By J. Smart (Auth.)
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Additional resources for A Synopsis of Respiratory Diseases
V O L E . — ' M u r i n e ' t y p e : closely related to human and bovine. In pigs the type is nearly always bovine, rarely human or avian: lesions intestinal. —Difference:— 1. C U L T U R E . — H u m a n : growth abundant (eugonic), dry, scaly, and yellowish. Bovine: bacillus shorter and thicker; growth scanty (dysgonic), especially on glycerin media, moist, white, and smooth; vitality less. 2. V I R U L E N C E . — B o v i n e more virulent to animals. Inoculated into cattle, bovine causes fatal general tuberculosis; human, a local lesion only.
Occasionally almost silent, when prognosis serious. S t a t u s A s t h m a t i c u s . — F o l l o w i n g repeated attacks of ordinary duration, during which increased amounts of ephedrine usually taken, attacks m a y persist and owing to development of resistance to ephedrine, status asthmaticus supervenes, preventing sleep and nourishment: rarely ends in cardiac failure. S p u t u m . — U s u a l l y mucoid and frothy, but at end of attack m a y contain Curschmann's spirals. —Expectoration commences as paroxysm passes: at first viscid, then looser.
2) Upper lobe of opposite lung. I N I T I A L L E S I O N A T B A S E : rare in adults. Less rare in children. R I G H T A P E X affected more often than left. —Theories: (1) Inhalation of tubercle bacilli in the bronchi tending to drain into the subapical segment of upper lobe, since this is the most dependent part when the patient is lying down. (2) Slighter respiratory movement at apex, considered b y anatomists to be minimal at exact spot where onset is most common. Results in diminished circulation in capillaries, deficient aeration, and hence weakness of tissues.
A Synopsis of Respiratory Diseases by J. Smart (Auth.)