,

694

Narrowing of pulmonary artery and patency of septum ventriculorum, theories of origin of,

697–702

Development of foetal heart, relation to course,

698

,

700

Malformation affecting primarily left side,

707–709

Narrowing of aortic trunk,

708

Stenosis of the conus,

708

Affecting primarily the right side,

702–706

Of conus arteriosus dexter, with open ventricular septum,

703

Of pulmonary artery, combined stenosis, and atresia of,

706

Of pulmonary artery, closure of, with perfect ventricular septum,

702

Of pulmonary artery, stenosis of, with open ventricular septum,

706

Symptoms,

709

Clubbing of fingers and toes,

711

Cyanosis,

709

Dyspnoea and cough,

710

Physical signs,

710

Temperature in,

710

Heart and lung, disease, influence on causation of pulmonary embolism,

375

aneurism of,

636

atrophy of,

618

cancer of,

637

changes in, in emphysema,

240

clot, as a cause of death in croupous pneumonia,

343

condition of, in hæmoptysis,

288

cysts of,

637

H

EART

, D

ILATATION OF

,

630

Definition,

630

Diagnosis,

634

Etiology,

631

Morbid anatomy,

633

Prognosis,

635

Symptoms,

634

Treatment,

635

Caffeine, use,

635

Convallaria, use,

635

Digitalis, use,

635

Rest, value of,

635

Heart disease, death from, following thoracentesis,

536

displacements of heart from,

602

influence on causation of congestion of the lungs,

258

influence on causation of hydrothorax,

570

diseases of the substance of,

601

H

EART

, D

ISPLACEMENTS OF

,

602

From abdominal disease,

604

From changes in chest-wall,

602

From cirrhosis of lung,

603

From disease of pleura,

498

,

504

,

603

From heart disease,

602

From mediastinal tumors,

603

From pericardial effusions,

602

In pneumothorax,

577

H

EART

, F

ATTY

D

EGENERATION OF

,

612

Diagnosis and prognosis,

615

Etiology,

612

Age and sex, influence on causation,

613

Cardiac hypertrophy, influence on causation,

613

Mineral and alcoholic poisoning,

612

Morbid anatomy,

613

,

614

Symptoms,

614

Physical signs,

615

Pulse in,

615

Treatment,

616

Amyl nitrite, use,

616

Digitalis, use,

616

Iron and vegetable tonics,

616

H

EART

, F

ATTY

I

NFILTRATION OF

,

611

Diagnosis,

612

Etiology,

611

Symptoms and treatment,

612

H

EART

, F

UNCTIONAL

D

ISORDERS OF

,

747

Diagnosis,

749

Etiology,

750

Morbid anatomy,

752

Prognosis,

753

Symptoms,

748

Cerebral disturbances,

749

Digestive disturbances,

749

Infrequency of intermittence of heart's action,

748

Palpitation,

747

Paroxysms, characters, and frequency of,

748

Treatment,

753

Aconite, use,

754

Alcohol, use,

755

Antispasmodics, use,

753

,

754

Digitalis, use,

754

Opium and morphia, use,

754

Preventive,

754

Tonics, chalybeate, use,

754

H

EART

, H

YPERTROPHY OF

,

619

Definition,

619

Diagnosis,

627

Etiology,

619

Disturbed innervation, influence on causation,

619

Kidney disease,

621

Mechanical causes,

620

Morbid anatomy,

624

Prognosis,

629

Symptoms,

624

Dyspnoea,

626

,

627

Physical signs,

625–627

Pulse, characters,

625

,

627

Sensation, uneasy cardiac,

626

,

627

Treatment,

630

Digitalis, use,

630

Sedatives, use,

630

Varieties,

619

Heart, lesions of, in Hodgkin's disease,

928

in interstitial endocarditis,

644

,

645

in pernicious anæmia,

904

malpositions of,

601

murmur, cause of, in pleurisy,

510

muscle, amyloid degeneration of,

616

anæmic necrosis of,

610

brown atrophy of,

616

calcareous degeneration of,

616

degenerations of,

609–616

hyaline degeneration of,

616

parenchymatous degenerations of,

610

neuroses of,

747

normal positions of,

601

,

602

palpitation of. See

Heart, Functional Disorders of

.

