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March 5, 1892

DIAGNOSIS OF PNEUMONIA.Read before Chicago Medical Society, February 15, 1892.

Author Affiliations


JAMA. 1892;XVIII(10):289-292. doi:10.1001/jama.1892.02411140011001e

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There is nothing especially new to be said on the subject of the diagnosis of pneumonia. The symptoms, both subjective and objective, upon which the diagnosis of a typical case of the disease is to be based are so familiar to you all that it would be superfluous to enumerate them, and yet the difficulties of making a correct diagnosis, which are sometimes present, remind us that the clear clinical picture as depicted in our text-books is at times widely departed from in clinical fact.

Let us make a brief comparison of relative diagnostic merits of the symptoms which present.

Some diagnostic importance is to be attached to the facies of the disorder. The anxious countenance combined with the pneumonic spot over the malar prominence, the mahogany color which this spot may assume, and which may be an early objective sign are at times characteristic. There is also a peculiar

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