Chapter LXIX: Part 69

Etiology of acute catarrhal laryngitis, 93
miliary tuberculosis, 473
splenic congestion, 953
of Addison's disease, 939
of anæsthesia of the larynx, 65
of aneurism of the coeliac axis, 841
of the coronary artery, 830
thoracic, 802, 803
of aortic obstruction, 655
regurgitation, 660
of asthma, 190
of atheroma of the aorta, 800
of atrophic lobar emphysema, 252
of bronchial dilatation, 227
of bronchitis, 164
of brown induration of the lungs, 256
of cancer of the lungs, 460
of cardiac malformation, 694
thrombosis, 721
of catarrhal pneumonia, 353
of chronic congestion and enlargement of spleen, 956
endarteritis of the coronary artery, 828
laryngitis, 121
of collapse of the lung, 250
of congestion and oedema of the lungs, 258
of croupous pneumonia, 324
of dilatation of the heart, 631
of the veins, 849
of embolism of the coronary artery, 831
of emphysema, 234
of endocarditis, 645
of epistaxis, 50
of exophthalmic goitre, 764
of fatty degeneration of the heart, 612
of fibroid phthisis, 440
of fibro-serous pleurisy, 491
of functional heart disease, 752
of gangrene of the lung, 301
of goitre, 976
of hæmophilia, 932
of hæmoptysis, 272
of hæmothorax, 582
of hay asthma, 212
of hemorrhagic pleurisy, 565
of Hodgkin's disease, 922
of hydrothorax, 570
of hyperæsthesia of the larynx, 62
of hypertrophy of the heart, 619
of hysterical affections of the glottis, 83
of lardaceous spleen, 966
of laryngeal oedema, 113
of laryngismus stridulus, 70
of leukæmia, 909
of lymphangitis, 986
of mediastinal abscess, 861
tumors, 871
of mitral regurgitation, 671
stenosis, 666
of morbid growths of the larynx, 127
of the trachea, 139
of paræsthesia of the larynx, 63
of paralysis of abductors of vocal cords, 87
of adductors of vocal cords, 81
of constrictors of larynx, 80
of tensors of vocal cords, 85, 86
of the whole larynx, 79
of pericarditis, 769
of perichondritis and chondritis of larynx, 117
of perisplenitis, 965
of pernicious anæmia, 899
of pneumonokoniosis, 454
of pneumothorax, 573
of pseudo-membranous laryngitis, 101
of pulmonary abscess, 296
apoplexy, 293
embolism, 374
hydatids, 466
phthisis, 394
stenosis, 675
of purulent pleurisy, 539
of spasm of the glottis in adults, 74
of stenosis of the aorta, 826
of the trachea, 142
of syphilis of the lung, 447
of the caisson disease, 857
of tricuspid regurgitation, 678

Eucalyptol, use, in bronchial dilatation, 231

Evil effects of goitre, 979

Exciting causes of asthma, 191
of bronchitis, 168
of gangrene of the lung, 302
of hay asthma, 214

Excision of the spleen, 960
of the sternum in mediastinal abscess, 863
of the thyroid gland, 981

Exercise, importance, in pulmonary phthisis, 432, 433
in chronic bronchitis, 183

EXOPHTHALMIC GOITRE (Graves' Disease; Basedow's Disease), 761
Definition, 761
Diagnosis, 763
Etiology, 764
Morbid anatomy, 764
Prognosis, 765
Symptoms, 762
Dyspnoea, 763
Digestive disorders, 763
Eyeball, protuberance of, 762
Increased heart-action, 762
Thyroid body, enlargement of, 762
Treatment, 765
Aconite, use, 766
Digitalis, use, 767
Ergot, hypodermically, 766
Ice-bag to præcordiæ, 767
Iron, use, 766, 767
Iodine, use, 766
Hydropathic packing and the needle-bath, 766
Galvanization, 767
Of exophthalmia, 766
Opiates, use, 766

Expectorants, use, in bronchitis, 179
in simple tracheitis, 135
in pulmonary phthisis, 436

Expectoration, albuminoid, following thoracentesis, 535
characters in, in acute catarrhal laryngitis, 79
in asthma, 188
in bronchial dilatation, 228
in capillary bronchitis, 171
in catarrhal pneumonia, 359-361
in croupous pneumonia, 322
in chronic bronchitis, 174
in fibroid phthisis, 441

Expectorations, characters in fibro-serous pleurisy, 496
in gangrene of the lung, 303
in pulmonary congestion and oedema, 260
in pulmonary phthisis, 401
in simple tracheitis, 133, 134
of acephalocysts in pulmonary hydatids, 469

Expiratory movement in asthmatic paroxysm, 186
theory of origin of emphysema, 235

Exploratory puncture in mediastinal abscess, 863
value, in diagnosis of pleurisy, 518
of purulent pleurisy, 543, 548

Extra-pulmonary hæmoptysis, 285

Exudations of fibro-serous pleurisy, characters, 486

Exudative endocarditis, acute, 640

Eyeball, protuberance of, in exophthalmic goitre, 640

F.

Faintings in Addison's disease, 941

False membranes of true croup, nature, 100
seat and character, in purulent pleurisy, 541

Fatality of Addison's disease, 941

Fatty degeneration of the heart, 612
of the veins, 852
infiltration of the heart, 611

Fevers, influence on causation of dilatation of the heart, 632

Fibroid heart, 607
phthisis, influence on causation of bronchial dilatation, 228

Fibroma of nasal passages, 55

Fibromata of trachea, frequency, 140

Fibro-serous pleurisy, 484

Fibrous goitre, 977

Fistula, aërial, following tracheotomy, 163
in phthisical persons, treatment of, 439

Fistulæ, pleuro-bronchial, seat and characters in purulent pleurisy,
542

Fistules, pericardial, 796

Flatness, level of, pleuritic effusions, 487, 491, 500

Fluctuation in pulmonary hydatids, 468

Flush of pneumonia, 328

Follicular goitre, 977
and fibrous goitre, treatment, 979, 980

Fomentations, use, in phlebitis, 846

Fragility of pulmonary vessels as a cause of hæmoptysis, 275

Frémissement in pulmonary hydatids, 468
cataire in thoracic aneurism, 808

Friction sounds in fibro-serous pleurisy, 507-509
in pericarditis, 775, 777

Functional heart disorders, 747

G.

Gallic acid, use, in epistaxis, 51
in hæmoptysis, 291

Gangrene of the lung, 301
influence on causation of pneumothorax, 575
complicating catarrhal pneumonia, 364
termination of croupous pneumonia in, 332

Gastric pneumonia, 334

Gastro-intestinal canal, lesions, in catarrhal pneumonia, 358
in croupous pneumonia, 313
in Hodgkin's disease, 928
in leukæmia, 917
in pernicious anæmia, 904
disorders in abdominal aneurism, 821
in Addison's disease, 941
in catarrhal pneumonia, 360, 362
in croupous pneumonia, 330
in endocarditis putrida, 647
in functional heart disease, 749
in Hodgkin's disease, 925
in leukæmia, 910
in mitral regurgitation, 671
in pernicious anæmia, 903
in pulmonary phthisis, 406
in tricuspid regurgitation, 679

Galvanism, use, in Addison's disease, 948

Galvanization, use, in exophthalmic goitre, 767

Galvano-cautery knife, use, in tracheotomy, 150
snare, use, for removing nasal growths, 56
use, for removal of nasal hypertrophies in hay asthma, 224
in chronic nasal catarrh, 44, 45, 47, 48, 50
in epistaxis, 51

Gelatinous goitre, 978
treatment, 981

General diseases, influence on causation of phthisis, 396

Geographical distribution of goitre, 975
of hay asthma, 218

Gestation, influence on causation of goitre, 977

Giddiness in Addison's disease, 941

Glacier- and ice-water, influence on causation of goitre, 976

Glands, bronchial lesions of, in bronchitis, 175

Glottis, hysterical affections of, 83
spasm of, in adults, 74, 75

GOITRE, 974
Definition, 974
Etiology, 976
Atmospheric causes, 977
Gestation and syphilis, influence on causation, 977
Glacier- and ice-water, influence on causation, 976
Geographical distribution, 975
Symptoms, 974
Treatment, 979
Electrolysis, use, 980
Ergot, use, 980
Excision of gland, 982
Injections, use, 989, 981
Iodides of lead and mercury, locally, 980
Iodine, use, 979-981
Iodoform, use, 979
local, 979
Natural mineral waters, use, 980
Of follicular and fibrous form, 979
Of gelatinoid or cystic form, 981
Of vascular form, 980
Syrup of iodide of iron, 979-981
Tincture of iron, injections, 981
Varieties, 977

Goitre, exophthalmic, 761

Gold, chloride of, use, in epiglottic erosion and ulceration, 111, 112

Gout, influence on causation of aortic regurgitation, 660
of thoracic aneurism, 803

Granulations, exuberant, complicating tracheotomy, 162

Grave form of pulmonary embolism, 380

Graves' disease. See _Exophthalmic Goitre_.