parasites of,

637

rupture of, spontaneous,

617

Heart's action, increase of, in exophthalmic goitre,

762

mechanism of,

652

Heart, sarcoma of,

637

sounds, in adherent pericardium,

788

in pericarditis,

776

syphilis of,

637

tubercle of,

637

H

EART

, V

ALVULAR

D

ISEASES OF

,

AND

C

ARDIAC

M

URMURS

,

651

Definition,

651

History,

651

Murmurs,

654

Aortic Obstruction or Stenosis

,

654

Diagnosis,

657

Etiology,

655

Morbid anatomy,

654

Symptoms,

656

Cerebral anæmia,

656

Cerebral and other embolisms,

656

Murmurs, characters,

657

Physical signs,

657

Pulse, characters,

657

Aortic Regurgitation or Insufficiency

,

659

Diagnosis,

664

Etiology,

659

Morbid anatomy,

659

Symptoms,

659

Carotid pulsation,

661

,

662

Pain, characters,

661

Physical signs,

662

Pulse, characters,

661

Mitral Regurgitation

,

669

Diagnosis,

674

Etiology,

671

Morbid anatomy,

669

Symptoms,

671

Cough and expectoration,

671

Cyanosis and physiognomy,

671

Digestive disorders,

671

Dropsy, occurrence of,

672

Headache, vertigo, etc.,

672

Murmurs, seat and characters,

673

Physical signs,

672

Pulse, characters,

672

Mitral Stenosis

,

665

Diagnosis,

669

Etiology,

666

Morbid anatomy,

665

Symptoms,

667

Hæmoptysis,

667

Murmurs, characters,

668

Pain,

667

Physical signs,

668

Pulmonary congestion, cough, etc.,

667

Pulse, characters,

667

Purring thrill, significance,

668

Pulmonary Obstruction

,

674

Diagnosis,

676

Etiology,

675

Morbid anatomy,

675

Symptoms and physical signs,

675

Pulmonary Regurgitation

,

676

Physical signs,

677

Tricuspid Regurgitation

,

677

Diagnosis,

680

Etiology,

678

Morbid anatomy,

678

Symptoms,

679

Cerebral hyperæmia,

679

Jugular and epigastric pulsation,

679

Physical signs,

679

Prognosis in valvular heart disease,

680–683

Treatment,

683

Arsenic, use,

684

,

685

Calomel and jalap, use,

685

Diet in,

683–686

Digitalis, use,

684

,

685

Ergotin,

685

,

686

Hygienic,

683

,

684

,

686

Iron, use,

684

,

685

Nitrate of amyl, use,

684

,

686

Of aortic disease,

683

,

684

Of dropsy,

684

,

685

Of hæmoptysis,

685

Of mitral disease,

685

Of tricuspid disease,

686

Opium and morphia, use,

684

,

686

Quinia and strychnia, use,

684

,

685

Rest, value,

683

Squill, juniper and cream of tartar, use,

685

Heat and dryness, influence on causation of hay asthma,

214

use, in laryngismus stridulus,

73

Hemorrhage and congestion in pulmonary embolism,

384

during and after tracheotomy,

158

,

162

in croupous pneumonia,

331

influence on causation of anæmia,

887

intestinal, in embolism of the superior mesenteric artery,

837

seat, in hæmoptysis,

287

Hemorrhages in Addison's disease,

940

in leukæmia,

913

in pernicious anæmia,

903

in pulmonary phthisis,

401

,

402

interstitial, of hæmophilia,

935

seat and amount, in hæmophilia,

935

Hemorrhagic infarction of spleen,

960

pleurisy,

565

Hemorrhoids from obstruction of portal vein,

850

Hepatic artery, aneurism of,

840

Hepatization of croupous pneumonia, lesions,

309

Heredity, influence on causation of acute catarrhal laryngitis,

93

of asthma,

190

of emphysema,

234

of epistaxis,

50

of hæmophilia,

934

of hæmoptysis,

272–275

of hay asthma,

212

of Hodgkin's disease,

922

of pulmonary phthisis,

395

on prognosis of phthisis,

423

Hernia of trachea,

143

Herpetic eruptions of croupous pneumonia,

328

Hiccough in goitre,

979

History of Addison's disease,

939

of bronchial asthma,

184

dilatation,

227

of bronchitis,

164

of brown induration of the lungs,

256

of cardiac murmurs,

651

thrombosis,

719

of collapse of the lung,

252

of congestion and oedema of the lungs,

258

of croupous pneumonia,

307

of cyanosis and cardiac malformations,

687

of emphysema,

232

of endocarditis,

639

of gangrene of the lung,

301

of hæmophilia,

932

of hæmoptysis,

266

of hay asthma,

210

of Hodgkin's disease,

922

of hydrothorax,

570

of the laryngoscope,

19

of leukæmia,

908

of pernicious anæmia,

898

of pleurisy,

483

of pneumonokoniosis,

454

of pneumothorax,

573

of pulmonary abscess,

296

embolism,

373

hydatids,

466

phthisis,

392

,

394

of purulent pleurisy,

539

of the rhinoscope,

21

of syphilis of the lung,

447

Hoarseness in acute laryngitis,

94

H

ODGKIN'S

D

ISEASE

,

921

Course, duration, and termination,

929

Definition and synonyms,

921

Diagnosis,

929

Etiology,

922

Morbid anatomy,

926

Lymph-glands, lesions,

926

,

927

Spleen, lesions,

927

Pathology and prognosis,

930

Symptoms,

923

Blood and circulation, changes in,

924

Digestive disorders,

925

Genito-urinary system, changes in,

925

Hæmic murmurs in,

925

Lymphatic glands, enlargement of, seat and characters,

923

Skin, changes in,

925

Special senses, modifications of,

925

Spleen, enlargement of,

925

Respiratory system, disorders,

925

Treatment,

931

Arsenic, use,

931

Local,

931

Iodine and potassium iodide, use,

931

Phosphorus, use,

931

Quinia, iron, and cod-liver oil, use,

931

Hoffmann's anodyne, use, in functional heart disease,

753

Hyaline degeneration of heart-muscle,

616

Hydatids of the pleura,

585

pulmonary,

466

Hydropathic packing in exophthalmic goitre,

766

Hydropericardium,

789

,

790

H

YDROTHORAX

,

570

Diagnosis and prognosis,

572

Definition, etiology, and history,

570

Pathological anatomy and symptoms,

571

Treatment,

572

Hygienic treatment of croupous pneumonia,

