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95
Observation Cases.
Of the 11 observation cases :
4 were found to be suffering from Bronchiectasis, nontuberculous;
1 was a case of Bronchiectasis associated with Pulmonary
Tuberculosis;
3 proved to be cases of Pulmonary Tuberculosis;
1 proved non-tuberculous; admitted on account of family
history and symptoms;
1 was doubtful; the family history again being significant;
1 was doubtful, query malignant disease; this case on
transfer to the London Hospital for further investigation
proved to be a cancer of the lung.
Greater use has been made of one or two beds for the purpose
of keeping a patient under a short period of observation in order
to determine whether he or she is suffering from Pulmonary
Tuberculosis or some chest complaint whose symptoms may be
similar to those of the former disease.
The differential diagnosis often lies between Pulmonary
Tuberculosis, Bronchiectasis, and Malignant Disease of the lung.
In order to aid the diagnosis, an oil which is opaque to
X-Rays is put into the trachea and allowed to flow into the bronchi.
X-Ray pictures are then taken which show up clearly the bronchial
tree. Nine such examinations were done at the Sanatorium during
the year, eight being in observation cases, and one in a case
of Pulmonary Tuberculosis.
Complications.
(a) Tuberculous.
Larynx, 6; Meninges, 1; Ischio-rectal abscess, 2; Periostitis,
11th right rib, with abscess formation, 1.
(b) Non-tuberculous.
Bronchitis and Emphysema, 6; Bronchiectasis, 1; Diabetes,
2; Psoriasis, 1; Dermatitis, hands, 1 ; Angina
pectoris, 1 ; Asbestosis, 1.