Great vessels, malformations of, 690

Gray hepatization stage of croupous pneumonia, lesions, 310

Gummy tumors of the spleen, 971

Gummata of the lung, 449, 450

H.

Hæmatemesis, distinguished from hæmoptysis, 289

Hæmopericardium, 788, 789

HÆMOPHILIA, 931
Classification, synonyms, and history, 932
Definition, 931
Diagnosis, 937
Etiology, 932
Age and sex, influence on causation, 933
Heredity, causation, 932
Morbid anatomy, 936
Pathology, 936
Prognosis, 938
Symptoms, 934-936
Blood in, 936
External bleedings, seat, 935
Interstitial bleedings, seat and characters, 935
Joints, affections of, 935, 936
Treatment, 938
Diet, 938
Ergot and iron, use, 938
Prophylaxis, 938

HÆMOPTYSIS, 266
Definition, 266
Diagnosis, 289
From hæmatemesis, 289
Etiology, 272
Age, influence on causation, 275
Bacillus tuberculosis, relation of, to, 279, 280
Catarrhal predisposition, influence on causation, 275
Exciting causes, 278
Fragility of blood-vessels, influence on causation, 275
Heredity, influence on causation, 272-275
Injury, influence on causation, 279
Pregnancy, influence on causation, 278
Sex, influence on causation, 276
Season, climate, etc., influence on causation, 277, 278
History, 266-272
Mortality, 290
Pathology and morbid anatomy, 286
Aneurisms of pulmonary artery, appearance of, 287
Heart, changes in, 288
Of cardiac hæmoptysis, 288
Of pulmonary infarction, 288
Seat of, and changes in hemorrhages, 288
Prognosis, 290
Synonyms, 266
Symptoms, 281
Frequency of attacks, 284
Of aortic aneurism discharging into air-passages, 285
Of cavernous form, 284
Of extra-pulmonary form, 285
Of hemorrhagic infarction and cardiac form, 285, 286
Of simple, congestive, and ulcerative forms, 283, 284
Physical signs, 282
Treatment, 291, 292
Absolute quiet, necessity of, 291
Astringent inhalations, 291
Ergot and turpentine, use, 291
Gallic acid, use, 291
Ice, use, 291
Ipecacuanha, use, 292
Opium, use, 291, 292
Quinia for fever following, 292

Hæmoptysis in hypertrophy of the heart, 627
in pulmonary phthisis, 401
influence on causation of pulmonary phthisis, 395

HÆMOTHORAX, 582
Etiology and pathology, 582
Symptoms, 582
Treatment, 583

HAY ASTHMA, 210
Classification, 221
Definition, 210
Diagnosis, 221
Etiology, 212
Age, sex, and heredity, influence on causation, 212, 213
Certain plants and grasses, 215, 216
Dust and animal parasites, 216
Exciting causes, 214
Heat and dryness, 214, 215
Occupation and temperament, 213, 214
Pollen theory of origin, 216-218
Predisposing causes, 212
Geographical distribution, 218
History, 210
Prognosis, 222
Symptoms and course, 218-221
Treatment, 222
Diet, 224
Climate, change of, 224
Galvanism, 224
Nasal hypertrophies, removal of, 224, 225
Nasal injections, use, 224
Quinia, use, 224

Headache and vertigo in mitral regurgitation, 672
in acute congestion of spleen, 954
in croupous pneumonia, 329
in Hodgkin's disease, 925
in leukæmia, 911

Head-reflector, use in laryngoscopy, 22

Heart and circulation, effect of asthmatic paroxysm upon, 188

HEART AND GREAT VESSELS, MALFORMATIONS OF, 687
Diagnosis, 709
Duration of life in, 709
Etiology, 692
Defects of arterial outlet of right ventricle, the most frequent
primary cause, 694
Narrowing of pulmonary artery and patency of septum ventriculorum,
theories of origin of, 697-702
Development of foetal heart, relation to course, 698, 700
Malformation affecting primarily left side, 707-709
Narrowing of aortic trunk, 708
Stenosis of the conus, 708
Affecting primarily the right side, 702-706
Of conus arteriosus dexter, with open ventricular septum, 703
Of pulmonary artery, combined stenosis, and atresia of, 706
Of pulmonary artery, closure of, with perfect ventricular septum,
702
Of pulmonary artery, stenosis of, with open ventricular septum, 706
Symptoms, 709
Clubbing of fingers and toes, 711
Cyanosis, 709
Dyspnoea and cough, 710
Physical signs, 710
Temperature in, 710

Heart and lung, disease, influence on causation of pulmonary embolism,
375
aneurism of, 636
atrophy of, 618
cancer of, 637
changes in, in emphysema, 240
clot, as a cause of death in croupous pneumonia, 343
condition of, in hæmoptysis, 288
cysts of, 637

HEART, DILATATION OF, 630
Definition, 630
Diagnosis, 634
Etiology, 631
Morbid anatomy, 633
Prognosis, 635
Symptoms, 634
Treatment, 635
Caffeine, use, 635
Convallaria, use, 635
Digitalis, use, 635
Rest, value of, 635

Heart disease, death from, following thoracentesis, 536
displacements of heart from, 602
influence on causation of congestion of the lungs, 258
influence on causation of hydrothorax, 570
diseases of the substance of, 601

HEART, DISPLACEMENTS OF, 602
From abdominal disease, 604
From changes in chest-wall, 602
From cirrhosis of lung, 603
From disease of pleura, 498, 504, 603
From heart disease, 602
From mediastinal tumors, 603
From pericardial effusions, 602
In pneumothorax, 577

HEART, FATTY DEGENERATION OF, 612
Diagnosis and prognosis, 615
Etiology, 612
Age and sex, influence on causation, 613
Cardiac hypertrophy, influence on causation, 613
Mineral and alcoholic poisoning, 612
Morbid anatomy, 613, 614
Symptoms, 614
Physical signs, 615
Pulse in, 615
Treatment, 616
Amyl nitrite, use, 616
Digitalis, use, 616
Iron and vegetable tonics, 616

HEART, FATTY INFILTRATION OF, 611
Diagnosis, 612
Etiology, 611
Symptoms and treatment, 612

HEART, FUNCTIONAL DISORDERS OF, 747
Diagnosis, 749
Etiology, 750
Morbid anatomy, 752
Prognosis, 753
Symptoms, 748
Cerebral disturbances, 749
Digestive disturbances, 749
Infrequency of intermittence of heart's action, 748
Palpitation, 747
Paroxysms, characters, and frequency of, 748
Treatment, 753
Aconite, use, 754
Alcohol, use, 755
Antispasmodics, use, 753, 754
Digitalis, use, 754
Opium and morphia, use, 754
Preventive, 754
Tonics, chalybeate, use, 754

HEART, HYPERTROPHY OF, 619
Definition, 619
Diagnosis, 627
Etiology, 619
Disturbed innervation, influence on causation, 619
Kidney disease, 621
Mechanical causes, 620
Morbid anatomy, 624
Prognosis, 629
Symptoms, 624
Dyspnoea, 626, 627
Physical signs, 625-627
Pulse, characters, 625, 627
Sensation, uneasy cardiac, 626, 627
Treatment, 630
Digitalis, use, 630
Sedatives, use, 630
Varieties, 619

Heart, lesions of, in Hodgkin's disease, 928
in interstitial endocarditis, 644, 645
in pernicious anæmia, 904
malpositions of, 601
murmur, cause of, in pleurisy, 510
muscle, amyloid degeneration of, 616
anæmic necrosis of, 610
brown atrophy of, 616
calcareous degeneration of, 616
degenerations of, 609-616
hyaline degeneration of, 616
parenchymatous degenerations of, 610
neuroses of, 747
normal positions of, 601, 602
palpitation of. See _Heart, Functional Disorders of._
parasites of, 637
rupture of, spontaneous, 617

Heart's action, increase of, in exophthalmic goitre, 762
mechanism of, 652

Heart, sarcoma of, 637
sounds, in adherent pericardium, 788
in pericarditis, 776
syphilis of, 637
tubercle of, 637

