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Biomedical subjects

D T Thompson

Publications and source records attributed to D T Thompson.

10 recordsLinked to original sources

The arts of percussion and auscultation of the chest re-examined.

Clinical teaching of percussion and auscultation is examined critically, and it is suggested that there is confusion on the subject both in textbooks and in the minds of clinicians and students. Percussion should be viewed more in terms of 'feel' than 'sound', and thus a classification of 'hard', 'intermediate' and 'soft' dullness is introduced. As regards auscultation, a plea is made for differentiation between obstructed and non-obstructed consolidation of lobes, a point recognized by some clinicians, but not enunciated with clarity by teachers. The differences between the clinical findings in obstructive consolidation of the upper and lower lobes are discussed. The importance of distinguishing between tracheal and bronchial breathing is emphasized.

Auscultation

The intravenous urodynamogram.

Modifications to the intravenous urogram are described. It is suggested that the time has come to rationalise the standard procedure. If an evaluation of the lower urinary tract is required, the voiding films may be modified to provide an intranvenous urodynamogram. If an evaluation of the upper urinary tract is directed at a specific question, then the number of spot-films can often be reduced.

Adult

Report on a child with stricture following foreign body of long duration in the bronchus. Discussion on the management of bronchial foreign bodies.

A case report and the management of a 10-year-old girl who had inhaled a foreign body into the right intermediate bronchus at some unknown (but certainly not recent) time previously is given. A stricture at the site of the impaction of the foreign body was found. The excision of the stricture and repair of the bronchus with pericardium is described together with a 3-year follow-up report. The diagnosis and immediate management of foreign bodies in the bronchus are discussed and the importance of differentiating organic and non-organic foreign bodies is stressed. The management of bronchial strictures is discussed as is the result obtained in the above reported case.

Bronchi

Lung biopsy with local anesthesia: report on 100 cases with the use of a recently introduced technique.

A new technique for taking lung, pleural, and pericardial samples, under local anesthesia if required, is described. In the series presented in this article there have been no deaths, and complications which have been discussed are minimal. The experience gained in the use of this technique confirms that it is safe and provides a very high percentage of success in obtaining the required samples.

Anesthesia, Local