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RM2AJMHR6–Gynecological diagnosis and pathology . red with that of the uterus. Microscopic examination of this tube shows that the tuberculous processhas begun in the mucous membrane and is most advanced in the dilatedportion. At the uterine end the tubercle nodules are few in number,and caseation has not occurred. The smaller left tube represents theamount of distension more usually found. 136 GYNECOLOGICAL PATHOLOGY As the result of the tuberculous process, proliferation of the epithelialcovering of the mucous membrane occurs. Cohesion of adjacent processesof mucous membrane takes place, so that a sol
RM2AM8ETR–Health knowledge : a thorough and concise knowledge of the prevention, causes, and treatments of disease, simplified for home use . auses that favor the development of the disease dur-ing early childhood. With this view, wholesome food, warmclothing, cleanliness, regularity, and the avoidance of overexer-tion, physical and mental, are of the utmost consequence, andcare should be taken to avoid tuberculous milk. Although there is but little that can be done when the diseasehas set in, yet the timely use of remedies may mitigate and evenoccasionally remove the symptoms. The severe headaches mayo
RM2AG701G–. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. n not one of them was there a tuberculous element. In all,streptococci were found in the efiusion, and in some the admixture ofblood could be traced to a scorbutic tendency. In one case, in anadolescent with localized effusion of a hemorrhagic nature, there was anactinomycosis of the pleiu-a and lung. The history of this case was notthat of an efiusion of an acute, but of a subacute chronic nature. Symptoms.—There are no symptoms characteristic or pathogno-monic of efiusion in the pleura o
RM2AG63M7–. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. ots are tuberculous orscrofulous. Treatment or Management.—The management of mental defectivesof all grades is, strange to say, a study of recent times. In largecities, such as New York, the care of the higher grade of mentaldefectives is just receiving the public attention it deserves. It is alla matter of careful classification and education. In forms of idiocyor mental obscurity in which therapy is of avail, as in cretinism, thesubject has received attention elsewhere. DEFORMITIES OF TH
RM2AKRE49–Modern surgery, general and operative . ium.There may be clinical evidences of syphilis. There should be a positive Was-sermann reaction. Diagnosis of Intracranial Tumors 813 Chronic tuberculous meningitis causes a headache which is apt to be generaland more violent than that of tumor, and there is more commonly cutaneoushyperesthesia and hyperesthesia of the organs of sight and hearing. Opticneuritis may be absent. When present it is of less intensity than that observedin tumor. In some cases the ophthalmoscope discloses tubercles on the choroid.In meningitis there is a continued, irregular f
RM2AFXYC4–. Transactions of the sixth International congress on tuberculosis. Washington, September 28 to October 5, 1908. presentstate. It so happens, however, that two of them—the two perhaps of mostimportance—have also been examined both during and after the arrestby Dr. Gildea, of Colorado Springs, whose reports cover the interveningperiods and bring the records up to date. No one would doubt the tuberculous nature of the laryngeal lesions inthe first of these, which I will illustrate in Fig. 3 as sketched from naturein January, 1901. The mammillated hyperplasia of the interarytenoidfold, the granul
RM2AJB5Y7–Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . on; then there must be added to the above, splintsfor immobilizing the hip-joints. This is done by continuing down back ofeach thigh a flat rod, such as is used in the hip splint of Thomas. The prognosis in tuberculous spondylitis varies with the location of thedisease, the earliness of treatment, and the general hygiene that can besecured for the patient. In the lower spine the prognosis is good, althoughpsoas abscess and contracture are often present; healing wi
RM2AWD9F3–Tuberculosis in infancy and childhood : its pathology, prevention, and treatment . this deformity which leads to confusion between spondylitis andhip-disease. In the early stages the patients shoulders are thrownback, one foot is slightly advanced, and the patient walks with care,holding his spine rigid. In the latter stages the lordosis disappears ;the child bends his back forwards and walks with an obvious stoopfrom the pelvis. TUBERCULOSIS OF THE SPINE 181 Prognosis in Spondylitis of Tuberculous Origin. Prognosis may be considered as to deformity and function, durationof life, and complicat
RM2AJHF4Y–Tuberculosis in Massachusetts . OHDIDRENS DAY-CAMP AT PARKER HILL. -Maintained by the Boston Association. STONE — KREUSI. 145 Much has been done in the systematic investigation of the chil-dren of tuberculous families, and in studying the social and homeconditions of the tuberculous generally. The Association organized, in the spring of the present year,experimental classes for school children having tuberculosis, orwho are especially exposed to infection. Its purpose has been toteach home and personal hygiene, cooking for the sick, and thepractical use of out-of-door exercise to children who
