PLEURISY AND PNEUMONIA. 
355 
whole extent of the chest, or in 
some parts only. ' 
• _ T 
(Percussion). Slight dead 
grating* sound (Matite ). Distinct 
resonance through the whole of 
the chest, and pain expressed 
when the sides are tapped or 
compressed. 
Terminations .— 1. Delites¬ 
cence . Cessation of pain; mo¬ 
derate temperature of the skin; 
sometimes profuse general per¬ 
spiration. Respiration less ac¬ 
celerated ; inspiration easier 
and deeper. Pulse fuller and 
softer. Breath of the natural 
temperature. Return of the na¬ 
tural respiratory murmur and 
resonance. The walls of the 
chest cease to exhibit increased 
sensibility. 
2. Effusion , false mem¬ 
branes. Inspiration more and 
more full. 
(Auscultation and percus¬ 
sion.) Matite and complete ab¬ 
sence of the respiratory mur¬ 
mur, with the crepitating wheez¬ 
ing, always at the bottom of the 
chest; sometimes a g*urgling 
noise. Vesicular respiration very 
strong in the upper region of 
the chest, or in the sac opposite 
to the effusion. 
(Continuance of the effu¬ 
sion.) Matite and absence of 
the respiratory murmur gain 
the middle region of the chest, 
following the level of the fluid. 
These symptoms may be found 
on only one side, a circum¬ 
stance of frequent occurrence 
feebleness of that sound in the 
inflamed parts, with humid, 
crepitating wheezing. The re¬ 
spiratory murmur increased in 
the sound parts. 
(Percussion.) The dead grat¬ 
ing sound confined to the in¬ 
flamed parts. Distinct resonance 
at the sound parts; increased 
sensibility of the walls of the 
chest slight, or not existing at alb 
Terminations. — 1. Resolu¬ 
tion. Temperature of the skin 
moderate. Sometimes profuse 
partial sweats. Laborious re¬ 
spiration subsiding; inspiration 
less deep. Artery less full. 
Pulse yielding. Breath less hot. 
Gradual and progressive dis¬ 
appearance of the crepitating 
rale. Slow return of the re¬ 
sonance. 
2. Red Hepatization . Re¬ 
spiration 
rupted. 
(Auscultation and percus¬ 
sion.) Matite and circumscribed 
absence of respiratory murmur, 
without any determined place ; 
in one point, or in many distinct 
parts of the lung. Respiratory 
murmur increased in one or 
more of the sound parts of the 
lungs, or in the sound lung if 
only one is inflamed. 
(Passage to a state of gray 
induration.) The absence of 
respiratory murmur &nd matite 
equally indicate extensive he¬ 
patization of one lung, a cir¬ 
cumstance, however, of rare oc¬ 
currence. When the induration 
is of both lungs, and equally so, 
irregular and inter- 