HEART, VALVULAR DISEASES OF, AND CARDIAC MURMURS, 651
Definition, 651
History, 651
Murmurs, 654
_Aortic Obstruction or Stenosis_, 654
Diagnosis, 657
Etiology, 655
Morbid anatomy, 654
Symptoms, 656
Cerebral anæmia, 656
Cerebral and other embolisms, 656
Murmurs, characters, 657
Physical signs, 657
Pulse, characters, 657
_Aortic Regurgitation or Insufficiency_, 659
Diagnosis, 664
Etiology, 659
Morbid anatomy, 659
Symptoms, 659
Carotid pulsation, 661, 662
Pain, characters, 661
Physical signs, 662
Pulse, characters, 661
_Mitral Regurgitation_, 669
Diagnosis, 674
Etiology, 671
Morbid anatomy, 669
Symptoms, 671
Cough and expectoration, 671
Cyanosis and physiognomy, 671
Digestive disorders, 671
Dropsy, occurrence of, 672
Headache, vertigo, etc., 672
Murmurs, seat and characters, 673
Physical signs, 672
Pulse, characters, 672
_Mitral Stenosis_, 665
Diagnosis, 669
Etiology, 666
Morbid anatomy, 665
Symptoms, 667
Hæmoptysis, 667
Murmurs, characters, 668
Pain, 667
Physical signs, 668
Pulmonary congestion, cough, etc., 667
Pulse, characters, 667
Purring thrill, significance, 668
_Pulmonary Obstruction_, 674
Diagnosis, 676
Etiology, 675
Morbid anatomy, 675
Symptoms and physical signs, 675
_Pulmonary Regurgitation_, 676
Physical signs, 677
_Tricuspid Regurgitation_, 677
Diagnosis, 680
Etiology, 678
Morbid anatomy, 678
Symptoms, 679
Cerebral hyperæmia, 679
Jugular and epigastric pulsation, 679
Physical signs, 679
Prognosis in valvular heart disease, 680-683
Treatment, 683
Arsenic, use, 684, 685
Calomel and jalap, use, 685
Diet in, 683-686
Digitalis, use, 684, 685
Ergotin, 685, 686
Hygienic, 683, 684, 686
Iron, use, 684, 685
Nitrate of amyl, use, 684, 686
Of aortic disease, 683, 684
Of dropsy, 684, 685
Of hæmoptysis, 685
Of mitral disease, 685
Of tricuspid disease, 686
Opium and morphia, use, 684, 686
Quinia and strychnia, use, 684, 685
Rest, value, 683
Squill, juniper and cream of tartar, use, 685

Heat and dryness, influence on causation of hay asthma, 214
use, in laryngismus stridulus, 73

Hemorrhage and congestion in pulmonary embolism, 384
during and after tracheotomy, 158, 162
in croupous pneumonia, 331
influence on causation of anæmia, 887
intestinal, in embolism of the superior mesenteric artery, 837
seat, in hæmoptysis, 287

Hemorrhages in Addison's disease, 940
in leukæmia, 913
in pernicious anæmia, 903
in pulmonary phthisis, 401, 402
interstitial, of hæmophilia, 935
seat and amount, in hæmophilia, 935

Hemorrhagic infarction of spleen, 960
pleurisy, 565

Hemorrhoids from obstruction of portal vein, 850

Hepatic artery, aneurism of, 840

Hepatization of croupous pneumonia, lesions, 309

Heredity, influence on causation of acute catarrhal laryngitis, 93
of asthma, 190
of emphysema, 234
of epistaxis, 50
of hæmophilia, 934
of hæmoptysis, 272-275
of hay asthma, 212
of Hodgkin's disease, 922
of pulmonary phthisis, 395
on prognosis of phthisis, 423

Hernia of trachea, 143

Herpetic eruptions of croupous pneumonia, 328

Hiccough in goitre, 979

History of Addison's disease, 939
of bronchial asthma, 184
dilatation, 227
of bronchitis, 164
of brown induration of the lungs, 256
of cardiac murmurs, 651
thrombosis, 719
of collapse of the lung, 252
of congestion and oedema of the lungs, 258
of croupous pneumonia, 307
of cyanosis and cardiac malformations, 687
of emphysema, 232
of endocarditis, 639
of gangrene of the lung, 301
of hæmophilia, 932
of hæmoptysis, 266
of hay asthma, 210
of Hodgkin's disease, 922
of hydrothorax, 570
of the laryngoscope, 19
of leukæmia, 908
of pernicious anæmia, 898
of pleurisy, 483
of pneumonokoniosis, 454
of pneumothorax, 573
of pulmonary abscess, 296
embolism, 373
hydatids, 466
phthisis, 392, 394
of purulent pleurisy, 539
of the rhinoscope, 21
of syphilis of the lung, 447

Hoarseness in acute laryngitis, 94

HODGKIN'S DISEASE, 921
Course, duration, and termination, 929
Definition and synonyms, 921
Diagnosis, 929
Etiology, 922
Morbid anatomy, 926
Lymph-glands, lesions, 926, 927
Spleen, lesions, 927
Pathology and prognosis, 930
Symptoms, 923
Blood and circulation, changes in, 924
Digestive disorders, 925
Genito-urinary system, changes in, 925
Hæmic murmurs in, 925
Lymphatic glands, enlargement of, seat and characters, 923
Skin, changes in, 925
Special senses, modifications of, 925
Spleen, enlargement of, 925
Respiratory system, disorders, 925
Treatment, 931
Arsenic, use, 931
Local, 931
Iodine and potassium iodide, use, 931
Phosphorus, use, 931
Quinia, iron, and cod-liver oil, use, 931

Hoffmann's anodyne, use, in functional heart disease, 753

Hyaline degeneration of heart-muscle, 616

Hydatids of the pleura, 585
pulmonary, 466

Hydropathic packing in exophthalmic goitre, 766

Hydropericardium, 789, 790

HYDROTHORAX, 570
Diagnosis and prognosis, 572
Definition, etiology, and history, 570
Pathological anatomy and symptoms, 571
Treatment, 572

Hygienic treatment of croupous pneumonia, 347
of pernicious anæmia, 907
of pleurisy, 519
of valvular heart disease, 683-685

Hyoscyamia, use, in catarrhal pneumonia, 372

Hyoscyamus, use, in acute catarrhal laryngitis, 98

Hyperæsthesia of larynx, 62

Hyperplasia of cytogenic tissues, relation to increase of white
blood-corpuscles, 893
of spleen, lymph-glands, and bone-marrow, influence on causation of
anæmia, 890, 891

Hypertrophic lobar emphysema, 233
nasal catarrh, 44

Hypertrophy of auricles of the heart, 627
of erectile tissue in chronic nasal catarrh, 44
of the heart, 619

Hypophosphites, use, in acute miliary tuberculosis, 481
in emphysema, 245
in phthisis, 435

Hypostatic pneumonia. See _Lungs, Congestion and Oedema of_.

Hysteria, influence on causation of paræsthesia of the larynx, 64

Hysterical affections of the glottis, 83

I.

Ice, use, in acute catarrhal laryngitis, 97
in laryngeal oedema, 117
in pericarditis, 783
in pseudo-membranous laryngitis, 104

Iceland, frequency of hydatid disease in, 466

Idiosyncrasy, influence on causation of cardiac functional disease, 752

Image, the laryngeal, 30
the rhinoscopic, 39

Impulse, cardiac, in adherent pericardium, 787
in aortic obstruction, 657
regurgitation, 662
in mitral regurgitation, 672
stenosis, 668
in pericarditis, 774
in tricuspid regurgitation, 679
in dilatation of the heart, 634
in hypertrophy of the heart, 625, 627

Inanition, influence on causation of anæmia, 889

Incipient phthisis, diagnosis of, 411

Indications for paracentesis of the pericardium, 794
for thoracentesis, 521
for tracheotomy, 145

Infarction, hemorrhagic, of lungs, symptoms, 286
of spleen, 960
pulmonary, lesions of, 288
in pulmonary embolism, characters and seat, 384

Infectious fevers, influence on causation of acute interstitial
myocarditis, 605

Inferior mesenteric artery, diseases of, 839
tracheotomy, 148, 155

Inflammation of the epiglottis, 109
of the mediastinum, 861
of suprarenal capsules, 949
of the veins, 843

Inflammatory theory of origin of cardiac malformations, 692

Inflation of lung in atelectasis, 253, 254

Infrequency of heart's action in functional disease, 748

Inhalations, astringent, in hæmoptysis, 291
in chronic bronchitis, 182
in fibroid phthisis, 444
in pseudo-membranous laryngitis, 106
in simple tracheitis, 135
in ulcer of trachea, 139

Injections, use, in chronic enlargement of the spleen, 960
in echinococcus of the spleen, 970
in goitre, 980, 981
into pericardial sac, 795
into pleural cavity in purulent pleurisy, 551, 553, 562
of arsenic into spleen in leukæmia, 921
of tubercular cavities, 439, 440

Injury, influence on causation of hæmoptysis, 279
of paralysis of the larynx, 79

Innervation, disturbed, influence on causation of hypertrophy of the
heart, 619

Innominate aneurism, localization of, 812

Inoculability of tuberculous disease, 397

Inspection in bronchitis, 163
in cardiac malformations, 710
thrombosis, 729
valvular disease, 657, 662, 668, 672, 675, 677, 679
in catarrhal pneumonia, 360, 361
in croupous pneumonia, 335, 336, 338
in endocarditis, 648
in fibro-serous pleurisy, 497, 498
in hypertrophy of the heart, 625, 627
in mediastinal abscess, 862
tumors, 874
in pericarditis, 774
in pneumothorax, 578
in thoracic aneurism, 807

Inspiratory and expiratory theories of origin of emphysema, 235

Instruments necessary in tracheotomy, 149

Insufficiency, aortic, 659

Insufflator, use, in chronic laryngitis, 126

Intercostal spaces, bulging of, in pleuritic effusion, 497, 498, 507

Interlobular emphysema, 249
pleurisy, 564

Intermittence of heart's action, 748

Intermittent pneumonia, 334

Interstitial endocarditis, 643
myocarditis, acute, 605
pneumonia, chronic, 391, 440