RM2AG7G4C–. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Fig. 89.—Tuberculous peritonitis,front view. may be seropurulent, hemorrhagic, or, in mixed infections, putrid.In the purely ascitic variety the fluid is free; in the purulent form,it is frequently sacculated between the adhesions on the coils of gut.Symptoms.—The disease is, as a rule, insidious and slow hi devel-opment. The stage of abdominal distention has usually been reachedwhen the patient is first brought to the physician. The history showsthat the child has been for some tune gradu
RM2AWNFFE–Handbook of meat inspection . n affection of these organs isindicated to the expert by specific alterations of the superiorlymphatic glands of the extremities (prescapular and axillary orpopliteal and inguinal glands). The diseases of the dorsal vertebrseand sternum, iu the ordinary method of cutting up animals in theslaughterhouse, may be demonstrated directly, since the dorsal ver-tebrse and the sternum are cut through the middle with a saw or anax, and thereby the tuberculous masses are immediately brought toview, since, as a rule, they take their origin from the middle ofthose bones. 352 N
RM2AKPXAJ–American practice of surgery : a complete system of the science and art of surgery . the joint. (Original.) by the presence of the effused blood have of course no causal relation to thediathesis, and are purely secondary. As regards the etiology, also, nothing is known beyond the fact that it ishereditary to a very considerable degree and that the transmission of the he-reditary defect is through the male descendants. In considering this subject it may be well to relate the essential points inthe clinical course of two cases recently under observation: NON-TUBERCULOUS INFLAMMATIONS OF JOINTS.
RM2AKHHTD–The practice of pediatrics . Hypertrophy of PeyerB patches inthe small intestine, with superficialerosions resembling ulcers. Tuberculous ulcers of the small intestine. The lowestportion shows the Peyers patch, just above the ileocecalvalve, a favorite seat of ulceration of any kind. 372 I.XFECTIOI S DISEASES miliary tubercles. It may contain large tuberculous masses, or theremay be an exudation of scrum into the peritoneum, or any of the con-ditions described under Tuberculous Peritonitis. Symptomatology.—These are altogether indefinite in the great majorityof cases. It is not unusual to find
RM2AWPCTF–Surgical therapeutics and operative technique . ups ofglands: Carotid, posterior cervical, parotidean, submaxillary, median supra- 184 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE hyoid, and supraclavicular. Operation is nearly always more difficult thanin cases of lymphadenoma, on account of the inflammatory adhesionswhich tuberculous glands are prone to contract with the sheaths of thegreat vessels, and notably with that of the internal jugular vein. I have inmany cases extirpated this vein tliroughout nearly its whole length, betweentwo ligatures. The technique of the operation is that abo
RM2AJ549R–Interstate medical journal . estines. The locali-zation of tuberculosis seems to have certain points of predilection,whereas the pancreas, stomach, and duodenum appear to be pecu-liarly exempted from infection. (Maylard.) The localization of each tuberculous ulcer cannot, at present, beoutlined in the course of a roentgenological study, including stereo-scopic plates, but the general extent and distribution of the hyper-plastic process can be outlined by the spacing it produces. To say,however, that other parts not giving any characteristic findings fortuberculosis are not yet involved is asse
RM2AFNYR4–. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. ralysisof one spinal accessory, the head can-not be turned to the other side, thesternomastoid and the upper border ofthe trapezius are relaxed and in timewasted, and all movements about theshoulder, as raising the arm, are em-barrassed. When this paralysis isbilateral the head falls backward or foi-^vard, according as the sternomastoidor the trapezius is more affected. Bilateral paralysis of the spinal accessory is conspicuous in meningitis,especially the tuberculous form of childh
RM2AJ5RYN–Digest of comments on The pharmacopia of the United States of America and on the National formulary .. 1905-1922 . ?mm 537 ?i,[)tional conditions. All the photographs are those of animals thatWile among a total of about 50 tuberculous cattle received at the ex-|i( liment station during the last three ^years, and among this total ofMl there were at least 25 animals that could well have been used toIllustrate the excellent physical condition of dangerously tuberculousr,iile and about 40 that could have been used to illustrate simply theJH-althy, normal appearance of tuberculous cows. As all pers
