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Article
December 24, 1892

MEMORANDA, PRACTICAL AND SUGGESTIVE.Read at the Annual Meeting of the New York State Medical Association, November, 1892.

Author Affiliations

OF SYRACUSE, N. Y.

JAMA. 1892;XIX(26):751-752. doi:10.1001/jama.1892.02420260017001h

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Abstract

EARLY ASPIRATION IN PLEURITIS.

In many instances pleuritis, especially the dry kind, sometimes the moist—the quantity of effusion being small—gets well with little or no treatment.

In other cases, where the attack is more severe, recovery also occurs under the use of cathartics, diuretics, sudorifics and blisters, with or without total abstinence from water or other beverage. The illness—as is well known—is apt to be prolonged; the recovery is often incomplete, and the convalescence tedious and discouraging.

Furthermore, in a large percentage of cases, the therapeutic management just indicated fails entirely to secure a favorable termination. So that the thoughtful medical attendant is sometimes perplexed to determine whether the unsatisfactory course is due wholly to the malignancy of the disease, or in part to the imperfection of the treatment.

The consensus of modern medical opinion, as expressed in books, is that after giving the remedies a fair opportunity and a

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