Iodine, locally, in acute congestion of the spleen, 956
in chronic congestion and enlargement of the spleen, 960
inflammation of the epiglottis, 110
laryngitis, 126
in exophthalmic goitre, 766
in pulmonary phthisis, 435
injection of, in goitre, 980, 981
internal use, in goitre, 979, 980
test for lardaceous spleen, 968
use, in Hodgkin's disease, 931

Iodoform, use, in chronic epiglottic inflammation, 110
in chronic laryngitis, 125

Ipecacuanha, use, in acute catarrhal laryngitis, 98
in bronchitis, 180
in hæmoptysis, 292
in laryngismus stridulus, 73

Iron, perchloride, injection of, in goitre, 981
pernitrate, use, in epiglottic ulceration, 112
syrup of the iodide of, use, in goitre, 979
use, in Addison's disease, 948
in anæsthesia of the larynx, 68
in angina pectoris, 761
in chlorosis, 896
in chronic congestion of the spleen, 960
in dilatation of the heart, 636
in endocarditis, 651
in exophthalmic goitre, 766, 767
in fatty degeneration of the heart, 616
in functional heart disease, 755
in hæmophilia, 938
in paralysis of the larynx, 91
in passive pulmonary congestion, 263, 264
in pernicious anæmia, 907
in pulmonary phthisis, 436
in valvular heart disease, 684, 685
in vesicular emphysema, 245

Irregular cardiac action in fatty degeneration, 615

Irritable heart, 747

Irritants, influence on causation of pseudo-membranous croup, 101
to pulmonary tissue, influence on causation of phthisis, 394

Ischæmia of the heart, influence on causation of angina pectoris, 758

Itching of skin and mucous membranes in hay asthma, 220, 221

J.

Jaborandi, local use, in chronic laryngitis, 125
use, in fibro-serous pleurisy, 520, 521
in laryngeal oedema, 116

Jacquemet on causes of death in pulmonary embolism, 381

Jarvis' snare for removal of nasal polypi, 54

Jaundice in mitral regurgitation, 671

Joint affections of hæmophilia, 935

Joints, lesions of, in hæmophilia, 936

Jugular pulsation in tricuspid regurgitation, 679

K.

Kidney disease, influence on causation of cardiac hypertrophy, 621
of pleurisy, 493
of pulmonary embolism, 375

Kidneys, lesions, in Hodgkin's disease, 928
in leukæmia, 918
in pernicious anæmia, 905
state of, in pseudo-membranous laryngitis, 102

L.

Lactic acid, use, in pseudo-membranous laryngitis, 106

Lardaceous spleen, 966

Laryngeal image, the, 30-33

Laryngectomy in morbid growths of the larynx, 131

LARYNGITIS, ACUTE CATARRHAL (False Croup), 92
Diagnosis, 95
From diphtheritic laryngitis, 95
From membranous croup, 95
From tubercular laryngitis, 95
Duration, 94
Etiology, 93
Pathology, 92
Prognosis, 96
Symptoms, 93
Treatment, 96
Alkalies in, 97
Apomorphia in, 97, 98
Baths, cold and sea, in, 96
Emetics in, 98
Ice in, 97
Inhalations in, 97
Narcotics in, 98
Of oedema of glottis in, 98
Potassium chlorate in, 91
iodide in, 97
Silver nitrate in, 97, 99

LARYNGITIS, CHRONIC, 121
Definition, etiology, and synonyms, 121
Diagnosis, 123
Morbid anatomy, 122
Prognosis, 124
Symptoms, 121
Treatment, 124
Ammonium chloride, use, 124
Anodynes, 127
Arsenic and cod-liver oil, use, 125
Cocaine, use, 127
Cubebs, use, 124
Inhalations, use, 126
Insufflations, use, 126
Iodoform, use, 125
Respirators, use, 126
Tar, use, 125, 126
Tracheotomy in, 127

Laryngitis, chronic tubercular, 123
syphilitic, 123
complicating pulmonary phthisis, 403

LARYNGITIS, PSEUDO-MEMBRANOUS, 100
Complications, 103
Contagiousness, 101
Diagnosis, 103
From catarrhal laryngitis, 104
From general oedema of glottis, 104
Etiology, 101
Mortality, 103
Pathology, 100
Prognosis, 103
Symptoms, 101
Treatment, 104
Alkalies in, 105
Diet in, 107
Emetics in, 106
Ice in, 104
Inhalations in, 106
Lactic acid in, 106
Massage of larynx, 107
Mercury in, 104
Pilocarpine in, 106
Quinia in, 105, 108
Stimulants in, 108
Strychnia in, 108
Tracheotomy in, 107

Laryngoscope, description of, 21
history of, 19

Laryngoscopy and rhinoscopy, 19

LARYNGOSCOPY, ART OF, 25-29
description of the laryngeal image, 30-33
methods of illumination in, 23-25
obstacles to, 28, 29
position of observer, 26
position of patient in, 26
use of electric illuminator, 24
use of head-reflector in, 22

Laryngotomy, in morbid growths of the larynx, 31

Larynx, anæsthesia of, 65
treatment, 67

LARYNX, CHOREA OF, 76
Symptoms, 76
Treatment, 77
Diseases of, 109
Disorders of motion of, 68
Exalted action of, 69
Hyperæsthesia of, 62
Treatment, 64
Lepra of, 132
Lupus of, 132
Muscles of, 59
Nerves of, 60

LARYNX, MORBID GROWTHS OF, 127
Definition and etiology, 127
Morbid anatomy, 128
Prognosis and diagnosis, 130
Symptoms, 129
Treatment, 131
Cocaine, use, 131
Laryngectomy, 131
Laryngotomy in, 131

Larynx, muscles of, 59
nerves of, 60
neuroses of, 59

LARYNX, OEDEMA OF, 112
Definition and synonyms, 112
Diagnosis and morbid anatomy, 115
Prognosis, 116
Symptoms, 113
Treatment, 116
Antispasmodics, use, 116
Astringents, use, 116
Diaphoretics, use, 116
Jaborandi, use, 116
Ice, use, 117
Morphia, use, 116
Purgatives, use, 116
Scarification, 116
Tracheotomy, 117

LARYNX, PARÆSTHESIA OF, 63
Symptoms and treatment, 64
Paresis and paralysis of muscles of, 78
Paralysis of constrictors of, 80
Perversions of sensations of, 61

LARYNX, PERICHONDRITIS AND CHONDRITIS OF, 117
Definition and etiology, 117
Diagnosis and prognosis, 120
Morbid anatomy and symptoms, 118
Treatment, 121

LARYNX, SPASM OF, IN CHILDREN (Laryngismus Stridulus), 70
Course and duration, 71
Diagnosis, 72
From true croup, 72
From simple laryngitis, 72
Etiology, 70
Pathology, 71
Prognosis, 72
Symptoms, 70
Voice in, 71
Treatment, 73
Alum in, 73
Anæsthetics, 73
Antispasmodics in, 73
Baths, hot, in, 73
Emetics in, 73
Ipecacuanha, 73
Potassium bromide in, 73

Latent pneumonia, 334, 342

Laxatives, use, in pleuritic effusions, 520

Leeches, in acute bronchitis, 178

Left ventricles, hypertrophy of, 625

Lepra of the larynx, 132

Lesions of cancer of the lung, 460, 461
of chronic congestion of the spleen, 958
of croupous pneumonia in children, 312
of fibro-serous pleurisy, 485
of lungs in pneumonokoniosis, 457, 458
in pulmonary phthisis, 408, 410
of nervous system, in Addison's disease, 944
of pulmonary hydatids, 467
Seat in syphilis of the lung, 450

LEUKÆMIA, 908
Course, 918
Definition, synonym, and history, 908
Diagnosis, 919
Etiology, 909
Age and sex, influence on causation, 909
Climate, influence on causation, 909
Malarial and previous disease, causation, 909
Syphilis, influence on causation, 910
Morbid anatomy, 915
Blood, and heart-changes in, 915
Bone-marrow, changes in, 916
Lymphatic glands, changes in, 916
Leukæmic growths, characters of, 918
Spleen, changes in, 915
Prognosis, 920
Symptoms, 910
Blood-corpuscles, changes in, 911, 912
Digestive disorders, 910
Genito-urinary disorders, 913
Hemorrhages, seat and characters, 913
Lymphatic glands and spleen, enlargement of, 914
Nervous symptoms, 911
Pulse, characters, 913
Respiratory symptoms, 913
Special senses, modification of, 911
Treatment, 920
Arsenic, use, 921
Ergot, use, 921
Excision of spleen, 921
Iron, use, 921
Quinia, use, 921
Transfusion, 921