RM2AX2K5E–Epidemics; how to meet them . 46 Epidemics: How to Meet Them By Dairy Products Tubercle bacilli may be communicated through dairyproducts — milk, cream, and butter. The animal itselfmay be tuberculous, or the milk may become infected bypassing through the hands of a tuberculous subject. It is not uncommon for milk to be handled by anumber of people before it reaches the consumer. Afew germs from an infected person, by gaining entranceinto the milk pail, multiply with great rapidity, sincethe fresh milk affords all the conditions required fortheir growth,— food, moisture, and warmth. Wholecommu
RM2AWDK57–Rhynchota .. . slender, porrect spine at eacli lateral angle, its basal marginstrongly emarginate, the anterior lobe convex, faintly mediallyincised, and with its anterior angles tuberculously subprominent;scutellum apically somewhat tuberculous, not spined ; hemelytranot quite reaching the apex of abdomen, membiane longer thancorium ; abdomen not projecting beyond the lateral margins ofthe hemelytra. the sixth abdominal segment with the counexivumsubangularly dilated on each side ; anterior femora slightly thick-ened and a little longer than the tibiae, posterior femora and tibiaelongest and
RM2AG76X6–. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. Fig. 4131.—Small Tuberculous Ulcers of the Ileum resulting from Tuber-culosis of the Solitary Glands, with following Ulceration. (Naturalsize.) small, hard, whitish nodules covered with an intactmucous membrane. On microscopical examination of the ulcers we findboth a formation of typical miliary tubercles and aninflammatory tissue. The tubercles are seated in thefloor of the ulcer, and in the undermined and elevatededges. Around and between them is a small-cell
RM2AKR489–American practice of surgery : a complete system of the science and art of surgery . or View of the Same Case. (Original.) nantyne and Wohlman described an organism which they had succeeded inisolating from joints, and which they claimed was the specific cause of the jointinflammation in question. Their organism was different from Schuelers, butboth observers obtained an organism with constant morphological character- NON-TUBERCULOUS INFLAMMATIONS OF JOINTS. 529 istics in all their cases. In the light of the work which has been done on in-fectious processes in joints in recent years it would s
RM2AXHKK8–Chambers's encyclopaedia; a dictionary of universal knowledge for the people . g-link between this familyand the MustelidcB or Weasel and Otter family. To the Skunks(q. v.), which are ranked in that family, the badgers have a partic-ularly strong resemblance, and their dentition and habits are al-most the same. The dentition of badgers differs from that of bearschiefly in the large size of the tuberculous molar teeth at the bot-tom of each jaw, showing a still greater adaptation to vegetablefood. Badgers, like the rest of the family to which they belong,are plantigrade, i. e., they walk on the
RM2AM51D7–Aseptic surgical technique : with especial reference to gynaecological operations : together with notes on the technique employed in certain supplementary procedures . zxS. :?. ;^- Tuberculous endometritis. (After Kelly.) ENDOMETRITIS. 271 glandular connective tissue stroma. I^umerous round-cells are found, and the gland-spaces, though notnumerous, are filled with pus cells and desquamatedepithelium. We now come to the second of our two main divi-sions of diseases of the endometrium. We have con-sidered infectious lesions; let us now consider trophicchanges. Vast numbers of names have been pro
RM2AG859K–. The diseases of children : medical and surgical. expression of pain, but by leading questions complaintcould be elicited of pain in other parts of the.body where there was no reasonat all to suspect the presence of disease. The complaints were incompatiblewith what we know of organic disease, and the case was clearly shown to behysterical. 68/ CHAPTER XXXI HIP DISEASE Hip Bisease ^ in the ordinary sense of the term—i.e. tuberculous diseaseof the hip joint—is almost entirely an affection of childhood ; thus only T^patients, the subjects of this disease, were over twenty years of age out of at
RM2AFR6TJ–. Manual of operative surgery. ibialis anticus. Result: After two month-foot was in good position and all movements possible. After one year adduction and supinastion could be carried out with power. CHAPTER CVIITENDON SHEATHS AND TENORRHAPHY Operation is most commonly performed on the sheaths of tendons for theremoval of tuberculous disease. Apply a tourniquet above the site of disease. Make an incision over theswelling, following the course of the tendon. Split the sheath of the tendon wideopen. Retract the edges of the sheath wound with sharp hooks or volsellae.Dissect away all diseased tis
RM2AKR9XK–American practice of surgery : a complete system of the science and art of surgery . stic of the early stages of the disease are spindle-shaped (Fig. 223), but differfrom those observed in infectious arthritis in the following respect: In the swell-ings of the latter disease the infiltration of the capsule involves the fibrous as wellas the synovial portions, and therefore the swelling has a more tense appear-ance and feels harder than that commonly observed in atrophic arthritis. Thethickened synovial villi are seldom accompanied by any excess of fluid in the NON-TUBERCULOUS INFLAMMATIONS OF