347

of pernicious anæmia,

907

of pleurisy,

519

of valvular heart disease,

683–685

Hyoscyamia, use, in catarrhal pneumonia,

372

Hyoscyamus, use, in acute catarrhal laryngitis,

98

Hyperæsthesia of larynx,

62

Hyperplasia of cytogenic tissues, relation to increase of white blood-corpuscles,

893

of spleen, lymph-glands, and bone-marrow, influence on causation of anæmia,

890

,

891

Hypertrophic lobar emphysema,

233

nasal catarrh,

44

Hypertrophy of auricles of the heart,

627

of erectile tissue in chronic nasal catarrh,

44

of the heart,

619

Hypophosphites, use, in acute miliary tuberculosis,

481

in emphysema,

245

in phthisis,

435

Hypostatic pneumonia. See

Lungs, Congestion and Oedema of

.

Hysteria, influence on causation of paræsthesia of the larynx,

64

Hysterical affections of the glottis,

83

I.

Ice, use, in acute catarrhal laryngitis,

97

in laryngeal oedema,

117

in pericarditis,

783

in pseudo-membranous laryngitis,

104

Iceland, frequency of hydatid disease in,

466

Idiosyncrasy, influence on causation of cardiac functional disease,

752

Image, the laryngeal,

30

the rhinoscopic,

39

Impulse, cardiac, in adherent pericardium,

787

in aortic obstruction,

657

regurgitation,

662

in mitral regurgitation,

672

stenosis,

668

in pericarditis,

774

in tricuspid regurgitation,

679

in dilatation of the heart,

634

in hypertrophy of the heart,

625

,

627

Inanition, influence on causation of anæmia,

889

Incipient phthisis, diagnosis of,

411

Indications for paracentesis of the pericardium,

794

for thoracentesis,

521

for tracheotomy,

145

Infarction, hemorrhagic, of lungs, symptoms,

286

of spleen,

960

pulmonary, lesions of,

288

in pulmonary embolism, characters and seat,

384

Infectious fevers, influence on causation of acute interstitial myocarditis,

605

Inferior mesenteric artery, diseases of,

839

tracheotomy,

148

,

155

Inflammation of the epiglottis,

109

of the mediastinum,

861

of suprarenal capsules,

949

of the veins,

843

Inflammatory theory of origin of cardiac malformations,

692

Inflation of lung in atelectasis,

253

,

254

Infrequency of heart's action in functional disease,

748

Inhalations, astringent, in hæmoptysis,

291

in chronic bronchitis,

182

in fibroid phthisis,

444

in pseudo-membranous laryngitis,

106

in simple tracheitis,

135

in ulcer of trachea,

139

Injections, use, in chronic enlargement of the spleen,

960

in echinococcus of the spleen,

970

in goitre,

980

,

981

into pericardial sac,

795

into pleural cavity in purulent pleurisy,

551

,

553

,

562

of arsenic into spleen in leukæmia,

921

of tubercular cavities,

439

,

440

Injury, influence on causation of hæmoptysis,

279

of paralysis of the larynx,

79

Innervation, disturbed, influence on causation of hypertrophy of the heart,

619

Innominate aneurism, localization of,

812

Inoculability of tuberculous disease,

397

Inspection in bronchitis,

163

in cardiac malformations,

710

thrombosis,

729

valvular disease,

657

,

662

,

668

,

672

,

675

,

677

,

679

in catarrhal pneumonia,

360

,

361

in croupous pneumonia,

335

,

336

,

338

in endocarditis,

648

in fibro-serous pleurisy,

497

,

498

in hypertrophy of the heart,

625

,

627

in mediastinal abscess,

862

tumors,

874

in pericarditis,

774

in pneumothorax,

578

in thoracic aneurism,

807

Inspiratory and expiratory theories of origin of emphysema,

235

Instruments necessary in tracheotomy,

149

Insufficiency, aortic,

659

Insufflator, use, in chronic laryngitis,

126

Intercostal spaces, bulging of, in pleuritic effusion,

497

,

498

,

507

Interlobular emphysema,

249

pleurisy,

564

Intermittence of heart's action,

748

Intermittent pneumonia,

334

Interstitial endocarditis,

643

myocarditis, acute,

605

pneumonia, chronic,

391

,

440

Iodine, locally, in acute congestion of the spleen,

956

in chronic congestion and enlargement of the spleen,

960

inflammation of the epiglottis,

110

laryngitis,

126

in exophthalmic goitre,

766

in pulmonary phthisis,

435

injection of, in goitre,

980

,

981

internal use, in goitre,

979

,

980

test for lardaceous spleen,

968

use, in Hodgkin's disease,

931

Iodoform, use, in chronic epiglottic inflammation,

110

in chronic laryngitis,

125

Ipecacuanha, use, in acute catarrhal laryngitis,

98

in bronchitis,

180

in hæmoptysis,

292

in laryngismus stridulus,

73

Iron, perchloride, injection of, in goitre,

981

pernitrate, use, in epiglottic ulceration,

112

syrup of the iodide of, use, in goitre,

979

use, in Addison's disease,

948

in anæsthesia of the larynx,

68

in angina pectoris,

761

in chlorosis,

896

in chronic congestion of the spleen,

960

in dilatation of the heart,

636

in endocarditis,

651

in exophthalmic goitre,

766

,

767

in fatty degeneration of the heart,

616

in functional heart disease,

755

in hæmophilia,

938

in paralysis of the larynx,

91

in passive pulmonary congestion,

263

,

264

in pernicious anæmia,

907

in pulmonary phthisis,

436

in valvular heart disease,

684

,

685

in vesicular emphysema,

245

Irregular cardiac action in fatty degeneration,

615

Irritable heart,

747

Irritants, influence on causation of pseudo-membranous croup,

101

to pulmonary tissue, influence on causation of phthisis,

394

Ischæmia of the heart, influence on causation of angina pectoris,

758

Itching of skin and mucous membranes in hay asthma,

220

,

221

J.

