Renwick, A. Cameron

2019-02-15T14:18:12Z

2019-02-15T14:18:12Z

1921

Many cases present themselves at hospital showing signs of early pulmonary tuberculosis, which upon investigation appear to be the result of pressure on the lungs by enlarged bronchial glands. Some years ago, Percy Kidd drew attention to this occurrence but did not suggest any specific treatment. In view of the fact that hospitals for tuberculosis refuse so far as possible - all cases so far advanced that there is little hope of permanent arrest, it is most important to discriminate between early and advanced stages of the disease. It is the object of this thesis to discuss certain cases which at first sight appear far more advanced than is really the case, but in which the symptoms are misleading and apparently inconsistent, and to submit the theory that certain patients who appear to show signs of established pulmonary tuberculosis and who would be classed as fairly advanced cases, may in reality be suffering from enlarged bronchial glands, yielding very satisfactorily to treatment. This is based on a number of cases in the Brompton Hospital for Consumption and Diseases of the Chest and at a Tuberculosis Dispensary, of which six hospital cases have been appended in illustration. It will be noted that the patients are all children or young persons and this point is important - (1) because tuberculosis in children has a much greater tendency to become widespread than in adults; (2) because there is far greater hope of complete arrest while the trouble is still confined to the lymphatic system; (3) because if there be any truth in Dr. Batty Shawls contention that development of tuberculosis in later life is more often due to auto-infection than to re-infection from outside sources, it is the more important to arrest the disease in its earliest manifestations.

http://hdl.handle.net/1842/33667

The University of Edinburgh

Annexe Thesis Digitisation Project 2019 Block 22

Tubercular bronchial glands: their diagnosis and treatment in relation to pulmonary tuberculosis

Thesis or Dissertation

Doctoral

MD Doctor of Medicine