HENRY M. THOMAS JR., M.D., F.A.C.P.
The classical picture of pulmonary emphysema is accepted without question by physicians, pathologists and roentgenologists. The chest is barrel-shaped and remains in the position of inspiration—moves as a whole—with diminished expansion and calls into play the accessory muscles of respiration. The percussion note is hyperresonant with obliteration of the compensatory spaces and the breath sounds are soft and expiration prolonged and sighing. The descent of the bases may be diminished, abdominal breathing is increased, although in long, narrow-chested individuals the diaphragms may descend freely. The lungs at autopsy are pale and voluminous, do not collapse on standing and microscopically present
THOMAS HM. EMPHYSEMA: REBREATHING, BASAL METABOLIC RATE DETERMINATIONS, VITAL CAPACITY(EMPHYSEMA: REBREATHING, BASAL METABOLIC RATE DETERMINATIONS, VITAL CAPACITY*). Ann Intern Med. 1936;10:596–604. doi: 10.7326/0003-4819-10-5-596
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Published: Ann Intern Med. 1936;10(5):596-604.
Endocrine and Metabolism, Pulmonary/Critical Care, Thyroid Disorders.
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