On chronic bronchitis : especially as connected with gout, emphysema, and diseases of the heart, being clinical lectures delivered at the Middlesex Hospital / by E. Headlam Greenhow.

  • Greenhow, Edward Headlam.
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: On chronic bronchitis : especially as connected with gout, emphysema, and diseases of the heart, being clinical lectures delivered at the Middlesex Hospital / by E. Headlam Greenhow. Source: Wellcome Collection.

Provider: This material has been provided by University of Bristol Library. The original may be consulted at University of Bristol Library.

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    any excess of litliates. The pulse lias become stationary at about 72, and much more regular; the breathing is less laborious, and the respirations have fallen to 23 in a minute. The systolic murmur is fainter, and entirely infra-mammary, and the patient will be discharged convalescent on Tuesday next. Here, then, is a case in which disease of the left side of the heart produced, at least, a strong predis- position to bronchitis in a patient not previously subject to that complaint; and, when bronchitis did occur, protracted its course and added greatly to its danger. The patient has indeed, at length, in a great measure recovered from her recent attack; but the same predisposing cause remains in opera- tion, and the bronchial membrane, being left in a delicate state, will be even more prone than before to take on the inflammatory process. Possibly, also, some permanent nutritive change in the .lungs, kidneys, or heart may have resulted from this last illness. Winter is at hand, and should our patient again take cold, she will certainly suffer from a repetition of her ailments. In any circumstances an attack of bronchitis, when complicated with disease of the mitral valve, is an incident of very serious import as regards the future prospects of a patient; but it is doubly so in a person who, like our patient, has to work for her livelihood and cannot escape from inclement weather. Among the wealthier classes of patients much more of course