Jaborandi, local use, in chronic laryngitis,

125

use, in fibro-serous pleurisy,

520

,

521

in laryngeal oedema,

116

Jacquemet on causes of death in pulmonary embolism,

381

Jarvis' snare for removal of nasal polypi,

54

Jaundice in mitral regurgitation,

671

Joint affections of hæmophilia,

935

Joints, lesions of, in hæmophilia,

936

Jugular pulsation in tricuspid regurgitation,

679

K.

Kidney disease, influence on causation of cardiac hypertrophy,

621

of pleurisy,

493

of pulmonary embolism,

375

Kidneys, lesions, in Hodgkin's disease,

928

in leukæmia,

918

in pernicious anæmia,

905

state of, in pseudo-membranous laryngitis,

102

L.

Lactic acid, use, in pseudo-membranous laryngitis,

106

Lardaceous spleen,

966

Laryngeal image, the,

30–33

Laryngectomy in morbid growths of the larynx,

131

L

ARYNGITIS

, A

CUTE

C

ATARRHAL

(False Croup),

92

Diagnosis,

95

From diphtheritic laryngitis,

95

From membranous croup,

95

From tubercular laryngitis,

95

Duration,

94

Etiology,

93

Pathology,

92

Prognosis,

96

Symptoms,

93

Treatment,

96

Alkalies in,

97

Apomorphia in,

97

,

98

Baths, cold and sea, in,

96

Emetics in,

98

Ice in,

97

Inhalations in,

97

Narcotics in,

98

Of oedema of glottis in,

98

Potassium chlorate in,

91

iodide in,

97

Silver nitrate in,

97

,

99

L

ARYNGITIS

, C

HRONIC

,

121

Definition, etiology, and synonyms,

121

Diagnosis,

123

Morbid anatomy,

122

Prognosis,

124

Symptoms,

121

Treatment,

124

Ammonium chloride, use,

124

Anodynes,

127

Arsenic and cod-liver oil, use,

125

Cocaine, use,

127

Cubebs, use,

124

Inhalations, use,

126

Insufflations, use,

126

Iodoform, use,

125

Respirators, use,

126

Tar, use,

125

,

126

Tracheotomy in,

127

Laryngitis, chronic tubercular,

123

syphilitic,

123

complicating pulmonary phthisis,

403

L

ARYNGITIS

, P

SEUDO-MEMBRANOUS

,

100

Complications,

103

Contagiousness,

101

Diagnosis,

103

From catarrhal laryngitis,

104

From general oedema of glottis,

104

Etiology,

101

Mortality,

103

Pathology,

100

Prognosis,

103

Symptoms,

101

Treatment,

104

Alkalies in,

105

Diet in,

107

Emetics in,

106

Ice in,

104

Inhalations in,

106

Lactic acid in,

106

Massage of larynx,

107

Mercury in,

104

Pilocarpine in,

106

Quinia in,

105

,

108

Stimulants in,

108

Strychnia in,

108

Tracheotomy in,

107

Laryngoscope, description of,

21

history of,

19

Laryngoscopy and rhinoscopy,

19

L

ARYNGOSCOPY

, A

RT OF

,

25–29

description of the laryngeal image,

30–33

methods of illumination in,

23–25

obstacles to,

28

,

29

position of observer,

26

position of patient in,

26

use of electric illuminator,

24

use of head-reflector in,

22

Laryngotomy, in morbid growths of the larynx,

31

Larynx, anæsthesia of,

65

treatment,

67

L

ARYNX

, C

HOREA OF

,

76

Symptoms,

76

Treatment,

77

Diseases of,

109

Disorders of motion of,

68

Exalted action of,

69

Hyperæsthesia of,

62

Treatment,

64

Lepra of,

132

Lupus of,

132

Muscles of,

59

Nerves of,

60

L

ARYNX

, M

ORBID

G

ROWTHS OF

,

127

Definition and etiology,

127

Morbid anatomy,

128

Prognosis and diagnosis,

130

Symptoms,

129

Treatment,

131

Cocaine, use,

131

Laryngectomy,

131

Laryngotomy in,

131

Larynx, muscles of,

59

nerves of,

60

neuroses of,

59

L

ARYNX

, O

EDEMA OF

,

112

Definition and synonyms,

112

Diagnosis and morbid anatomy,

115

Prognosis,

116

Symptoms,

113

Treatment,

116

Antispasmodics, use,

116

Astringents, use,

116

Diaphoretics, use,

116

Jaborandi, use,

116

Ice, use,

117

Morphia, use,

116

Purgatives, use,

116

Scarification,

116

Tracheotomy,

117

L

ARYNX

, P

ARÆSTHESIA OF

,

63

Symptoms and treatment,

64

Paresis and paralysis of muscles of,

78

Paralysis of constrictors of,

80

Perversions of sensations of,

61

L

ARYNX

, P

ERICHONDRITIS AND

C

HONDRITIS OF

,

117

Definition and etiology,

117

Diagnosis and prognosis,

120

Morbid anatomy and symptoms,

118

Treatment,

121

L

ARYNX

, S

PASM OF

,

IN

C

HILDREN

(Laryngismus Stridulus),

70

Course and duration,

71

Diagnosis,

72

From true croup,

72

From simple laryngitis,

72

Etiology,

70

Pathology,

71

Prognosis,

72

Symptoms,

70

Voice in,

71

Treatment,

73

Alum in,

73

Anæsthetics,

73

Antispasmodics in,

73

Baths, hot, in,

73

Emetics in,

73

Ipecacuanha,

73

Potassium bromide in,

73

Latent pneumonia,

334

,

342

Laxatives, use, in pleuritic effusions,

520

Leeches, in acute bronchitis,

178

Left ventricles, hypertrophy of,

625

Lepra of the larynx,

132

Lesions of cancer of the lung,

460

,

461

of chronic congestion of the spleen,

958

of croupous pneumonia in children,

312

of fibro-serous pleurisy,

485

of lungs in pneumonokoniosis,

457

,

458

in pulmonary phthisis,

408

,

410

of nervous system, in Addison's disease,

944

of pulmonary hydatids,

467

Seat in syphilis of the lung,

450

L

EUKÆMIA

,

908

Course,

918

Definition, synonym, and history,

908

Diagnosis,

919

Etiology,

909

Age and sex, influence on causation,

909

Climate, influence on causation,

909

Malarial and previous disease, causation,

909

Syphilis, influence on causation,

910

Morbid anatomy,

915

Blood, and heart-changes in,

915

Bone-marrow, changes in,

916

Lymphatic glands, changes in,

916

Leukæmic growths, characters of,

918

Spleen, changes in,

915

Prognosis,

920

Symptoms,

910

Blood-corpuscles, changes in,

911

,

912

Digestive disorders,

910

Genito-urinary disorders,

913

Hemorrhages, seat and characters,

913

Lymphatic glands and spleen, enlargement of,

914

Nervous symptoms,

911

Pulse, characters,

913

Respiratory symptoms,

913

Special senses, modification of,

911

Treatment,

920

Arsenic, use,

921

Ergot, use,

921

Excision of spleen,

921

Iron, use,

921

Quinia, use,

921

Transfusion,

921

Ligation of carotid and subclavian arteries in thoracic aneurism,

818

Lime, use, in pseudo-membranous laryngitis,

105

Liver, changes in, in tricuspid regurgitation,

678

,

679

displacement of, in pleurisy,

497

,

507

enlargement of, in leukæmia,

911

influence on destruction of the blood,

885

lesions, in catarrhal pneumonia,

358

in Hodgkin's disease,

928

in leukæmia,

918

in mitral regurgitation,

670

Lobelia, use, in bronchial asthma,

204

Local treatment of chronic congestion and enlargement of the spleen,

960

of chronic laryngitis,

125

of epiglottic inflammation,

109

,

110

ulceration,

112

of laryngeal oedema,

116

of simple lymphangitis,

990

of ulceration of trachea,

139

Locality, change of, in bronchial asthma,

206

choice of, in treatment of hay asthma,

223

Localization of thoracic aneurisms,

812

L

UNG

, A

BSCESS OF

,

296

Definition, history, etiology, and synonyms,

296

Diagnosis,

299

Pathology and morbid anatomy,

298

Prognosis,

300

Symptoms and course,

297

Treatment,

300

L

UNGS

, C

ANCER OF

,

460

Definition,

460

Diagnosis,

464

Duration,

463

Etiology and morbid anatomy,

460

Prognosis,

465

Symptoms,

461

L

UNG

, C

OLLAPSE OF

(Atelectasis),

250

Definition and history,

250

Diagnosis,

254

Etiology,

250

Age, influence on causation,

251

Bronchial catarrh, relation of, to,

250

,

251

Mechanism of production,

251

Thoracic effusions, influence on production of,

252

Morbid anatomy,

253

Prognosis,

255

Symptoms,

252

Treatment,

255

Diet in,

256

Emetics, question of use,

255

Expectorants, use,

255

Of congenital form,

255

L

UNGS

, C

ONGESTION AND

O

EDEMA OF

(Hypostatic Pneumonia),

258

Course and termination,

261

Definition,

258

Diagnosis,

262

Etiology,

258

History,

258

Morbid anatomy,

261

Prognosis,

262

Symptoms,

260

Treatment,

263

Of passive form,

263

Of pulmonary oedema,

264

Use of bloodletting, general and local,

263

,

264

of diaphoretics,

264

of digitalis,

263

of emetics,

263

of iron in chronic form,

263

,

264

of stimulants,

263

of quinia hydrobromate, hypodermatically,

264

Lung, displacement of, in pleurisy,

506

L

UNG

, G

ANGRENE OF

,

301

Course and duration,

305

Definition, synonyms, and etiology,

301

Diagnosis and prognosis,

304

Pathology and morbid anatomy,

303

,

304

Symptoms,

302

Treatment,

305

Lungs, appearance of, in congestion,

262

brown induration of,

256

changes in, in hæmoptysis,

287

condition of, in pneumothorax,

576

early lesions of, in pulmonary phthisis,

408–410

lesions of, in croupous pneumonia,

308–313

in Hodgkin's disease,

928

in leukæmia,

918

in pernicious anæmia,

904

in pneumonokoniosis,

457

syphilitic disease of,

447

Lung-tissue, gross and microscopic appearance of, in catarrhal pneumonia,

356

,

357

Lupus of the larynx,

132

Lymph, mechanism of circulation of,

984

,

985

L

YMPHANGITIS

, S

IMPLE

,

983

Definition,

986

Diagnosis,

988

Etiology,

986

Age, influence on causation,

986

Specific irritation,

986

Traumatism, influence on causation,

986

Pathology and morbid anatomy,

987

Prognosis,

990

Symptoms,

987

Oedema,

987

Of tubercular form,

987

Pain, characters,

987

Temperature,

987

Treatment,

990

Antipyrine, use,

990

Bandage, use,

991

Cold, locally,

990

Diet in,

990

Fomentations, use,

990

Iron, arsenic, and cod-liver oil,

990

,

991

Local,

990

Quinia, use,

990

Rest,

990

Silver nitrate, locally,

990

Lymphatic glands, changes in, in leukæmia,

914

,

916

enlargement of, in Hodgkin's disease,

923

,

926

influence on blood-formation,

884

lesions, in pernicious anæmia,

905

relation to production of blood-corpuscles,

890

swelling of, in perichondritis of larynx,

118

Lymph-spaces, seat of miliary tuberculosis in,

475

Lymph-vessels, lesions, in lymphangitis,

987

Lympho-sarcoma of the mediastinum,

867

M.

