Saturday, April 12, 2008
The Chronic Abscess Is Formed. Plural Abscesses Are
The chronic abscess is formed. Plural abscesses are preceded usually by widespread - inflammatory process in a lung. On this background in several sites occurs a pulmonary fabric. Sites - are exposed to purulent fusion at various times, break - of abscesses in a bronchial tree occurs . At plural abscesses an outcome of the sharp period we are - formation of the several cavities surrounded with a thick cover from and of a fabric. The lung fabric between abscesses does not restore the normal structure. For a lung gangrene it is characteristic restrictions - of the changed pulmonary fabric from the healthy. The site fabrics without sharp borders passes in a pulmonary fabric of dark colour which also without a clear boundary passes in a healthy fabric. Clinic and diagnostics: at typically proceeding forms of disease in a clinical picture it is possible to allocate two periods: 1) the period before abscess opening in a bronchial tube, 2) the period after opening in a bronchial tube. Disease usually begins with symptoms, characteristic for a pneumonia: the body temperature raises, there are stitches at a deep breath, cough.
Tuesday, April 8, 2008
In A Pleural Cavity With Full - Confidence
in a pleural cavity with full - confidence it is possible to define at the maintenance in it not less than 250 - 300 ml . If contents of a pleural cavity is - only , the top border of dullness corresponds to a line of Ellisa - Damuazo - the Sokolov very big congestions of pus in a pleura lead to displacement in the healthy party. Therefore below at a backbone on not amazed party the - shortening site a sound (a triangle of Grokko - Rauhfussa) is defined the triangular form. In process of accumulation in a pleural cavity the liquid gradually pushes aside and upwards an air lung, partially it departments. Such a lung it is expressed by occurrence over a - line of Damuazo at a sound (a phenomenon of Shkoda). At mouth opening this sound amplifies and gets a characteristic sound of the broken pot. At small limited pus congestions to establish sometimes it is very difficult. At the data is typical - dullness with the top horizontal border and a sound over it according to air congestion. reveals easing or nearly so a total absence - of respiratory noise in places of the greatest congestion -.
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