Ligation of carotid and subclavian arteries in thoracic aneurism, 818

Lime, use, in pseudo-membranous laryngitis, 105

Liver, changes in, in tricuspid regurgitation, 678, 679
displacement of, in pleurisy, 497, 507
enlargement of, in leukæmia, 911
influence on destruction of the blood, 885
lesions, in catarrhal pneumonia, 358
in Hodgkin's disease, 928
in leukæmia, 918
in mitral regurgitation, 670

Lobelia, use, in bronchial asthma, 204

Local treatment of chronic congestion and enlargement of the spleen,
960
of chronic laryngitis, 125
of epiglottic inflammation, 109, 110
ulceration, 112
of laryngeal oedema, 116
of simple lymphangitis, 990
of ulceration of trachea, 139

Locality, change of, in bronchial asthma, 206
choice of, in treatment of hay asthma, 223

Localization of thoracic aneurisms, 812

LUNG, ABSCESS OF, 296
Definition, history, etiology, and synonyms, 296
Diagnosis, 299
Pathology and morbid anatomy, 298
Prognosis, 300
Symptoms and course, 297
Treatment, 300

LUNGS, CANCER OF, 460
Definition, 460
Diagnosis, 464
Duration, 463
Etiology and morbid anatomy, 460
Prognosis, 465
Symptoms, 461

LUNG, COLLAPSE OF (Atelectasis), 250
Definition and history, 250
Diagnosis, 254
Etiology, 250
Age, influence on causation, 251
Bronchial catarrh, relation of, to, 250, 251
Mechanism of production, 251
Thoracic effusions, influence on production of, 252
Morbid anatomy, 253
Prognosis, 255
Symptoms, 252
Treatment, 255
Diet in, 256
Emetics, question of use, 255
Expectorants, use, 255
Of congenital form, 255

LUNGS, CONGESTION AND OEDEMA OF (Hypostatic Pneumonia), 258
Course and termination, 261
Definition, 258
Diagnosis, 262
Etiology, 258
History, 258
Morbid anatomy, 261
Prognosis, 262
Symptoms, 260
Treatment, 263
Of passive form, 263
Of pulmonary oedema, 264
Use of bloodletting, general and local, 263, 264
of diaphoretics, 264
of digitalis, 263
of emetics, 263
of iron in chronic form, 263, 264
of stimulants, 263
of quinia hydrobromate, hypodermatically, 264

Lung, displacement of, in pleurisy, 506

LUNG, GANGRENE OF, 301
Course and duration, 305
Definition, synonyms, and etiology, 301
Diagnosis and prognosis, 304
Pathology and morbid anatomy, 303, 304
Symptoms, 302
Treatment, 305

Lungs, appearance of, in congestion, 262
brown induration of, 256
changes in, in hæmoptysis, 287
condition of, in pneumothorax, 576
early lesions of, in pulmonary phthisis, 408-410
lesions of, in croupous pneumonia, 308-313
in Hodgkin's disease, 928
in leukæmia, 918
in pernicious anæmia, 904
in pneumonokoniosis, 457
syphilitic disease of, 447

Lung-tissue, gross and microscopic appearance of, in catarrhal
pneumonia, 356, 357

Lupus of the larynx, 132

Lymph, mechanism of circulation of, 984, 985

LYMPHANGITIS, SIMPLE, 983
Definition, 986
Diagnosis, 988
Etiology, 986
Age, influence on causation, 986
Specific irritation, 986
Traumatism, influence on causation, 986
Pathology and morbid anatomy, 987
Prognosis, 990
Symptoms, 987
Oedema, 987
Of tubercular form, 987
Pain, characters, 987
Temperature, 987
Treatment, 990
Antipyrine, use, 990
Bandage, use, 991
Cold, locally, 990
Diet in, 990
Fomentations, use, 990
Iron, arsenic, and cod-liver oil, 990, 991
Local, 990
Quinia, use, 990
Rest, 990
Silver nitrate, locally, 990

Lymphatic glands, changes in, in leukæmia, 914, 916
enlargement of, in Hodgkin's disease, 923, 926
influence on blood-formation, 884
lesions, in pernicious anæmia, 905
relation to production of blood-corpuscles, 890
swelling of, in perichondritis of larynx, 118

Lymph-spaces, seat of miliary tuberculosis in, 475

Lymph-vessels, lesions, in lymphangitis, 987

Lympho-sarcoma of the mediastinum, 867

M.

Mackenzie's method of injecting goitre, 981

Malaria, influence on causation of acute splenic enlargement, 954
of lardaceous spleen, 966
of leukæmia, 909

Malformations of left side of heart, 707
of right side of heart, 702

Malignant tumors of trachea, 141

Malign growths of larynx, 128

Malpositions of the heart, 601

Marriage of bleeders, 938
of phthisical persons, 439

Marrow of bone, lesions, in leukæmia, 916

Massage of larynx in true croup, 107

Measles, influence on causation of acute miliary tuberculosis, 473

Mechanical bronchitis, 170
causes of cardiac thrombosis, 723
of collapse of the lung, 251

Median tracheotomy, 148, 155

Mediastinal pleurisy, 564

MEDIASTINUM, DISEASES OF, 861
_Abscess of the Mediastinal Space_, 861
Complications and terminations, 863
Diagnosis and prognosis, 863
Etiology, 861
Symptoms, 862
Treatment, 863
_Inflammation of the Mediastinum_, 861
_Tumors of the Mediastinum_, 863
Anatomy of the mediastinal space, 863
Definition, 863
Diagnosis, 876
From abscess, 877
From aneurism, 876
From chronic pneumonia, 879
From pericarditis, 878
From pleurisy, 878
Of anterior growths, 877
Of posterior growths, 878
Differentiation of malignant growths, 879
Duration, 875
Etiology, 871
Pathology and morbid anatomy, 865-871
Carcinoma, characters, seat, and method of growth, 869
Lympho-sarcoma, characters, seat, and method of growth, 867
Sarcoma, characters, seat, and method of growth, 865-867
Prognosis, 876
Symptoms, 871
Cyanosis and oedema, 873
Dyspnoea, peculiarities of, 872
Pain, characters and seat, 872
Physical signs, 873
Pressure symptoms, 872, 873
Treatment, 880
Donovan's solution, use, 881
Morphia, use, 880
Paracentesis, 880
Resection of sternum, 880

MELANÆMIA, 896
Definition and etiology, 896
Morbid anatomy, 897
Pigment, mode of origin, 897, 898

Membrane of pseudo-membranous laryngitis, nature, 100
seat, 101

Membranous exudation, nature of, in pseudo-membranous bronchitis, 176

Menstrual disorders in chlorosis, 894, 895

Menstruation in fibro-serous pleurisy, 497, 498

Mental emotion, influence in evoking paroxysms of angina pectoris, 456

Mercury, use, in pseudo-membranous laryngitis, 104

MESENTERIC ARTERY, INFERIOR, DISEASES OF, 839
Aneurism, 839
Embolism, 839, 840

MESENTERIC ARTERY, SUPERIOR, DISEASES OF, 836-839
Aneurism, 836
Embolism, 836-839
Endarteritis, 839
Thrombosis, 839

Metallic tinkling in pneumothorax, 579

Meteorological conditions as a cause of bronchitis, 168

Miliary tubercles, physical characters of, 474
tuberculosis, acute, 472

Mineral and coal-dust, influence on causation of pneumonokoniosis, 455
poisoning, influence on causation of asthma, 191
of fatty degeneration of the heart, 612

Mitral disease, influence on causation of hydrothorax, 570
Prognosis, 682, 683
Treatment, 685, 686
Regurgitation, 669
Stenosis, 665
Valve, disease of, influence on causation of brown induration of the
lung, 256

Morbid anatomy of acute congestion of the spleen, 955
exudative endocarditis, 640
myocarditis, 604, 605
of Addison's disease, 942
of aortic obstruction, 654
regurgitation, 659
of asthma, 197
of bronchial dilatation, 230
of bronchitis, 175
of brown induration of the lungs, 256
of cancer of the lungs, 460
of the pleura, 582
of cardiac thrombosis, 734
of catarrhal pneumonia, 354
of chronic myocarditis, 607
congestion of the spleen, 957
pharyngitis, 122
of croupous pneumonia, 308
of dilatation of the heart, 633
of fatty cardiac degeneration, 613
of fibroid phthisis, 440
of fibro-serous pleurisy, 484
of gangrene of the lung, 304
of hæmophilia, 936
of hæmoptysis, 286
of hæmothorax, 582
of hemorrhagic infarction of spleen, 961
of Hodgkin's disease, 926
of hydatids of pleura, 585
of hydrothorax, 571
of hypertrophy of the heart, 623
of interstitial endocarditis, 644
of lardaceous spleen, 967
of laryngeal oedema, 115
of leukæmia, 915
of mediastinal tumors, 865
of mitral regurgitation, 670
stenosis, 665
of morbid growths of larynx, 128
of pericarditis, 772
of perichondritis and chondritis of the larynx, 118
of pernicious anæmia, 904
of phthisis, 408
of pneumonokoniosis, 456
of pneumothorax, 576
of pulmonary abscess, 298
congestion and oedema, 261
emboli, 382
hydatids, 467
stenosis, 675
of purulent pleurisy, 540
of rupture of the spleen, 972
of simple lymphangitis, 987
tracheitis, 134
of splenitis, 963
of syphilis of the lung, 450
of the caisson disease, 855
of tricuspid regurgitation, 678
of ulcerative endocarditis, 642
of vesicular emphysema, 242