Mackenzie's method of injecting goitre,

981

Malaria, influence on causation of acute splenic enlargement,

954

of lardaceous spleen,

966

of leukæmia,

909

Malformations of left side of heart,

707

of right side of heart,

702

Malignant tumors of trachea,

141

Malign growths of larynx,

128

Malpositions of the heart,

601

Marriage of bleeders,

938

of phthisical persons,

439

Marrow of bone, lesions, in leukæmia,

916

Massage of larynx in true croup,

107

Measles, influence on causation of acute miliary tuberculosis,

473

Mechanical bronchitis,

170

causes of cardiac thrombosis,

723

of collapse of the lung,

251

Median tracheotomy,

148

,

155

Mediastinal pleurisy,

564

M

EDIASTINUM

, D

ISEASES OF

,

861

Abscess of the Mediastinal Space

,

861

Complications and terminations,

863

Diagnosis and prognosis,

863

Etiology,

861

Symptoms,

862

Treatment,

863

Inflammation of the Mediastinum

,

861

Tumors of the Mediastinum

,

863

Anatomy of the mediastinal space,

863

Definition,

863

Diagnosis,

876

From abscess,

877

From aneurism,

876

From chronic pneumonia,

879

From pericarditis,

878

From pleurisy,

878

Of anterior growths,

877

Of posterior growths,

878

Differentiation of malignant growths,

879

Duration,

875

Etiology,

871

Pathology and morbid anatomy,

865–871

Carcinoma, characters, seat, and method of growth,

869

Lympho-sarcoma, characters, seat, and method of growth,

867

Sarcoma, characters, seat, and method of growth,

865–867

Prognosis,

876

Symptoms,

871

Cyanosis and oedema,

873

Dyspnoea, peculiarities of,

872

Pain, characters and seat,

872

Physical signs,

873

Pressure symptoms,

872

,

873

Treatment,

880

Donovan's solution, use,

881

Morphia, use,

880

Paracentesis,

880

Resection of sternum,

880

M

ELANÆMIA

,

896

Definition and etiology,

896

Morbid anatomy,

897

Pigment, mode of origin,

897

,

898

Membrane of pseudo-membranous laryngitis, nature,

100

seat,

101

Membranous exudation, nature of, in pseudo-membranous bronchitis,

176

Menstrual disorders in chlorosis,

894

,

895

Menstruation in fibro-serous pleurisy,

497

,

498

Mental emotion, influence in evoking paroxysms of angina pectoris,

456

Mercury, use, in pseudo-membranous laryngitis,

104

M

ESENTERIC

A

RTERY

, I

NFERIOR

, D

ISEASES OF

,

839

Aneurism,

839

Embolism,

839

,

840

M

ESENTERIC

A

RTERY

, S

UPERIOR

, D

ISEASES OF

,

836–839

Aneurism,

836

Embolism,

836–839

Endarteritis,

839

Thrombosis,

839

Metallic tinkling in pneumothorax,

579

Meteorological conditions as a cause of bronchitis,

168

Miliary tubercles, physical characters of,

474

tuberculosis, acute,

472

Mineral and coal-dust, influence on causation of pneumonokoniosis,

455

poisoning, influence on causation of asthma,

191

of fatty degeneration of the heart,

612

Mitral disease, influence on causation of hydrothorax,

570

Prognosis,

682

,

683

Treatment,

685

,

686

Regurgitation,

669

Stenosis,

665

Valve, disease of, influence on causation of brown induration of the lung,

256

Morbid anatomy of acute congestion of the spleen,

955

exudative endocarditis,

640

myocarditis,

604

,

605

of Addison's disease,

942

of aortic obstruction,

654

regurgitation,

659

of asthma,

197

of bronchial dilatation,

230

of bronchitis,

175

of brown induration of the lungs,

256

of cancer of the lungs,

460

of the pleura,

582

of cardiac thrombosis,

734

of catarrhal pneumonia,

354

of chronic myocarditis,

607

congestion of the spleen,

957

pharyngitis,

122

of croupous pneumonia,

308

of dilatation of the heart,

633

of fatty cardiac degeneration,

613

of fibroid phthisis,

440

of fibro-serous pleurisy,

484

of gangrene of the lung,

304

of hæmophilia,

936

of hæmoptysis,

286

of hæmothorax,

582

of hemorrhagic infarction of spleen,

961

of Hodgkin's disease,

926

of hydatids of pleura,

585

of hydrothorax,

571

of hypertrophy of the heart,

623

of interstitial endocarditis,

644

of lardaceous spleen,

967

of laryngeal oedema,

115

of leukæmia,

915

of mediastinal tumors,

865

of mitral regurgitation,

670

stenosis,

665

of morbid growths of larynx,

128

of pericarditis,

772

of perichondritis and chondritis of the larynx,

118

of pernicious anæmia,

904

of phthisis,

408

of pneumonokoniosis,

456

of pneumothorax,

576

of pulmonary abscess,

298

congestion and oedema,

261

emboli,

382

hydatids,

467

stenosis,

675

of purulent pleurisy,

540

of rupture of the spleen,

972

of simple lymphangitis,

987

tracheitis,

134

of splenitis,

963

of syphilis of the lung,

450

of the caisson disease,

855

of tricuspid regurgitation,

678

of ulcerative endocarditis,

642

of vesicular emphysema,

242

Morbid growths of the larynx,

127

of nasal passages,

52

of trachea,

139

Morphia, use, in bronchial asthma,

201

in chronic laryngitis,

127

in epiglottic ulceration,

112

in fibro-serous pleurisy,

520

in hæmothorax,

581

in hyper- and paræsthesia of the larynx,

64

in the caisson disease,

858

in ulceration of the trachea,

139

in valvular heart disease,

684

,

686

Mortality of acute and chronic bronchitis,

177

of catarrhal pneumonia,

368

of croupous pneumonia,

342

of hæmoptysis,

290

of laryngismus stridulus,

72

of pseudo-membranous laryngitis,

103

of stenosis of the aorta,

827

of valvular heart disease,

680

Murmurs, blowing, in cardiac thrombosis,

727

cardiac, relation to valvular disease,

651

characters, in aneurism of the pulmonary artery,

834

in aortic obstruction,

657

regurgitation,

663

in mitral regurgitation,

668

stenosis,

673

in pulmonary stenosis and regurgitation,

675

,

676

in tricuspid disease,

677

,

680

and seat, in endocarditis,

648

,

649

disappearance of, in acute myocarditis,

606

hæmic, in pernicious anæmia,

902

over splenic region, in splenic congestion,

954

significance, in abdominal aneurism,

822

Mucous membrane, bronchial swelling of, as a cause of asthma,

197

Multilocular areolar pleurisies,

564

Muscular exertion, influence on causation of aortic disease,

656

,

660

influence on causation of hypertrophy of the heart,

622

prolonged, influence on causation of functional heart disease,

752

Muscle-substance, condition in dilatation of the heart,

633

Muscles of larynx,

59

M

YOCARDITIS

,

604

Etiology and morbid anatomy,

604

,

605

Diagnosis,

606

Interstitial form,

605

Suppurative form,

605

Symptoms and treatment,

606

M

YOCARDITIS

, C

HRONIC

(Fibroid Heart),

607

Diagnosis,

607

Morbid anatomy and etiology,

607

,

608

Symptoms and treatment,

608

Myosis, in thoracic aneurism, significance,

805

Myxoma of nasal passages,

53

N.

Narrowing of a vein,

851

Nasal catarrh, acute,

41

N

ASAL

C

ATARRH

, C

HRONIC

,

42

Atrophic form,

47

Prognosis,

48

Symptoms,

47

Treatment,

48

Arsenic and cod-liver oil in,

49

Galvano-cautery in,

48

Phosphates in,

49

From defective nasal respiration,

43–46

Deflected septum,

44

Hypertrophy of erectile tissue,

44

Osseous obstruction,

44

Treatment,

44–46

Galvano-cautery,

44–46

Iodine, use,

45

From necrosis of nasal bones,

49

,

50

Inflammatory form, without hypertrophy,

46

Prognosis,

47

Treatment,

47

Electricity,

47

Silver nitrate,

47

Nasal cavities, anatomy of,

33

,

35

diseases, table of, grouped by symptoms,

50

hypertrophies, removal of, in hay asthma,

225

injections in hay asthma,

224

mucous membrane, hypertrophy of, influence on causation of asthma,

193

passages, diseases of,

41

fibroma of,

55

morbid growths of,

52

myxoma of,

53

polypi of,

53

treatment,

54

sarcoma and carcinoma of,

55

Nausea and vomiting in acute congestion of spleen,

954

in Addison's disease,

941

in croupous pneumonia,

330

in pernicious anæmia,

903

in splenitis,

962

Needle-bath, in exophthalmic goitre,

766

Nervous cough,

77

lesions, of Addison's disease,

944

of Hodgkin's disease,

928

of leukæmia,

918

of pernicious anæmia,

905

symptoms of Addison's disease,

941

of Hodgkin's disease,

925

of leukæmia,

911

of pulmonary phthisis,

407

Neuralgia in hyperæsthesia of the larynx,

63

Neuroses of the larynx,

59

of the heart,

747

Night-sweats, of pulmonary phthisis,

405

treatment,

438

Nitro-glycerin, use, in bronchial asthma,

208

Nutrition, bad, influence on causation of catarrhal pneumonia,

354

impaired, of heart-walls, influence on dilatation of the heart,

632

Nux vomica, use, in angina pectoris,

761

O.

Occlusion of the aorta,

824

of the coronary artery,

831

of veins,

851

Occupation, influence on causation of hay asthma,

213

of mediastinal tumors,

871

of pneumonokoniosis,

455

,

456

of pulmonary phthisis,

396

of thoracic aneurism,

803

in-door, influence on causation of bronchitis,

165

Oedema, from dilatation of veins,

850

in pernicious anæmia,

901

of glottis,

94

,

103

of the lungs,

258

of thoracic walls, in purulent pleurisy,

542

,

543

Onset of acute catarrhal laryngitis,

93

,

94

of laryngismus stridulus,

70

of leukæmia,

910

of pseudo-membranous laryngitis,

102

Operations, various, in tracheotomy,

48

Operative treatment of pericardial effusions,

794

Opiates, use, in exophthalmic goitre,

766

Opium, use, in acute catarrhal laryngitis,

98

in croupous pneumonia,

348

in hæmoptysis,

291

,

292

in pericarditis,

783

in pulmonary phthisis,

436

,

437

,

439

in valvular heart disease,

684

,

685

and morphia, use, in angina pectoris,

760

Organization of heart-clots,

740

Orthopnoea, in mitral stenosis,

667

Osseous obstruction, as a cause of chronic nasal catarrh,

44

Over-training and heart-strain, influence on causation of cardiac dilatation,

631

Oxidation, defective, in fatty degeneration of the heart,

613

Oxygen, inhalations in true croup,

107

Ozæna,

47

P.

