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By J. Smart (Auth.)

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Extra resources for A Synopsis of Respiratory Diseases

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Hilum gland enlargement. Fluid b y itself would cause displacement of the mediastinum to opposite side. The fact that the mediastinum is centrally placed together with a hilum gland suggests concomitant underlying collapse of lobe. This would cause displacement towards the lesion. Mediastinum central because fluid counteracts effect of collapse of lung. —Duration: 6 to 18 months. Development of secondary pneumonia, collapse, bronchiectasis, abscess. Metastases: Mediastinal and other glands; liver, brain, bone, kidney, etc.

Loss of weight, loss of hoarseness of appetite, progressive anaemia, fatigue. 2. —Haemoptysis, voice, dysphagia, occasionally chest pain, superior vena cava obstruction. 3. —Clubbing of fingers, osteo- pulmonary arthropathy, neuropathies. —Occasionally first onset that of typical lobar pneumonic signs and symptoms, which fail to resolve. —Often absent. 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.

Absence extremely rare. Nothing characteristic. Most at night and early morning. W o r s t in rapid advance, and disease of larynx and trachea, but no constant relation to severity of lesion. M a y cause vomiting, especially in the paroxysms. Food m a y cause attack. Early stages: often dry and hacking. Later: looser, with sputum. With cavitation: often paroxysmal, especially morning. With laryngeal tuberculosis: husky and ineffective. S P U T U M . — M a y be absent in early stages, but patient m a y swallow sputum until instructed to expectorate.

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