Morbid growths of the larynx, 127
of nasal passages, 52
of trachea, 139

Morphia, use, in bronchial asthma, 201
in chronic laryngitis, 127
in epiglottic ulceration, 112
in fibro-serous pleurisy, 520
in hæmothorax, 581
in hyper- and paræsthesia of the larynx, 64
in the caisson disease, 858
in ulceration of the trachea, 139
in valvular heart disease, 684, 686

Mortality of acute and chronic bronchitis, 177
of catarrhal pneumonia, 368
of croupous pneumonia, 342
of hæmoptysis, 290
of laryngismus stridulus, 72
of pseudo-membranous laryngitis, 103
of stenosis of the aorta, 827
of valvular heart disease, 680

Murmurs, blowing, in cardiac thrombosis, 727
cardiac, relation to valvular disease, 651
characters, in aneurism of the pulmonary artery, 834
in aortic obstruction, 657
regurgitation, 663
in mitral regurgitation, 668
stenosis, 673
in pulmonary stenosis and regurgitation, 675, 676
in tricuspid disease, 677, 680
and seat, in endocarditis, 648, 649
disappearance of, in acute myocarditis, 606
hæmic, in pernicious anæmia, 902
over splenic region, in splenic congestion, 954
significance, in abdominal aneurism, 822

Mucous membrane, bronchial swelling of, as a cause of asthma, 197

Multilocular areolar pleurisies, 564

Muscular exertion, influence on causation of aortic disease, 656, 660
influence on causation of hypertrophy of the heart, 622
prolonged, influence on causation of functional heart disease, 752

Muscle-substance, condition in dilatation of the heart, 633

Muscles of larynx, 59

MYOCARDITIS, 604
Etiology and morbid anatomy, 604, 605
Diagnosis, 606
Interstitial form, 605
Suppurative form, 605
Symptoms and treatment, 606

MYOCARDITIS, CHRONIC (Fibroid Heart), 607
Diagnosis, 607
Morbid anatomy and etiology, 607, 608
Symptoms and treatment, 608

Myosis, in thoracic aneurism, significance, 805

Myxoma of nasal passages, 53

N.

Narrowing of a vein, 851

Nasal catarrh, acute, 41

NASAL CATARRH, CHRONIC, 42
Atrophic form, 47
Prognosis, 48
Symptoms, 47
Treatment, 48
Arsenic and cod-liver oil in, 49
Galvano-cautery in, 48
Phosphates in, 49
From defective nasal respiration, 43-46
Deflected septum, 44
Hypertrophy of erectile tissue, 44
Osseous obstruction, 44
Treatment, 44-46
Galvano-cautery, 44-46
Iodine, use, 45
From necrosis of nasal bones, 49, 50
Inflammatory form, without hypertrophy, 46
Prognosis, 47
Treatment, 47
Electricity, 47
Silver nitrate, 47

Nasal cavities, anatomy of, 33, 35
diseases, table of, grouped by symptoms, 50
hypertrophies, removal of, in hay asthma, 225
injections in hay asthma, 224
mucous membrane, hypertrophy of, influence on causation of asthma,
193
passages, diseases of, 41
fibroma of, 55
morbid growths of, 52
myxoma of, 53
polypi of, 53
treatment, 54
sarcoma and carcinoma of, 55

Nausea and vomiting in acute congestion of spleen, 954
in Addison's disease, 941
in croupous pneumonia, 330
in pernicious anæmia, 903
in splenitis, 962

Needle-bath, in exophthalmic goitre, 766

Nervous cough, 77
lesions, of Addison's disease, 944
of Hodgkin's disease, 928
of leukæmia, 918
of pernicious anæmia, 905
symptoms of Addison's disease, 941
of Hodgkin's disease, 925
of leukæmia, 911
of pulmonary phthisis, 407

Neuralgia in hyperæsthesia of the larynx, 63

Neuroses of the larynx, 59
of the heart, 747

Night-sweats, of pulmonary phthisis, 405
treatment, 438

Nitro-glycerin, use, in bronchial asthma, 208

Nutrition, bad, influence on causation of catarrhal pneumonia, 354
impaired, of heart-walls, influence on dilatation of the heart, 632

Nux vomica, use, in angina pectoris, 761

O.

Occlusion of the aorta, 824
of the coronary artery, 831
of veins, 851

Occupation, influence on causation of hay asthma, 213
of mediastinal tumors, 871
of pneumonokoniosis, 455, 456
of pulmonary phthisis, 396
of thoracic aneurism, 803
in-door, influence on causation of bronchitis, 165

Oedema, from dilatation of veins, 850
in pernicious anæmia, 901
of glottis, 94, 103
of the lungs, 258
of thoracic walls, in purulent pleurisy, 542, 543

Onset of acute catarrhal laryngitis, 93, 94
of laryngismus stridulus, 70
of leukæmia, 910
of pseudo-membranous laryngitis, 102

Operations, various, in tracheotomy, 48

Operative treatment of pericardial effusions, 794

Opiates, use, in exophthalmic goitre, 766

Opium, use, in acute catarrhal laryngitis, 98
in croupous pneumonia, 348
in hæmoptysis, 291, 292
in pericarditis, 783
in pulmonary phthisis, 436, 437, 439
in valvular heart disease, 684, 685
and morphia, use, in angina pectoris, 760

Organization of heart-clots, 740

Orthopnoea, in mitral stenosis, 667

Osseous obstruction, as a cause of chronic nasal catarrh, 44

Over-training and heart-strain, influence on causation of cardiac
dilatation, 631

Oxidation, defective, in fatty degeneration of the heart, 613

Oxygen, inhalations in true croup, 107

Ozæna, 47

P.

Pack, cold, use in croupous pneumonia, 349

Pain, characters, in croupous pneumonia, 322
in lymphangitis, 987
in mediastinal abscess, 862
in pulmonary phthisis, 402
in acute and chronic congestion and enlargement of the spleen, 954,
957
in acute phlebitis, 845
in aneurism of the coeliac axis, 842
in aortic obstruction, 656
regurgitation, 661
in caisson disease, 854
in cancer of the pleura, 584
in cardiac thrombosis, 731
in chronic endarteritis of the coronary artery, 828
in endocarditis, 647
in hydatids of the pleura, 581
in hyperæsthesia of the larynx, 62
in morbid growths of the larynx, 129
in pericarditis, 773, 774
in perichondritis and chondritis of the larynx, 118
in splenitis, 962
in stenosis of the trachea, 142
in ulceration of the trachea, 139
seat and characters, in angina pectoris, 756
in diaphragmatic pleurisy, 563
in fibro-serous pleurisy, 493
in mediastinal tumor, 872
in thoracic aneurism, 804
seat, in abdominal aneurism, 821

Palpation in cardiac malformations, 710
in cardiac thrombosis, 729
in cardiac valvular disease, 657, 662, 668, 673, 675, 677, 679
in croupous pneumonia, 335, 336, 338
in endocarditis, 648
in fibro-serous pleurisy, 503, 504
in pericarditis, 774
in pneumothorax, 579
in thoracic aneurism, 808

Palpitation in cardiac valvular disease, 656, 661, 667, 671, 675, 679
in hypertrophy of the heart, 626
of the heart, 747

Papilloma of larynx, 128, 130

Papillomata of trachea, frequency, 140

Paracentesis in endocardial effusions, 784, 794
in pulmonary hydatids, 470

Paræsthesia of larynx, 63

Paralysis in caisson disease, 854
of adductors and abductors of vocal cords, 81, 84, 86
of arm in thoracic aneurism, 810
of constrictors of larynx, 80
of muscles of larynx, 78
of posterior crico-arytenoids, 86
of tensors of vocal cords, 85, 86
of the whole larynx, 79

Parasites, influence on causation of hay asthma, 216
of the heart, 637

Parenchymatous degeneration of heart-muscle, 610

Paroxysms, frequency of, in angina pectoris, 756
in functional heart disease, 748
of asthma, description and frequency of, 185-187

