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Fig. 7. Ccse 4. Chest film of 15 year old boy 2 months after pneumonia, showing dense opacity of left chest from first to sixth ribs anteriorly and no cardiac displacement. massive type. In the former, there may be little or no displacement. (The x-ray technique makes some difference, whether the picture is taken on expiration or inspiration.) Indeed, they probably represent, clinically, a type of atelectasis with a secondary pneumonitis. This conception coincides with their prompt response to bronchoscopic aspiration of retained viscid pus. Such cases should have bronchoscopy not only for the therapeutic value, but to rule out other conditions by direct visualization. It should be interpolated that these cases had all had negative pleural taps, despite the fact that one case had an actual displacement of the heart to the opposite side suggesting pleural pathology. After the lung had been cleared by bronchoscopy, a small, high pocket in the pleural cavity could be made out anterior to the scapula. This was cleared with one syringe aspiration by the consulting surgeon. Case 4. Unresolved Pneumonia. A white boy aged fifteen years was referred to us on March 28, 1935, because of persistent productive cough and fever. Two months previously he had had what was apparently a pneumonia. The fever and cough persisted, however, longer than the usual duration of a pneumonia and he was sent in by the State Tuberculosis Sanatorium for bronchoscopic study. The chest film showed a more or less homogeneous, dense opacity occupying the upper Fig. 8. Case 4. Temperature chart showing response to bronchoscopic aspiration of viscid pus. This case probably represents a type of partial obstructive atelectasis. Fig. 9. Case 4. Chest film showing recovery following bronchoscopy. left chest from the first to the sixth ribs anteriorly. This was interpreted as a residual pneumonitis of the upper left lobe, as there was no cardiac displacement. Bronchoscopy was advised and was done under local anesthesia using a 6 mm. ’scope. The right side was found to be normal. The left main bronchus was reddened, and a small amount of sticky pus was seen spouting from the upper lobe bronchus when the patient coughed. There was no odor. A specimen was collected (which showed no tubercle bacilli, only coccus forms), suction was done and 5 cc. mono-P-chlorophenol instilled. The chest cleared up entirely following three bronchoscopic aspirations. The patient became afebrile, the cough stopped, and he has remained well to date. An acute pneumonitis may complicate the convalescence of an acute respiratory infection. It frequently follows tonsillectomy or dental extraction usually done under general anesthesia. It is not pertinent here to discuss the aspiration and embolic theories. We are concerned largely with diagnosis. Therefore, any acute pneumonitis which has not responded to several weeks of bed rest, high caloric feedings, postural drainage, and small transfusions under the direction of the internist, probably should have broncho- .
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1940 |
Identifier | NCHH-17-001 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 1 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-001.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-001 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 335 (images) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1940 |
Identifier | NCHH-17-001-0361 |
Form General | Periodicals |
Page Type | all; all images; x-ray; all images; chart/table; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed11940medi_0361.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 1 |
Issue Number | 7 |
Page Number | 335 |
Health Discipline | Medicine |
Full Text | Fig. 7. Ccse 4. Chest film of 15 year old boy 2 months after pneumonia, showing dense opacity of left chest from first to sixth ribs anteriorly and no cardiac displacement. massive type. In the former, there may be little or no displacement. (The x-ray technique makes some difference, whether the picture is taken on expiration or inspiration.) Indeed, they probably represent, clinically, a type of atelectasis with a secondary pneumonitis. This conception coincides with their prompt response to bronchoscopic aspiration of retained viscid pus. Such cases should have bronchoscopy not only for the therapeutic value, but to rule out other conditions by direct visualization. It should be interpolated that these cases had all had negative pleural taps, despite the fact that one case had an actual displacement of the heart to the opposite side suggesting pleural pathology. After the lung had been cleared by bronchoscopy, a small, high pocket in the pleural cavity could be made out anterior to the scapula. This was cleared with one syringe aspiration by the consulting surgeon. Case 4. Unresolved Pneumonia. A white boy aged fifteen years was referred to us on March 28, 1935, because of persistent productive cough and fever. Two months previously he had had what was apparently a pneumonia. The fever and cough persisted, however, longer than the usual duration of a pneumonia and he was sent in by the State Tuberculosis Sanatorium for bronchoscopic study. The chest film showed a more or less homogeneous, dense opacity occupying the upper Fig. 8. Case 4. Temperature chart showing response to bronchoscopic aspiration of viscid pus. This case probably represents a type of partial obstructive atelectasis. Fig. 9. Case 4. Chest film showing recovery following bronchoscopy. left chest from the first to the sixth ribs anteriorly. This was interpreted as a residual pneumonitis of the upper left lobe, as there was no cardiac displacement. Bronchoscopy was advised and was done under local anesthesia using a 6 mm. ’scope. The right side was found to be normal. The left main bronchus was reddened, and a small amount of sticky pus was seen spouting from the upper lobe bronchus when the patient coughed. There was no odor. A specimen was collected (which showed no tubercle bacilli, only coccus forms), suction was done and 5 cc. mono-P-chlorophenol instilled. The chest cleared up entirely following three bronchoscopic aspirations. The patient became afebrile, the cough stopped, and he has remained well to date. An acute pneumonitis may complicate the convalescence of an acute respiratory infection. It frequently follows tonsillectomy or dental extraction usually done under general anesthesia. It is not pertinent here to discuss the aspiration and embolic theories. We are concerned largely with diagnosis. Therefore, any acute pneumonitis which has not responded to several weeks of bed rest, high caloric feedings, postural drainage, and small transfusions under the direction of the internist, probably should have broncho- . |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-001.pdf |
Document Sort | all; nchh-17 |
Article Title | Importance Of Bronchoscopy In The Diagnosis Of Intrathoracic Conditions |
Article Author | V. K. Hart |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-001 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
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