Case 86 Left Pneumothorax Due To

The CXR shows an obvious left pneumothorax. However, the right lung also shows cystic changes in the upper lobe. Following left chest tube insertion, the follow-up CXR (Fig. 86.2) also shows similar changes in the left upper lobe. Subsequent bron-choalveolar lavage showed Pneumocystis carinii. Upper lobe cystic form of Pneumocystis carinii typically appears in those with HIV who are on prophylactic nebulized pentamidine.

Pneumo Cyctis Carinii
Fig. 87.1

Case 87. This patient gave a history of lung cancer surgery a few years ago followed by radiotherapy. Her CXR is shown (Fig. 87.1).

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A Disquistion On The Evils Of Using Tobacco

A Disquistion On The Evils Of Using Tobacco

Among the evils which a vitiated appetite has fastened upon mankind, those that arise from the use of Tobacco hold a prominent place, and call loudly for reform. We pity the poor Chinese, who stupifies body and mind with opium, and the wretched Hindoo, who is under a similar slavery to his favorite plant, the Betel but we present the humiliating spectacle of an enlightened and christian nation, wasting annually more than twenty-five millions of dollars, and destroying the health and the lives of thousands, by a practice not at all less degrading than that of the Chinese or Hindoo.

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