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Twentieth Century Practice, Vol. 7 of 20




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Excerpt from Twentieth Century Practice, Vol. 7 of 20: An International Encyclopedia of Modern Medical Science The classification of pleural inflammations adopted in the following pages needs no apology. A purely etiological division of the subject is still impossible, great as the progress of the past few years in this direction has been. Distinctions based upon acuteness and chronicity are hardly applicable to an affection like pleurisy, in which there are innumerable gradations between the two extremes. The character of the exudate, whether fibrinous, serofibrinous, or purulent, still remains the prominent factor which regulates both the prognosis of the disease and its practical management by the physician. Dry Pleurisy. Definition. - Dry or fibrinous pleurisy is an acute or chronic inflammation of the whole or a part of the pleural membrane, characterized by an exudation of fibrin upon the free surface of the latter. Etiology. Dry pleurisy is a very common disease. This is to be inferred not so much from its clinical frequency as from the fact that in autopsies it is almost an exceptional occurrence to find the pleura entirely free from adhesions. Smith, for example, in a series of one hundred and twenty post-mortem examinations in individuals who had died from all sorts of diseases, found adhesions in no less than eighty percent. That such adhesions are extremely frequent is certainly in accord with the general experience of most observers. As a primary affection, however, dry pleurisy is comparatively rare; Engster, among one hundred and sixty-three cases of apparently primary pleurisy, found only sixteen of the dry form. Three possible causes of primary dry pleurisy are commonly given, viz., cold, rheumatism, and tuberculosis. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.


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