Physical Diagnostic Examinations of Cavernous Pulmonary Tuberculosis in the 19th and 21st Centuries  

作　　者：Volodymyr Berezutskyi 

机构地区：[1]Department of Family Medicine of Postgraduates Faculty and Propedeutic of Internal Medicine,Dnipro State Medical University,Vernadsky AV.9,Dnipro 49000,Ukraine.

出　　处：《Infectious Diseases & Immunity》2024年第2期99-100,共2页感染性疾病与免疫（英文）

摘　　要：To the editor,Physical examination was first introduced as an effective diagnostic tool in pulmonology after the publication of the 1819 treatise“De l’Auscultation médiate”by the French physician and inventor of the stethoscope,Rene Laennec(1781–1826).Throughout the 19th century,followers of Laennec improved physical examination,making it possible to diagnose hydrothorax[pneumothorax,consolidation,or lung cavities with sizes“not less than that of a walnut.”[1]However,during the 20th and 21st centuries,physicians gradually lost interest in physical diagnoses;this is particularly true in the diagnosis of pulmonary tuberculosis.Pulmonary tuberculosis,colloquially termed“consumption,”was an epidemic in Europe in the 19th century,when it became the most common cause of death.Cavernous tuberculosis was the most common autopsy finding.[1]According to modern concepts,tuberculosis progresses from initial infection to tissue necrosis,causing pulmonary cavity formation.[2]

关 键 词：TUBERCULOSIS diagnosis CAVITY 

分 类 号：R521[医药卫生—内科学]