Image from page 379 of “Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations” (1914) – Philadelphia Picture

Identifier: geriatricsdiasc
Title: Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations
Year: 1914 (1910s)
Authors: Nascher, I. L. (Ignatz Leo), 1863- Jacobi, A
Subjects: Geriatrics
Publisher: Philadelphia : P. Blakiston’s son & Co.
Contributing Library: West Virginia University Libraries
Digitizing Sponsor: LYRASIS Members and Sloan Foundation

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Text Appearing Before Image:
and prophylaxis are self-evident. CHRONIC HYPERTROPHIC BRONCHIAL CATARRH This is the old mans winter cough, the most frequentbronchial affection of the aged, and bronchiectasis is almost al-ways associated with it. Etiology.—This form of bronchitis comes on with the adventof cold weather and is due to the alternate chilling and warmingof the bronchial mucous membrane, from the difference intemperature between the inspired and expired air. It does notappear when the patient spends the winter in a warm equableclimate. The disease occurs most frequently among those whohave been exposed for years to such deleterious influences asdust, vapors, rapid temperature changes, etc., and, in almostevery case, a tendency to catarrhal affections, carried over fromearlier life, can be established. It is occasionally found incases where excessive cautiousness against temperature changesand other causes of bronchitis has produced a condition ofgreat sensitiveness in the bronchial mucous membrane. In

Text Appearing After Image:
Lung, Emphysema and Bronchiectasis. (Natural size.)(From Coplins Manual of Pathology.) A. Emphysema,vesicle. B. Enlarged peribronchial gland. C. Enlargedperibronchial gland, pigmented. D, D, D. Dilated bronchi. CHRONIC HYPERTROPHIC BRONCHIAL CATARRH 287 such, a slight indiscretion as a draught, or a momentary chillingof the surface, produces a bronchitis. Pathology.—There is a passive hyperemia with thickening ofthe mucous membrane and enlargement of the mucous glands.The latter are usually open and are surrounded by dark-coloredzones. The blood-vessels are filled and tortuous. Numeroussmall elevations and depressions are found in the mucous wallsand the tissue feels soft and velvety. Later on, if there havebeen violent fits of coughing weak spots in the bronchial wallswill result which dilate, producing bronchiectasis. These dilata-tions form sacs and pouches and may become cystic reservoirsof mucus or of muco-purulent matter. In some cases there arealternating areas of dilatation

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Tagged: , bookid:geriatricsdiasc , bookyear:1914 , bookdecade:1910 , bookcentury:1900 , bookauthor:Nascher__I__L___Ignatz_Leo___1863_ , bookauthor:Jacobi__A , booksubject:Geriatrics , bookpublisher:Philadelphia___P__Blakiston_s_son___Co_ , bookcontributor:West_Virginia_University_Libraries , booksponsor:LYRASIS_Members_and_Sloan_Foundation , bookleafnumber:379 , bookcollection:west_virginia_university , bookcollection:americana

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