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Title: Respiratory diseases : the state of the patellar reflex in labor pneumonia and other acute lung diseases : records of 48 cases
Author: Ainscow, James Allen
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 1909
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It was suggested to me that the City Infirmary Birmingham, containing over 1100 beds and receiving a Dirge number of cases of pneumonia annually, offered an excellent field for the investigation of the above subject on which, so far as I can gather, there appears to be little or no literature published. I have, therefore, undertaken the investigation of a large number of cases admitted during the last 9 months with a diagnosis of lobar pneumonia, keeping the following objects in view 1. To observe the state of the knee jerks during the course of the disease, and to ascertain if possible whether any definite disturbances of the tendon reflexes are common in pneumonia. 2. To determine whether such disturbances might have any prognostic or diagnostic value, or give any indication, for treatment. Although in the early stages of my investigations other tendon reflexes were examined at the same time as the patellar reflex, it soon became evident that for all practical purposes one night take the knee jerk as typical of all the deep reflexes. Also the fact that this could be ascertained without seriously disturbing the patient led me later to confine my attention to the knee jerks. In all the subsequent observations therefore the knee jerk is the tendon reflex referred to. In order to get a more uniform result a percussion hammer was used to elicit the knee jerks, it being much more difficult to estimate the degree of activity of the knee jerk by means of the fingers alone. In all cases the practice has been to ascertain the state of the knee jerk when the patient is admitted into hospital and then to make observations morning and evening during the acute stage of the disease and for a few days afterwards, if any disturbances were noted. In the very early stages of this investigation it was found to be quite useless to rely upon the first examination to determine the intensity of the jerks,and therefore although many solitary observations all tend to confirm the other results collected in this paper, they have not, been included in the. figures given or the cases recorded.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (M.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available