Pack, cold, use in croupous pneumonia,

349

Pain, characters, in croupous pneumonia,

322

in lymphangitis,

987

in mediastinal abscess,

862

in pulmonary phthisis,

402

in acute and chronic congestion and enlargement of the spleen,

954

,

957

in acute phlebitis,

845

in aneurism of the coeliac axis,

842

in aortic obstruction,

656

regurgitation,

661

in caisson disease,

854

in cancer of the pleura,

584

in cardiac thrombosis,

731

in chronic endarteritis of the coronary artery,

828

in endocarditis,

647

in hydatids of the pleura,

581

in hyperæsthesia of the larynx,

62

in morbid growths of the larynx,

129

in pericarditis,

773

,

774

in perichondritis and chondritis of the larynx,

118

in splenitis,

962

in stenosis of the trachea,

142

in ulceration of the trachea,

139

seat and characters, in angina pectoris,

756

in diaphragmatic pleurisy,

563

in fibro-serous pleurisy,

493

in mediastinal tumor,

872

in thoracic aneurism,

804

seat, in abdominal aneurism,

821

Palpation in cardiac malformations,

710

in cardiac thrombosis,

729

in cardiac valvular disease,

657

,

662

,

668

,

673

,

675

,

677

,

679

in croupous pneumonia,

335

,

336

,

338

in endocarditis,

648

in fibro-serous pleurisy,

503

,

504

in pericarditis,

774

in pneumothorax,

579

in thoracic aneurism,

808

Palpitation in cardiac valvular disease,

656

,

661

,

667

,

671

,

675

,

679

in hypertrophy of the heart,

626

of the heart,

747

Papilloma of larynx,

128

,

130

Papillomata of trachea, frequency,

140

Paracentesis in endocardial effusions,

784

,

794

in pulmonary hydatids,

470

Paræsthesia of larynx,

63

Paralysis in caisson disease,

854

of adductors and abductors of vocal cords,

81

,

84

,

86

of arm in thoracic aneurism,

810

of constrictors of larynx,

80

of muscles of larynx,

78

of posterior crico-arytenoids,

86

of tensors of vocal cords,

85

,

86

of the whole larynx,

79

Parasites, influence on causation of hay asthma,

216

of the heart,

637

Parenchymatous degeneration of heart-muscle,

610

Paroxysms, frequency of, in angina pectoris,

756

in functional heart disease,

748

of asthma, description and frequency of,

185–187

Patency of septum ventriculorum,

690

Pathology of acute catarrhal laryngitis,

92

phlebitis,

843–845

congestion of spleen,

955

of Addison's disease,

944

of anæsthesia of larynx,

67

of aneurism of the coeliac axis,

842

of angina pectoris,

758

of asthma,

193

of bronchial asthma,

193

of bronchitis,

175

of caisson disease,

855

of cancer of the lungs,

460

of cardiac thrombosis,

734

of catarrhal pneumonia,

354

of chronic endarteritis of the coronary artery,

829

pharyngitis,

122

of collapse of lung,

253

of embolism of the coronary artery,

832

of the superior mesenteric artery,

837

of exophthalmic goitre,

764

of fibroid phthisis,

440

of functional heart disease,

752

of gangrene of lung,

303

of hæmophilia,

936

of hæmoptysis,

286

of hemorrhagic pleurisy,

565

of Hodgkin's disease,

930

of hysterical affections of glottis,

84

of laryngismus stridulus,

71

of mediastinal tumors,

865

of morbid growths of trachea,

140

of perichondritis and chondritis of larynx,

118

of pernicious anæmia,

905

of phlegmasia dolens,

847

of pneumonokoniosis,

456

of pseudo-membranous laryngitis,

100

of pulmonary abscess,

298

congestion and oedema,

261

emboli,

382

phthisis,

408

of simple lymphangitis,

987

tracheitis,

134

of spasm of the glottis in the adult,

75

of stenosis of the aorta,

825

of the trachea,

143

of syphilis of the lung,

448

of vesicular emphysema,

242

Pectoriloquie aphonique in pleurisy, significance,

510

,

517

Percussion during paroxysm of asthma,

187

in bronchial dilatation,

228

,

229

in cardiac malformation and cyanosis,

710

thrombosis,

728

valvular disease,

657

,

663

,

668

,

673

,

675

,

677

,

680

in catarrhal pneumonia,

359–363

in collapse of lung,

253

in croupous pneumonia,

335

,

337

,

338

in emphysema,

237

in endocarditis,

648

in fibro-serous pleurisy,

499–503

in hydrothorax,

572

in hypertrophy of the heart,

625

,

627

in mediastinal abscess,

862

tumors,

874

in pericarditis,

774

in pneumothorax,

579

in pulmonary congestion and oedema,

260

phthisis,

411

,

413

,

415–418

in purulent pleurisy,

543

,

544

in pyo-pneumothorax,

544

in thoracic aneurism,

812

Perforation in purulent pleurisy,

542–547

of the aorta,

824

of lung, in thoracentesis,

538

Pericardial effusions, displacements of heart, from,

602

P

ERICARDIAL

E

FFUSIONS

, O

PERATIVE

T

REATMENT OF

,

794

Aspiration, method of,

796

,

797

Free incisions and drainage,

795

Indications for,

794

,

795

Injections into pericardium,

795

Puncture of heart, results of,

798

Results,

798

Site of puncture,

796

P

ERICARDITIS

,

769

Definition,

769

Diagnosis,

779

From cardiac hypertrophy,

780

From cerebral affections,

779

From mediastinal tumors and inflammation,

780

From pleurisy and endocarditis,

779

Etiology,

769

Bright's disease, influence on causation,

771

Cold, influence on causation,

770

Eruptive fevers, influence on causation,

771

Rheumatism, acute, influence on causation,

770

Traumatism, influence on causation,

769

,

770

Secondary causes,

770

,

771

Frequency,

770

,

771

Morbid anatomy,

772

,

773

Prognosis,

781

Symptoms,

773

Auscultation,

775

Cerebral symptoms,

774

Friction sounds, characters,

775

Pain,

773

Percussion and palpation,

774

Physical signs of,

774

Pulse and temperature in,

774

Treatment,

783

Blisters, use,

784

Cold, locally,

783

Counter-irritation,

783

Diet in,

783

Digitalis, use,

783

Of effusion,

784

Paracentesis,

784

Potassium, bitartrate and acetate, use,

784

iodide,

784

Quinia, use,

784

Stimulants,

784

Pericarditis, chronic,

784

tubercular,

793

P

ERICARDIUM

, A

DHERENT

,

785

Adhesions, seat and character,

786

Impulse in,

787

Prognosis, diagnosis, and treatment,

788

Pericardium, cancer of,

792

,

793

diseases of,

769

Perichondritis of larynx,

117

Perisplenitis,

965

Peritonitis complicating pulmonary phthisis,

406

Pernicious anæmia, progressive,

898

Phlebitis,

843

Phlebolithes,

853

Phlegmasia alba dolens. See

Veins, Diseases of

.