Patency of septum ventriculorum, 690

Pathology of acute catarrhal laryngitis, 92
phlebitis, 843-845
congestion of spleen, 955
of Addison's disease, 944
of anæsthesia of larynx, 67
of aneurism of the coeliac axis, 842
of angina pectoris, 758
of asthma, 193
of bronchial asthma, 193
of bronchitis, 175
of caisson disease, 855
of cancer of the lungs, 460
of cardiac thrombosis, 734
of catarrhal pneumonia, 354
of chronic endarteritis of the coronary artery, 829
pharyngitis, 122
of collapse of lung, 253
of embolism of the coronary artery, 832
of the superior mesenteric artery, 837
of exophthalmic goitre, 764
of fibroid phthisis, 440
of functional heart disease, 752
of gangrene of lung, 303
of hæmophilia, 936
of hæmoptysis, 286
of hemorrhagic pleurisy, 565
of Hodgkin's disease, 930
of hysterical affections of glottis, 84
of laryngismus stridulus, 71
of mediastinal tumors, 865
of morbid growths of trachea, 140
of perichondritis and chondritis of larynx, 118
of pernicious anæmia, 905
of phlegmasia dolens, 847
of pneumonokoniosis, 456
of pseudo-membranous laryngitis, 100
of pulmonary abscess, 298
congestion and oedema, 261
emboli, 382
phthisis, 408
of simple lymphangitis, 987
tracheitis, 134
of spasm of the glottis in the adult, 75
of stenosis of the aorta, 825
of the trachea, 143
of syphilis of the lung, 448
of vesicular emphysema, 242

Pectoriloquie aphonique in pleurisy, significance, 510, 517

Percussion during paroxysm of asthma, 187
in bronchial dilatation, 228, 229
in cardiac malformation and cyanosis, 710
thrombosis, 728
valvular disease, 657, 663, 668, 673, 675, 677, 680
in catarrhal pneumonia, 359-363
in collapse of lung, 253
in croupous pneumonia, 335, 337, 338
in emphysema, 237
in endocarditis, 648
in fibro-serous pleurisy, 499-503
in hydrothorax, 572
in hypertrophy of the heart, 625, 627
in mediastinal abscess, 862
tumors, 874
in pericarditis, 774
in pneumothorax, 579
in pulmonary congestion and oedema, 260
phthisis, 411, 413, 415-418
in purulent pleurisy, 543, 544
in pyo-pneumothorax, 544
in thoracic aneurism, 812

Perforation in purulent pleurisy, 542-547
of the aorta, 824
of lung, in thoracentesis, 538

Pericardial effusions, displacements of heart, from, 602

PERICARDIAL EFFUSIONS, OPERATIVE TREATMENT OF, 794
Aspiration, method of, 796, 797
Free incisions and drainage, 795
Indications for, 794, 795
Injections into pericardium, 795
Puncture of heart, results of, 798
Results, 798
Site of puncture, 796

PERICARDITIS, 769
Definition, 769
Diagnosis, 779
From cardiac hypertrophy, 780
From cerebral affections, 779
From mediastinal tumors and inflammation, 780
From pleurisy and endocarditis, 779
Etiology, 769
Bright's disease, influence on causation, 771
Cold, influence on causation, 770
Eruptive fevers, influence on causation, 771
Rheumatism, acute, influence on causation, 770
Traumatism, influence on causation, 769, 770
Secondary causes, 770, 771
Frequency, 770, 771
Morbid anatomy, 772, 773
Prognosis, 781
Symptoms, 773
Auscultation, 775
Cerebral symptoms, 774
Friction sounds, characters, 775
Pain, 773
Percussion and palpation, 774
Physical signs of, 774
Pulse and temperature in, 774
Treatment, 783
Blisters, use, 784
Cold, locally, 783
Counter-irritation, 783
Diet in, 783
Digitalis, use, 783
Of effusion, 784
Paracentesis, 784
Potassium, bitartrate and acetate, use, 784
iodide, 784
Quinia, use, 784
Stimulants, 784

Pericarditis, chronic, 784
tubercular, 793

PERICARDIUM, ADHERENT, 785
Adhesions, seat and character, 786
Impulse in, 787
Prognosis, diagnosis, and treatment, 788

Pericardium, cancer of, 792, 793
diseases of, 769

Perichondritis of larynx, 117

Perisplenitis, 965

Peritonitis complicating pulmonary phthisis, 406

Pernicious anæmia, progressive, 898

Phlebitis, 843

Phlebolithes, 853

Phlegmasia alba dolens. See _Veins, Diseases of_.

Phosphates, use, in atrophic nasal catarrh, 49

Phosphorus, use, in Hodgkin's disease, 931
in leukæmia, 921
in pulmonary phthisis, 435

PHTHISIS, FIBROID, CHRONIC INTERSTITIAL PNEUMONIA, CIRRHOSIS OF LUNG,
440
Course and duration, 441
Diagnosis, 443
Etiology, 440
Symptoms, 441
Cough and expectoration, characters, 441
Cyanosis in, 442
Physical signs, 442
Sputa, characters, 441
Treatment, 444

Phthisis, incipient, diagnosis, 411, 413

PHTHISIS, PULMONARY, 391
Definition, 391
Diagnosis, 410
Auscultation in, 412, 416, 417
Bacilli, significance of presence in sputa, 413
Broncho-vesicular respirations, characters, 412
Dry cough, significance of, 411
Inspection in, 417
Of cavities, 416, 417
Of incipient form, 411
Of intercurrent pneumonia in, 418
Percussion in, 411, 415, 416
Stethoscope, necessity of use in, 412
Vesiculo-tympanitic resonance, characters, 415
Whispered voice, transmission of, 413-417
Etiology, 394
Age, occupation, and sex, 396
Bacillus tuberculosis, relation of, 392, 398
Bronchitis, relation of, to, 394
Communicability of, 396-398
General diseases, influence on causation, 396
Hæmoptysis, influence on causation, 395
Heredity and constitutional predisposition, influence on causation,
395
Season, humidity of soil, etc., influence on causation, 396
History, 392
Morbid anatomy and pathology, 408
Prevention, 444
Prognosis, 419
Symptoms and complications, 400
Anæmia in, 405, 406
Cough, characters, 400
Dysphonia, aphonia, and laryngitis, 403
Genito-urinary disorders, 408
Hæmoptysis, frequency and significance, 401, 402
Heart, and circulatory disorders in, 405
Intercurrent pneumonia, occurrence of, 403, 404
Nervous symptoms, 407
Night-sweats in, 404
Pain in, 402
Peritonitis, occurrence of, 406, 407
Pleurisy and pneumothorax in, 404
Respiration in, 403
Sputa, characters, 401
Temperature in, 404, 405
Vomiting, diarrhoea, and digestive disorders, 406
Synonyms, 391
Treatment, 425
Agaricus, use, in night-sweats, 438
Alcohol, use, 435
Arsenic, use, 436
Belladonna and zinc oxide, use, 438
Climatic, 427-430
Cod-liver oil, use and value, 434
Cold use, 437
Dietetic, 431
Ergotin, use, 437
Injection of cavities, 439
Iodine, use, 435
Iron, use, 436
Marriage of consumptives, question of, 439
Of cough, 436
Of diarrhoea, 438
Of night-sweats, 438
Of pyrexia, 437
Out-of-door life, necessity of, 432
Picrotoxin, use, 438
Quinia, use, 438
Sea-voyages, value, 433
Sanitaria, value, 430
Use of opium, 436, 439

Physical signs during paroxysm of asthma, 187
in emphysema, 236, 237
in fatty degeneration of the heart, 615
in mitral regurgitation, 671
in pulmonary congestion and oedema, 260, 261
regurgitation, 697
in purulent pleurisy, 543
of abdominal aneurism, 822
of acute bronchitis, 169
of acute miliary tuberculosis, 480
of adherent pericardium, 787
of aortic obstruction, 657
of aortic regurgitation, 662
of atrophic lobar emphysema, 248
of cancer of the lungs, 462, 463
of pleura, 584
of capillary bronchitis, 171
of cardiac malformations, 710
of cardiac thrombosis, 728, 741
of cardiac valvular disease, 668
of catarrhal pneumonia, 359-363
of collapse of lung, 252, 253
of croupous pneumonia, 334, 335
in children, 335, 338
of diaphragmatic pleurisy, 563
of dilatation of the heart, 634
of endocarditis, 648
of fibroid phthisis, 442
of fibro-serous pleurisy, 496
of hæmopericardium, 789
of hæmoptysis, 282
of hydrothorax, 572
of hypertrophy of the heart, 625
of mediastinal tumors, 873
of pericarditis, 774
of pneumothorax, 578
of pulmonary abscess complicating croupous pneumonia, 339
of pulmonary hydatids, 468
phthisis, 411
of pulmonary stenosis, 675
of senile pneumonia, 336, 338, 339
of stenosis of the aorta, 826
of syphilis of the lung, 452
of thoracic aneurism, 807
of thrombosis and embolism of the pulmonary artery, 836
of the coronary artery, 832
of tricuspid stenosis, 677

Physiognomy in angina pectoris, 756
in asthma, 186, 190
in croupous pneumonia, 328
in endocarditis, 647
in laryngismus stridulus, 71
in pulmonary embolism, 379-381

Picrotoxin, use, in pulmonary phthisis, 438

Pigment, seat and treatment of, in melanæmia, 896, 897

Pigmentation of Addison's disease, 940
of lungs in pneumonokoniosis, 451, 458

Pilocarpine in laryngeal oedema, 116
use, in pleuritic effusions, 521
in pseudo-membranous laryngitis, 106
in pulmonary oedema, 264

