Excerpt from The London Medical Gazette, Vol. 2: Being a Weekly Journal of Medicine and the Collateral Sciences; For the Session 1837-38
I. I believe that I formerly mentioned that the respiratory movements are so far within the control of the will, that they may be restrained in parts aﬂected with pain; and it is obvious that the sound of respiration will be diminished in propor tion. This has been noticed by M. Andral as an early sign of pleurisy; but you can readily perceive that it is a very equivocal one, since it depends merely on the pre sence of pain, which, as I have just re marked, may exist quite independently of inﬂammation. I may mention here, that when you examine the chest of a person who is suﬂ'ering from pain, or who is shivering under the inﬂuence of cold, or of the rigor of a fever, you will often be perplexed by the rumbling sounds pro duced by the slight convulsive action of the muscles of the chest, particularly of the back, which are sometimes enough to mask the respiratory murmur. You may distinguish them by observing that they are not stopped, but increased by the cﬂ'ort of holding the breath.
About the Publisher
Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com
This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.show more