Phosphates, use, in atrophic nasal catarrh,

49

Phosphorus, use, in Hodgkin's disease,

931

in leukæmia,

921

in pulmonary phthisis,

435

P

HTHISIS

, F

IBROID

, C

HRONIC

I

NTERSTITIAL

P

NEUMONIA

, C

IRRHOSIS OF

L

UNG

,

440

Course and duration,

441

Diagnosis,

443

Etiology,

440

Symptoms,

441

Cough and expectoration, characters,

441

Cyanosis in,

442

Physical signs,

442

Sputa, characters,

441

Treatment,

444

Phthisis, incipient, diagnosis,

411

,

413

P

HTHISIS

, P

ULMONARY

,

391

Definition,

391

Diagnosis,

410

Auscultation in,

412

,

416

,

417

Bacilli, significance of presence in sputa,

413

Broncho-vesicular respirations, characters,

412

Dry cough, significance of,

411

Inspection in,

417

Of cavities,

416

,

417

Of incipient form,

411

Of intercurrent pneumonia in,

418

Percussion in,

411

,

415

,

416

Stethoscope, necessity of use in,

412

Vesiculo-tympanitic resonance, characters,

415

Whispered voice, transmission of,

413–417

Etiology,

394

Age, occupation, and sex,

396

Bacillus tuberculosis, relation of,

392

,

398

Bronchitis, relation of, to,

394

Communicability of,

396–398

General diseases, influence on causation,

396

Hæmoptysis, influence on causation,

395

Heredity and constitutional predisposition, influence on causation,

395

Season, humidity of soil, etc., influence on causation,

396

History,

392

Morbid anatomy and pathology,

408

Prevention,

444

Prognosis,

419

Symptoms and complications,

400

Anæmia in,

405

,

406

Cough, characters,

400

Dysphonia, aphonia, and laryngitis,

403

Genito-urinary disorders,

408

Hæmoptysis, frequency and significance,

401

,

402

Heart, and circulatory disorders in,

405

Intercurrent pneumonia, occurrence of,

403

,

404

Nervous symptoms,

407

Night-sweats in,

404

Pain in,

402

Peritonitis, occurrence of,

406

,

407

Pleurisy and pneumothorax in,

404

Respiration in,

403

Sputa, characters,

401

Temperature in,

404

,

405

Vomiting, diarrhoea, and digestive disorders,

406

Synonyms,

391

Treatment,

425

Agaricus, use, in night-sweats,

438

Alcohol, use,

435

Arsenic, use,

436

Belladonna and zinc oxide, use,

438

Climatic,

427–430

Cod-liver oil, use and value,

434

Cold use,

437

Dietetic,

431

Ergotin, use,

437

Injection of cavities,

439

Iodine, use,

435

Iron, use,

436

Marriage of consumptives, question of,

439

Of cough,

436

Of diarrhoea,

438

Of night-sweats,

438

Of pyrexia,

437

Out-of-door life, necessity of,

432

Picrotoxin, use,

438

Quinia, use,

438

Sea-voyages, value,

433

Sanitaria, value,

430

Use of opium,

436

,

439

Physical signs during paroxysm of asthma,

187

in emphysema,

236

,

237

in fatty degeneration of the heart,

615

in mitral regurgitation,

671

in pulmonary congestion and oedema,

260

,

261

regurgitation,

697

in purulent pleurisy,

543

of abdominal aneurism,

822

of acute bronchitis,

169

of acute miliary tuberculosis,

480

of adherent pericardium,

787

of aortic obstruction,

657

of aortic regurgitation,

662

of atrophic lobar emphysema,

248

of cancer of the lungs,

462

,

463

of pleura,

584

of capillary bronchitis,

171

of cardiac malformations,

710

of cardiac thrombosis,

728

,

741

of cardiac valvular disease,

668

of catarrhal pneumonia,

359–363

of collapse of lung,

252

,

253

of croupous pneumonia,

334

,

335

in children,

335

,

338

of diaphragmatic pleurisy,

563

of dilatation of the heart,

634

of endocarditis,

648

of fibroid phthisis,

442

of fibro-serous pleurisy,

496

of hæmopericardium,

789

of hæmoptysis,

282

of hydrothorax,

572

of hypertrophy of the heart,

625

of mediastinal tumors,

873

of pericarditis,

774

of pneumothorax,

578

of pulmonary abscess complicating croupous pneumonia,

339

of pulmonary hydatids,

468

phthisis,

411

of pulmonary stenosis,

675

of senile pneumonia,

336

,

338

,

339

of stenosis of the aorta,

826

of syphilis of the lung,

452

of thoracic aneurism,

807

of thrombosis and embolism of the pulmonary artery,

836

of the coronary artery,

832

of tricuspid stenosis,

677

Physiognomy in angina pectoris,

756

in asthma,

186

,

190

in croupous pneumonia,

328

in endocarditis,

647

in laryngismus stridulus,

71

in pulmonary embolism,

379–381

Picrotoxin, use, in pulmonary phthisis,

438

Pigment, seat and treatment of, in melanæmia,

896

,

897

Pigmentation of Addison's disease,

940

of lungs in pneumonokoniosis,

451

,

458

Pilocarpine in laryngeal oedema,

116

use, in pleuritic effusions,

521

in pseudo-membranous laryngitis,

106

in pulmonary oedema,

264

Pimpinella saxafraga, use, in acute catarrhal laryngitis,

99

Plants and grasses, certain, influence on production of hay asthma,

215

Plethora,

886

Pleura, cancer of,

583

diseases of,

483

displacement of heart from,

603

hydatids of,

585

lesions of, in croupous pneumonia,

313

Pleural cavity, morbid growths of,

583

effusions, frequency, in cancer of the lungs,

461

influence on causation of collapse of lung,

251

occurrence in course of mediastinal tumors,

870

Pleurisies, circumscribed,

545

encysted,

545

,

546

multilocular areolar,

564

P

LEURISY

,

483

Complications,

512

Course,

510

Definition,

483

Diagnosis,

514

From abscess of liver,

516

Atelectasis,

517

Hydrothorax,

515

Intercostal neuralgia, pleurodynia, etc.,

516

Pneumonia,

514

,

515

Tumors and cysts,

516

Of nature of effusion,

517

Duration,

511

,

512

Etiology,

491

Age and sex, influence on causation,

492

Atmospheric changes, influence on causation,

491

Of primary form,

491

Of secondary form,

491

Pulmonary affections, acute and chronic, influence on causation,

492

Rheumatism, gout, and nephritic affections,

493

Syphilis, influence on causation,

493

Traumatism, influence on causation,

492

Pathological anatomy,

484

Effused fluid, chemical characters of,

486

distribution of,

487

Exudation, seat, nature, and appearance of,

485

,

486

Level of line of flatness assumed by effusion,

488

,

489

Prognosis,

518

Sequelæ,

483

Symptoms,

493

Bronchial breathing, significance of,

508

Chills, frequency,

494

Cough, characters of,

495

Cyanosis,

496

Displacement of organs in,

504

,

507

Expectoration, characters,

496

Friction sounds, seat and characters,

507

,

509

Heart murmur in,

510

Mensuration, necessity of frequent,

497

,

498

Pain, seat and characters,

493

Physical signs in,

496

Pneumo-pericardial friction sounds,

509

Pulse, characters,

494

Respiration in,

494

Skodaic resonance, seat and characters,

501

Temperature,

494

Voice sounds in,

510

Whispered voice, significance of,

510

,

517

Synonyms,

483

Terminations,

512

Treatment,

519

Alkalies, use,

520

Blisters, use,

520

,

521

Counter-irritants, use,

520

,

521

Effusion, removal of,

520

Iron, use,

520

,

521

Jaborandi and pilocarpine,

520

,

521

Laxatives and purgatives,

520

,

521

Opium and morphia, use,

520

Potassium iodide, use,

520

Quinia, use,

520

Rest,

519

Strapping of chest in,

520

Thoracentesis,

521

Albuminous expectoration following,

535

Contraindications,

530

Death from, causes,

536

,

537

During febrile stage, question of,

525

Indications for,

521

Mode of operating,

530

,

534

Secondary pneumonia and tuberculosis following,

536

Pleurisy, complicating pulmonary phthisis,

404

diaphragmatic,

563

double,

562

P

LEURISY

, H

EMORRHAGIC

,

564

Diagnosis,

568

Etiology and pathology,

565

,

567

Prognosis,

568

Symptoms,

567

Treatment,

568

Pleurisy, interlobular and mediastinal,

564

P

LEURISY

, P

URULENT

,

539

Definition,

539

Diagnosis,

543

Exploratory puncture, value,

543

From tubercular cavities and dilated bronchi,

545

Of perforation,

543

,

544

Etiology,

539

Age and sex, influence on causation,

540

Eruptive fevers, influence on causation,

540

Puerperal condition, the, influence on causation,

540

Rheumatism, gout, and nephritic diseases,

540

Traumatism, influence on causation,

540

History,

539

Pathological anatomy,

540

Prognosis,

548

Symptoms,

542

Physical signs,

543

Synonyms,

539

Terminations,

547

Treatment,

549

Alteratives, use,

549

By free drainage,

552–556

Injections and washing of cavity, value of,

561

,

562

Modes of operating,

550

Pleurotomy,

555

Resection of ribs,

556

Surgical,

549

Thoracentesis,

550–552

Pleurisy, rheumatic,

564

,

565

tubercular,

569

Pleuro-bronchial fistulæ, signs of occurrence of, in purulent pleurisy,

543

Pleurotomy,

556

,

557

Pneumonia, acute lobar, complicating pulmonary phthisis,

403

P

NEUMONIA

, C

ATARRHAL

,

353

Complications and sequelæ,

364

Definition,

353

Diagnosis,

365

From acute miliary tuberculosis,

367

From collapse of lung,

366

From croupous pneumonia,

366

Duration,

368

Etiology,

353

Age, influence on causation,

353

Infectious diseases complicated with bronchitis, influence on causation,

354

Mortality,

368

Pathology and morbid anatomy,

354

Bronchi, lesions,

356

Bronchial glands, lesions,

357

