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Clinical Studies of Disease in Children; Diseases of the Lungs, Acute Tuberculosis

Clinical Studies of Disease in Children; Diseases of the Lungs, Acute Tuberculosis

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Medical Reference

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ISBN10: 1150062274
ISBN13: 9781150062278
Publisher: General Books
Pages: 194
Weight: 0.64
Height: 0.44 Width: 9.01 Depth: 5.98
Language: English
This historic book may have numerous typos, missing text or index. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. 1876. Not illustrated. Excerpt: ... showed a bright yellow granular surface on section, and were apparently softening. These masses were similar in appearance to those in the intestine. The lungs were collapsed at their posterior surfaces, but contained no tubercles; neither did the spleen or kidneys. This case well illustrates the insidious beginning of peritoneal tuberculosis. There were fever, wasting, and languor, but the pain and tenderness were slight, and there was no vomiting or other sign of digestive disturbance. Effusion soon took place into the peritoneal cavity, but this disappeared after an attack of diarrhoea. The pain and tenderness also subsided, and, except for the continued pyrexia, the child seemed to be well. It was not until three months after the appearance of the first symptoms that the child appeared to be in any danger. At that time the inflammation returned with greater violence, the temperature became still more elevated, the pain and tenderness were severe, and an examination of the belly showed signs of extensive disorganisation. The absence of vomiting is especially to be noticed. In simple peritonitis, the beginning of the inflammation is generally accompanied by much gastric disturbance; but in cases where the inflammation occurs secondarily to tuberculosis, sickness is rarely met with, and if present, is not troublesome, and occasions little inconvenience to the patient. Case XLI.--Tubercular Peritonitis, Complicated With Double Plastic Pleurisy. William S., aged 8, was admitted into the East London Children's Hospital on March 1. The boy was stated to have been ill fourteen or fifteen weeks. His illness had come on very gradually. He had seemed slowly to lose strength; his appetite had failed; his bowels had been confined; and he had rested badly at night, starti...

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