An Investigation Into the Nature of Black Phthisis

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This bronchial discharge was accompanied by considerable relief to thecough and dyspnoea. By this time, (June 1836), on applying the ear tothe chest, the resonance is dull, and respiratory murmur obscure. Theaction of the heart was slow when compared to its former state. Thepulse not beyond 45 in the minute. By the end of this year he appearedin a half dead state, --but a mere shadow in regard to flesh. He wasexpectorating at intervals of some weeks, when the cough became moresevere, a few carb...onaceous sputa, and suffering severely from gastricirritation. [13] During the last week of his life, he expectoratedconsiderable quantities of black fluid, and died exhausted, January1837.
_Post-mortem examination_, which was conducted hurriedly, exhibitedextensive effusion into both sides of the chest. The adhesions of thepleura were strong, and evidently of long standing. There was verygeneral carbonaceous infiltration throughout the lungs, withoutexcavations to any extent. Various empty cysts, which could contain ahazel-nut, were found in the superior and middle lobe of the right, andthroughout the whole of the left lung; in which bronchial twigsterminated.


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