Sajouss Analytical Cyclopaedia of Practical Medicine volume 5

Cover Sajouss Analytical Cyclopaedia of Practical Medicine volume 5
Sajouss Analytical Cyclopaedia of Practical Medicine volume 5
Sajous, Charles E. De M. (Charles Euchariste De Médicis), 1852-1929
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The amount of fibrin varies: in some cases it forms only a thin layer on the pleura; in others, be- sides a thick creamy layer, it forms whitish, curdy masses in the lower part of the fluid.
If the effusion fills the pleural sac the lung will be compressed into a dark air- less and even bloodless mass at its root and soon become carnified. In such cases the mediastinum and the heart and large vessels are displaced en masse to the opposite side. In left-sided effusions the cardiac impulse may ap
...pear near the right nipple and is caused by the impact, not of the apex, but probably of the right auricle and base of the right ventricle. There is probably no rotation of the heart even in the most extensive cases, nor any kinking of the inferior vena cava. (Osier. ) Series of 20 eases of primary pleurisy in which the leucocytes were counted daily from entrance to discharge or re- covery. Their number exceeded 10, 000, •the normal limit, in only 13 of 224 counts. Nine of these occurred in one case with a secondary pneumococcic in- fection.

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