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

作     者：Volodymyr Berezutskyi Volodymyr Berezutskyi

作者机构：Department of Family Medicine of Postgraduates Faculty and Propedeutic of Internal MedicineDnipro State Medical UniversityVernadsky AV.9Dnipro 49000Ukraine. 

出 版 物：《Infectious Diseases & Immunity》 (感染性疾病与免疫（英文）)

年 卷 期：2024年第4卷第2期

页      面：99-100页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：tuberculosis diagnosis cavity 

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 médiateby 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,colloquially termed“consumption,was an epidemic in Europe in the 19th century,when it became the most common cause of *** 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]