By J. Smart (Auth.)
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Additional resources for A Synopsis of Respiratory Diseases
Is usually adequate. (See D R U G T H E R A P Y , p. 6 8 . ) b. Bronchoscopy if lesion is not resolving, and the bronchus sucked out, as collapse m a y be associated with retained secretions. c. If enlarged gland liable to rupture into bronchus, thoracotomy and resection of the gland m a y be necessary. —The primary complex, usually formed in early childhood, commonly but not invariably heals without spread. The common progressive pulmonary lesion which is a secondary lesion usually develops in early adult life.
I N A C U T E L E S I O N S . — O f t e n numerous, especially with rapid caseation. Numerous in spleen in acute tuberculosis in children. Present, though less numerous, in urine, cerebrospinal fluid, and faeces, in tuberculosis of respective systems: in pus, when caseation rapid. In acute miliary tuberculosis, rarely numerous. I N C H R O N I C L E S I O N S . , in pleural effusions, caseous matter, lymph-glands, but cultures on egg BACTERIOLOGY OF TUBERCULOSIS 41 medium often positive. Animal inoculation is occasionally necessary for proof of presence.
Signs vary with size of growth, pressure on bronchi causes collapse of lung, presence of effusion, and excavation. W i t h enlarged mediastinal glands, resembles mediastinal tumour. Supraclavicular glands m a y be palpable, and liver enlarged. B R O N C H O S C O P Y . — G r o w t h usually visible. R A D I O G R A P H S (Fig. —May show: (1) Shadow of growth; m a y b e (a) opacity spreading out fromhilum, or (b) peripheral spherical opacity; (2) Pleural effusion (often obscures shadow); (3) Trachea displaced; (4) Collapse of segment, lobe, or lung (Fig.
A Synopsis of Respiratory Diseases by J. Smart (Auth.)