Identifier: 39002011128551.med.yale.edu
Title: The diseases of infancy and childhood
Year: 1920 (1920s)
Authors: Holt, L. Emmett(Luther Emmett),1855-1924
Subjects:
Publisher: New York, D. Appleton
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
ay have disappeared, the part resembling a solidfibrous tumor, through which run the bronchial tubes, usually muchdilated. In places this dilatation may be sufficient to form cavities ofconsiderable size. The bronchial glands are often enlarged to the sizeof a hazelnut, and they may be tuberculous. Upon examination with the microscope, the pleura is found greatlythickened, with bands of new fibrous tissue passing from it into the lung.The walls of the small bronchi are in most places thicker than normal,but elsewhere they have undergone cylindrical dilatation, and are filledwith pus. The walls of the alveoli show a marked proliferation of theconnective-tissue elements, and the alveoli are filled with organized in-flammatory products, so that they are nearly or quite obliterated. Thestroma is much increased in amount throughout the affected lung. Symptoms.—In most cases there is a history of repeated attacks ofacute bronchopneumonia, from which the child made a slow convales- PLATE X
Text Appearing After Image:
Chronic BronchopneumoniaIn the greater part of the specimen the disease is limited to the vicinity of the smallbronchi A A A each of which is surrounded by a zone of new connective tissue, the resultof the inflammatory process, the intervening lung tissue, B B, being normal. In thelower left-hand portion, the disease is more diffuse- the air vesicles, C, between the areasof new connective tissue are greatly compressed, and in some places entirely obliterated. (After Delafield.) CHRONIC BRONCHOPNEUMONIA 549 cence, remaining pale, anemic, and sometimes wasted for several months.Improvement then took place in the general symptoms, the appetite andstrength returned, and in many cases the lost weight was nearly or quiteregained. However, neither the pulmonary symptoms nor the physicalsigns entirely disappeared. There remained a dry, hard cough, which attimes was severe. Pains in the chest were occasionally complained of,and perhaps shortness of breath on exertion was noticed. Examination s

Note About Images