Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis SanitariumChicago (Ill.). Municipal Tuberculosis Sanitarium. Dispensary Department
Science
Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis Sanitarium
Chicago (Ill.). Municipal Tuberculosis Sanitarium. Dispensary Department
Tuberculosis
Richard Morton, an English physician, wrote, in 1689, of the wide
prevalence of pulmonary tuberculosis, and recognized the two types of
fever: the acute inflammatory at the beginning, and the hectic at the
end. He also recognized the contagious nature of the disease and
recommended fresh air treatment. He believed the disease curable in the
early stages, but warned us of its liability to recur. Morton taught that
the tubercle was the pathological evidence of the disease.
In 1690, Leeuwenhoek, a Dutch lens maker, started the making of short
range glasses which resulted later in the modern microscope, making
possible the establishment of the germ theory of disease, including the
establishment of that theory for tuberculosis.
Starck, whose observations and writings were published in 1785 (fifteen
years after his death), gave a more accurate description of tubercles than
had ever been given before, and showed how cavities were formed from them.
Leopold Auenbrugger introduced into medicine the method of recognizing
diseases of the chest by percussion, tapping directly upon the chest with
the tips of his fingers. The results of his investigations were published
in a pamphlet in 1761. This new practice was ignored at first, but after
the work of Auenbrugger was translated he attained a European reputation
and a revolution in the knowledge of diseases of the chest followed.
Boyle recognized in miliary tubercle, as it was afterwards called by him,
the anatomical basis of tuberculosis as a general disease, and, in 1810,
published the results of one of the most complete researches in pathology.
He described the stages in the development of the disease, using miliary
tubercle as its starting point. He opposed the theory that inflammation
caused tuberculosis and declared hemorrhage a result and not a cause of
consumption.
Laennec discovered one of the most important, perhaps, of all methods of
medical diagnosis--that of auscultation. By means of the stethoscope,
which he invented in 1819, he recognized the physical signs and made the
first careful study of the healing of tuberculosis; he gave also one of
the best accounts of the sputum of the consumptive. He believed that every
manifestation of the disease in man or animals was due to one and the same
cause.
Up to this time the views which were held concerning the infectious nature
of tuberculosis were not based upon direct experiment, but in 1843 Klenke
produced artificial tuberculosis by inoculation. He injected tuberculous
matter into the jugular vein of a rabbit, and six months later found
tuberculosis of the liver and lungs. He did not continue, however, his
researches; so they were soon forgotten.
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