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January 1927


Author Affiliations

Physician to the Brompton Hospital; physician to the Miller General Hospital for South-East London; Physician in charge of the Children's Department, Charing Cross Hospital; physician to outpatients, Hospital for Sick Children, Great Ormond Street LONDON, ENGLAND
From the Brompton Hospital and the Hospital for Sick Children, Great Ormond Street.

Am J Dis Child. 1927;33(1):1-26. doi:10.1001/archpedi.1927.04130130008001

INTRODUCTORY  In the whole realm of clinical medicine in children, there is probably no field which presents more difficulties than does that of disease in the chest, yet such diseases are not rarities but are brought to our notice daily. The difficulties relate chiefly to chronic, as distinct from acute,disease; for the latter has, in the main, a more violent and patent mode of expression, not only as regards the general symtoms but also as regards the local signs. Chronic infection, on the other hand, or the residue of acute infection, often presents us with the most perplexing problems in diagnosis. The doubt and confusion which often attend the interpretation of signs are dependent not only on the rather imperfect, and as yet inarticulate, methods of physical and radiologic examination, but also on certain other factors. In general terms, these factors are due to the changing expression of the same