Pimpinella saxafraga, use, in acute catarrhal laryngitis, 99

Plants and grasses, certain, influence on production of hay asthma, 215

Plethora, 886

Pleura, cancer of, 583
diseases of, 483
displacement of heart from, 603
hydatids of, 585
lesions of, in croupous pneumonia, 313

Pleural cavity, morbid growths of, 583
effusions, frequency, in cancer of the lungs, 461
influence on causation of collapse of lung, 251
occurrence in course of mediastinal tumors, 870

Pleurisies, circumscribed, 545
encysted, 545, 546
multilocular areolar, 564

PLEURISY, 483
Complications, 512
Course, 510
Definition, 483
Diagnosis, 514
From abscess of liver, 516
Atelectasis, 517
Hydrothorax, 515
Intercostal neuralgia, pleurodynia, etc., 516
Pneumonia, 514, 515
Tumors and cysts, 516
Of nature of effusion, 517
Duration, 511, 512
Etiology, 491
Age and sex, influence on causation, 492
Atmospheric changes, influence on causation, 491
Of primary form, 491
Of secondary form, 491
Pulmonary affections, acute and chronic, influence on causation,
492
Rheumatism, gout, and nephritic affections, 493
Syphilis, influence on causation, 493
Traumatism, influence on causation, 492
Pathological anatomy, 484
Effused fluid, chemical characters of, 486
distribution of, 487
Exudation, seat, nature, and appearance of, 485, 486
Level of line of flatness assumed by effusion, 488, 489
Prognosis, 518
Sequelæ, 483
Symptoms, 493
Bronchial breathing, significance of, 508
Chills, frequency, 494
Cough, characters of, 495
Cyanosis, 496
Displacement of organs in, 504, 507
Expectoration, characters, 496
Friction sounds, seat and characters, 507, 509
Heart murmur in, 510
Mensuration, necessity of frequent, 497, 498
Pain, seat and characters, 493
Physical signs in, 496
Pneumo-pericardial friction sounds, 509
Pulse, characters, 494
Respiration in, 494
Skodaic resonance, seat and characters, 501
Temperature, 494
Voice sounds in, 510
Whispered voice, significance of, 510, 517
Synonyms, 483
Terminations, 512
Treatment, 519
Alkalies, use, 520
Blisters, use, 520, 521
Counter-irritants, use, 520, 521
Effusion, removal of, 520
Iron, use, 520, 521
Jaborandi and pilocarpine, 520, 521
Laxatives and purgatives, 520, 521
Opium and morphia, use, 520
Potassium iodide, use, 520
Quinia, use, 520
Rest, 519
Strapping of chest in, 520
Thoracentesis, 521
Albuminous expectoration following, 535
Contraindications, 530
Death from, causes, 536, 537
During febrile stage, question of, 525
Indications for, 521
Mode of operating, 530, 534
Secondary pneumonia and tuberculosis following, 536

Pleurisy, complicating pulmonary phthisis, 404
diaphragmatic, 563
double, 562

PLEURISY, HEMORRHAGIC, 564
Diagnosis, 568
Etiology and pathology, 565, 567
Prognosis, 568
Symptoms, 567
Treatment, 568

Pleurisy, interlobular and mediastinal, 564

PLEURISY, PURULENT, 539
Definition, 539
Diagnosis, 543
Exploratory puncture, value, 543
From tubercular cavities and dilated bronchi, 545
Of perforation, 543, 544
Etiology, 539
Age and sex, influence on causation, 540
Eruptive fevers, influence on causation, 540
Puerperal condition, the, influence on causation, 540
Rheumatism, gout, and nephritic diseases, 540
Traumatism, influence on causation, 540
History, 539
Pathological anatomy, 540
Prognosis, 548
Symptoms, 542
Physical signs, 543
Synonyms, 539
Terminations, 547
Treatment, 549
Alteratives, use, 549
By free drainage, 552-556
Injections and washing of cavity, value of, 561, 562
Modes of operating, 550
Pleurotomy, 555
Resection of ribs, 556
Surgical, 549
Thoracentesis, 550-552

Pleurisy, rheumatic, 564, 565
tubercular, 569

Pleuro-bronchial fistulæ, signs of occurrence of, in purulent pleurisy,
543

Pleurotomy, 556, 557

Pneumonia, acute lobar, complicating pulmonary phthisis, 403

PNEUMONIA, CATARRHAL, 353
Complications and sequelæ, 364
Definition, 353
Diagnosis, 365
From acute miliary tuberculosis, 367
From collapse of lung, 366
From croupous pneumonia, 366
Duration, 368
Etiology, 353
Age, influence on causation, 353
Infectious diseases complicated with bronchitis, influence on
causation, 354
Mortality, 368
Pathology and morbid anatomy, 354
Bronchi, lesions, 356
Bronchial glands, lesions, 357
Lung-tissue, gross and microscopic appearance of, 356
Relation to collapse of lung, 355
Prognosis, 368
Symptoms, 358
Cardiac failure in, 363
Cough, 360, 361
Death, cause of, 362
Gastro-intestinal, 360
In children, 358
Nervous, 362
Of grave forms, in adults, 360
Physical signs, 358, 360, 362
Pulse and respiration, characters, 360, 361
Sputa, 360, 361
Temperature, 358, 360, 361
Synonyms, 353
Terminations, 368
Treatment, 368
Alteratives, use, 372
Ammonia preparations, use, 370, 371
Apomorphia, use, 371
Chloral hydrate, use, in nervous symptoms, 372
Climate, change of, 372
Counter-irritation, use, 369
Diet in, 369, 370
Emetics, use, 371
Hyoscyamia, hypodermatically, use, 372
Of gastro-intestinal disorders, 370
Of nervous symptoms, 372
Opium, use, 372
Quinia, use, 370, 371
Strychnia, use, 371

Pneumonia, chronic interstitial, 391, 440
complicating pleurisy, 512

PNEUMONIA, CROUPOUS, 307
Definition, 307
Differential diagnosis, 339
From capillary bronchitis, 340
From catarrhal pneumonia, 340
From hypostatic congestion, 340
From meningitis, 342
From pleurisy, 340
From pulmonary apoplexy, 341
congestion and oedema, 339
From typhoid fever, 342
Etiology, 314
Age and sex, influence on causation, 314
Cold, damp, season, etc., influence on causation, 314
Depressing influences, influence on causation, 315
Klebs on specific germ of, 319
Nature of, 315-318
Resemblance to acute general diseases, 317, 318
History, 307
Morbid anatomy, 308
Changes in abdominal viscera, 313
in bronchial glands, 313
in heart and blood, 313
in lung, 308-313
in pleura, 313
Prognosis, 342-345
Cause of death, 345
Mortality, 342, 343
Symptoms, 319
Alimentary tract, state of, 330
Cerebral, 329, 330
Chills, characters, in, 318
Cough, characters, in, 322
Critical phenomena, 331
Dyspnoea, characters, 321, 322
Expectoration, characters, 322
Herpetic eruptions, occurrence, 328, 329
Indicating danger, 331
Objective, 334-339
Of abscess and gangrene, 332
Of bilious and gastric form, 334
Of latent form, 334
Of purulent infiltration, 332
Pain, characters, 322
Physical signs, 334-339
Physiognomy, 328
Pulse, characters, 326, 328
Respiration, characters, 321
Sputum, characters, 322
Subjective, 319-334
Surface of body, state of, 328
Temperature in, 324
Urine, condition, 330
Synonyms, 307
Treatment, 345-352
Alcoholic stimulants, use, 348
Antiseptics, use, 352
Carbonate of ammonium, digitalis, musk, camphor, etc., use, 349
Cardiac depressants, danger, 346
Cold, use, 349
Counter-irritation, questionable utility of, 347
Diet in, 347, 348
Expectorants, use, 347
Of convalescence, 351
Of delirium, 351
Of senile variety, 351
Opium, use, 348
Quinia, use, 350
Reduction of temperature in, 349
Rest in, value, 347
Venesection, harmfulness, 346

Pneumonia, hypostatic, 258

Pneumo-hydropericardium, 791

Pneumo-hydrothorax complicating phthisis, 404

PNEUMONOKONIOSIS, 454
Definition, etiology, and history, 454
Diagnosis and prognosis, 459
Pathology and morbid anatomy, 456-459
Symptoms and treatment, 459

Pneumo-pericardial friction sound, 509

Pneumo-pericardium, 790

PNEUMOTHORAX, 573
Definition, 573
Diagnosis, 580
Etiology, 573
Age and sex, influence on causation, 576
Traumatic causes, 574
History, 573
Pathological anatomy, 576
Air, quantity, 576
Heart, displacement, 577
Opening, shape and seat, 576
Prognosis, 581
Symptoms, 578
Pain, seat and characters, 578
Physical signs, 578-580
Respiration, characters, 578
Treatment, 581, 582
Diet, 582
Opium and morphia, use, 581
Paracentesis, 581
Stimulants, 581

Pollen of plants, influence on causation of asthma, 192
theory of origin of hay asthma, 216

Polypus, nasal, 53, 54

Post-mortem heart-clots, 735

Potain's syphon, use, in purulent pleurisy, 555