Lung-tissue, gross and microscopic appearance of,

356

Relation to collapse of lung,

355

Prognosis,

368

Symptoms,

358

Cardiac failure in,

363

Cough,

360

,

361

Death, cause of,

362

Gastro-intestinal,

360

In children,

358

Nervous,

362

Of grave forms, in adults,

360

Physical signs,

358

,

360

,

362

Pulse and respiration, characters,

360

,

361

Sputa,

360

,

361

Temperature,

358

,

360

,

361

Synonyms,

353

Terminations,

368

Treatment,

368

Alteratives, use,

372

Ammonia preparations, use,

370

,

371

Apomorphia, use,

371

Chloral hydrate, use, in nervous symptoms,

372

Climate, change of,

372

Counter-irritation, use,

369

Diet in,

369

,

370

Emetics, use,

371

Hyoscyamia, hypodermatically, use,

372

Of gastro-intestinal disorders,

370

Of nervous symptoms,

372

Opium, use,

372

Quinia, use,

370

,

371

Strychnia, use,

371

Pneumonia, chronic interstitial,

391

,

440

complicating pleurisy,

512

P

NEUMONIA

, C

ROUPOUS

,

307

Definition,

307

Differential diagnosis,

339

From capillary bronchitis,

340

From catarrhal pneumonia,

340

From hypostatic congestion,

340

From meningitis,

342

From pleurisy,

340

From pulmonary apoplexy,

341

congestion and oedema,

339

From typhoid fever,

342

Etiology,

314

Age and sex, influence on causation,

314

Cold, damp, season, etc., influence on causation,

314

Depressing influences, influence on causation,

315

Klebs on specific germ of,

319

Nature of,

315–318

Resemblance to acute general diseases,

317

,

318

History,

307

Morbid anatomy,

308

Changes in abdominal viscera,

313

in bronchial glands,

313

in heart and blood,

313

in lung,

308–313

in pleura,

313

Prognosis,

342–345

Cause of death,

345

Mortality,

342

,

343

Symptoms,

319

Alimentary tract, state of,

330

Cerebral,

329

,

330

Chills, characters, in,

318

Cough, characters, in,

322

Critical phenomena,

331

Dyspnoea, characters,

321

,

322

Expectoration, characters,

322

Herpetic eruptions, occurrence,

328

,

329

Indicating danger,

331

Objective,

334–339

Of abscess and gangrene,

332

Of bilious and gastric form,

334

Of latent form,

334

Of purulent infiltration,

332

Pain, characters,

322

Physical signs,

334–339

Physiognomy,

328

Pulse, characters,

326

,

328

Respiration, characters,

321

Sputum, characters,

322

Subjective,

319–334

Surface of body, state of,

328

Temperature in,

324

Urine, condition,

330

Synonyms,

307

Treatment,

345–352

Alcoholic stimulants, use,

348

Antiseptics, use,

352

Carbonate of ammonium, digitalis, musk, camphor, etc., use,

349

Cardiac depressants, danger,

346

Cold, use,

349

Counter-irritation, questionable utility of,

347

Diet in,

347

,

348

Expectorants, use,

347

Of convalescence,

351

Of delirium,

351

Of senile variety,

351

Opium, use,

348

Quinia, use,

350

Reduction of temperature in,

349

Rest in, value,

347

Venesection, harmfulness,

346

Pneumonia, hypostatic,

258

Pneumo-hydropericardium,

791

Pneumo-hydrothorax complicating phthisis,

404

P

NEUMONOKONIOSIS

,

454

Definition, etiology, and history,

454

Diagnosis and prognosis,

459

Pathology and morbid anatomy,

456–459

Symptoms and treatment,

459

Pneumo-pericardial friction sound,

509

Pneumo-pericardium,

790

P

NEUMOTHORAX

,

573

Definition,

573

Diagnosis,

580

Etiology,

573

Age and sex, influence on causation,

576

Traumatic causes,

574

History,

573

Pathological anatomy,

576

Air, quantity,

576

Heart, displacement,

577

Opening, shape and seat,

576

Prognosis,

581

Symptoms,

578

Pain, seat and characters,

578

Physical signs,

578–580

Respiration, characters,

578

Treatment,

581

,

582

Diet,

582

Opium and morphia, use,

581

Paracentesis,

581

Stimulants,

581

Pollen of plants, influence on causation of asthma,

192

theory of origin of hay asthma,

216

Polypus, nasal,

53

,

54

Post-mortem heart-clots,

735

Potain's syphon, use, in purulent pleurisy,

555

Potassium acetate, use, in pericarditis,

784

bicarbonate, use, in cardiac thrombosis,

745

,

746

chlorate, use, as an injection in pseudo-membranous laryngitis,

105

in purulent pleurisy,

562

bromide, use, in bronchial asthma,

204

in bronchitis,

179

in chronic inflammation of epiglottis,

110

in hyper- and paræsthesia of larynx,

64

in laryngismus stridulus,

73

in pulmonary hydatids,

470

iodide, use, in acute catarrhal laryngitis,

97

,

99

in acute tracheitis,

136

in bronchial asthma,

207

in chronic bronchitis,

182

in chronic phlebitis,

848

in paralysis of the larynx,

91

in pericardial effusions,

784

in pleurisy,

520

in pseudo-membranous laryngitis,

105

in pulmonary hydatids,

470

in thoracic aneurism,

818

in vesicular emphysema,

246

,

247

nitrate, use, in bronchial asthma,

203

Predisposing causes of asthma,

190

of bronchitis,

165

of gangrene of the lung,

301

of hay asthma,

212

Pregnancy, influence on causation of hæmoptysis,

278

of pernicious anæmia,

900

of pulmonary phthisis,

396

Pressure symptoms in aneurism of the pulmonary artery,

834

of abdominal aneurism,

821

of goitre,

975

of mediastinal abscess,

862

tumors,

872

,

873

of thoracic aneurism,

804–807

upon aorta, for relief of thoracic aneurism,

816

Prevention of angina pectoris,

760

of phthisis,

444–446

of pulmonary embolism,

388

Preventive treatment of functional heart disease,

755

Priapism in leukæmia,

914

Prognosis in lardaceous spleen,

968

in pseudo-membranous laryngitis,

103

in simple tracheitis,

135

in valvular heart disease,

680

of acute catarrhal laryngitis,

96

congestion of the spleen,

955

of adherent pericardium,

788

of anæsthesia of the larynx,

67

of angina pectoris,

760

of asthma,

200

of atelectasis,

255

of atrophic emphysema,

249

of bronchial dilatation,

230

of bronchitis,

177

of cancer of the lung,

465

of the pleura,

584

of cardiac thrombosis,

744

of catarrhal pneumonia,

368

of chronic congestion and enlargement of the spleen,

959

of chronic laryngitis,

124

nasal catarrh from defective respiration,

46

of croupous pneumonia,

342

of dilatation of the heart,

635

of embolic splenic abscess,

964

of embolism of the superior mesenteric artery,

838

of endocarditis,

650

of epiglottic ulceration,

112

of exophthalmic goitre,

765

of fatty degeneration of the heart,

616

of fibro-serous pleurisy,

518

of functional heart disease,

753

of gangrene of the lung,

303

of hæmoptysis,

290

of hæmothorax,

583

of hay asthma,

222

of hemorrhagic pleurisy,

568

of Hodgkin's disease,

930

of hydatids of the pleura,

586

of hydrothorax,

572

of hyper- and paræsthesia of the larynx,

64

of hypertrophy of the heart,

629

of laryngeal oedema,

116

of laryngismus stridulus,

72

of leukæmia,

920

of mediastinal tumors,

876

of morbid growths of larynx,

130

of trachea,

141

of pericarditis,

781

of pernicious anæmia,

906

of phthisis,

419

of pneumonokoniosis,

459

of pneumothorax,

581

of pulmonary abscess,

300

congestion and oedema,

262

embolism,

388

hydatids,

470

of purulent pleurisy,

548

of simple lymphangitis,

990

of stenosis of the aorta,

827

of the trachea,

143

of syphilis of the lungs,

453

of ulceration of the trachea,

139

of vesicular emphysema,

244

Progressive pernicious anæmia,

898

Prophylaxis of acute catarrhal laryngitis,

96

of hæmophilia,

938

of phthisis,

444–446

Prune-juice expectoration, significance in pneumonia,

319

,

344

Pseudo-membranous bronchitis,

173

laryngitis,

100

Puerperal state, influence on causation of phlegmasia dolens,

846

of pulmonary embolism,

377

of purulent pleurisy,

540

Pulmonary apoplexy,

293

Definition and history,

293

Diagnosis, etiology, and symptoms,

294

Prognosis and treatment,

295

and hæmoptysis, complicating cardiac thrombosis,

734

artery, closure of, with perfect ventricular septum, in cyanosis,

702

combined stenosis and atresia of, in cyanosis,

706

P

ULMONARY

A

RTERY

, D

ISEASES OF

,

833

Chronic endarteritis (atheroma; arterio-sclerosis),

833

Dilatation and aneurism,

833

Rupture of pulmonary artery,

835

Stenosis of trunk or main branches,

834

Thrombosis and embolism,

835

,

836

Pulmonary artery and right conus arteriosus, defects of,

690

and vessels, anatomy of, relation to hæmoptysis,

269–272

disease, influence on causation of cardiac hypertrophy,

622

,

623

influence on tricuspid regurgitation,

678

P

ULMONARY

E

MBOLISM

,

373

Classification,

373

Death, cause of,

380

,

381

Definition,

373

Diagnosis,

387

Etiology,

374

Diseases of thoracic, abdominal, and pelvic viscera, influence on causation,

375

Puerperal state, influence on causation,

377

Source of emboli,

374

,

375

Surgical affections as a cause,

377

History,

373

Pathology and morbid anatomy,

382

Effects of emboli,

383

Infarctions, mechanism of production,

384

,

385

Specific and septic emboli, effects,

386

Prevention of,

388

,

389

Prognosis,

388

Symptoms,

378

Dyspnoea, characters of,

379–381

Of benign form,

382

Of grave form,

380

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