Download A Synopsis of Respiratory Diseases by J. Smart (Auth.) PDF

By J. Smart (Auth.)

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Extra resources for A Synopsis of Respiratory Diseases

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R E F L E X E S A N D ASSOCIATION W I T H O T H E R LESIONS. —(1) Conditions of nasopharynx: polypi, and infections of upper respiratory tract often present, and treatment influences attacks. (2) Gastro-intestinal disturbances: heavy and late meals, flatulence, constipation. (3) Lungs: asthma m a y follow bronchitis and become chronic. (4) Occasionally endocrine disturbances. (5) Fatigue and emotion. R e l a t i o n s of B r o n c h i a l A s t h m a to O t h e r A f f e c t i o n s . — Attacks m a y be associated with or interchangeable with hay fever, eczema, and some forms of urticaria and 'trophoneuroses', and with other conditions ascribed to hypersensitivity ('allergy').

If not controlled, adrenaline, 1-1000, b y injection should be tried, but often ineffective owing to partial resistance, in which case give aminophylline or hydrocortisone intravenously. Antihistamine drugs also useful. Depressive drugs such as morphine or heroin should not be used. —Inhalation of 'fumes' or asthma powders and asthma cigarettes should be avoided, as they contain nitrates in order to make them smoulder, which irritates bronchial mucosa. Whilst giving temporary relief, irritation gives rise to subsequent increase in mucus secretions.

4. Caseous tuberculous masses in pleura. —Endobronchial tuberculosis is invariably present in the smaller bronchioles in infected area of the lung. Larger bronchioles and bronchi m a y be involved, giving rise to redness, oedema, superficial ulceration, deep ulceration, granulation tissue. The mode of spread in the bronchioles and bronchi is:— 1. B y direct implantation from infected sputum. 2. B y lymphatic spread along the bronchi. 3. B y rupture of a tuberculous gland into a bronchus causing a deep, penetrating ulcer.

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