RM2AFJ6A2–. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. Fig. 88.—Tuberculous Disease of theEpididymis with Miliary Depositsin the Testes.—(Moullin.). Fig. 89.—Hernia of the Testiclesfollowing Tuberculous Disease;Removed from Infant, JEt. Two.—(Moullin.) dusted with iodoform, or with a pad of Tillmanns dressing packed allaround with gauze, and secured by means of a T-bandage or a spica. Ifthis be properly applied, the sponge or pad exercises firm but gentlepressure upon the wo
RM2AJEF18–Industrial medicine and surgery . 456 INDUSTRIAL MEDICINE AND SURGERY The Jewish Tuberculous Association of New York City hasintroduced an entirely new idea into the treatment of this disease.After years of combating tuberculosis among the Jewish people of NewYork they were impressed with the great economic waste which fol-lowed in the wake of this disease. During the perod of ^sanatoriumcare it was necessary to give large sums of money to maintain thefamily while the bread winner was absent. After his discharge fromtreatment months and often years elapsed before he could supporthis family. In
RM2AKPJDH–American practice of surgery : a complete system of the science and art of surgery . ed by the anterior crural, then the referred pain at the kneeis experienced on the anterior part of the joint. When the posterior part ofthe capsule of the hip is affected, then pain may occur at the back of the kneeand may even extend to the heel or into the foot. It must not be supposedthat pain in the knee is an invariable accompaniment of hip disease, for suchis not the case. The pain may be restricted to the hip. The pain in hip disease is not constant and is often induced by some sudden TUBERCULOUS DISEA
RM2AWDCHX–Tuberculosis in infancy and childhood : its pathology, prevention, and treatment . FIG. 3. ATTITUDE IN DISEASE OF LOWERCERVICAL ANDUPPER DORSALREGION. FIG. 4. ATTITUDE IN TUBERCULOUSDISEASE OF UPPERDORSAL REGION. three classes—viz., those connected with (a) cervical spondylitis,(b) dorsal spondylitis, (c) lumbar spondylitis. Tuberculous Cervical Disease. In cervical disease the first symptom is restriction of the normalrange of movement. The body and head move in one piece. Theeyes strain to follow you, but the vertebrae are not allowed to rotate.The neck is stiff. If any attempt be made to to
RM2AN888E–Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value . (1 gram in 5 grams of glycerin),and lately the 2-percent formalin-glycerin mixture ofMurphy, have been most in favor. Some surgeons do not employ modifying fluids, claim-ing good results with simple aspiration, repeating it asoften as the abscess refills. (Gangolphe.) Simple aspiration may be compared to the tappings ofpleural exudates in tuberculous pleurisy. They do notoften cure the underlying disease, although they usuallybenefit the patient temporarily. The aspiration of anabscess is an incomplete pro
RM2AG2GWG–. Medical diagnosis for the student and practitioner. subsides, be-comes chronic and may even become arrested. Early positive diagnosis is usually impossible. The Broncho-pneumonic Form.—The broncho-pneu-monic form is characterized pathologically by broncho-pneumonic tuberculous lesions and shows a tendency tofusion, caseation and cavity formation. It presents the symptoms of an acute broncho-pneumoniaof the common type followed by the signs of septic absorp-tion, pulmonary infiltration and cavity formation. Tubercle bacilli may be and usually are present early,but their appearance may be dela
RM2AG7E1Y–. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Fig. 91.—Uniform abdominal dis-tention due to ascites of tuberculousperitonitis; enlarged spleen. 414 THE SPECIFIC INFECTIOUS DISEASES there are encapsulations of fluid, the signs will not vary on changing theposition of the patient. On the other hand, in the adhesive form therewill be evidences of tumor masses in the abdominal cavity, cysticformations caused by the encapsulated exudate, and little or no fluid.In cases of adhesions in tuberculous peritonitis of the miliary form,the fact th
RM2AJFDMP–Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . may contain a large amount of fibrous tissue andresemble a gumma. (2) Cold abscess, which is really a more diffuse formof caseous tuberculosis of muscle, and is generally due to extension ofosseous tuberculosis, arising in the bone to which the muscle or its sheathis attached. (3) Tuberculous interstitial fibroid myositis arising in musclescontiguous to tuberculous lesions and probably due to local disseminationof poisons produced in adjacent structures; this is the lesion observedin
RM2AG0HY7–. Medical diagnosis for the student and practitioner. cle is enlarged,left also probably. To what extent the almost universally present roentgenographic signs ofobsolete, latent or, more rarely, active tuberculous infection, affects the devel-opment of this type of heart is a question of interest. Such infections almostwholly, no doubt, date from childhood; for the asthenic tissues afford afavorable locus for the tubercle bacillus. Misleading Bruits.—Murmurs when present over these hearts are systolicand may be maximal in the mitral, tricuspid or pulmonic auscultation areas. THE DROP-HEART 603
RM2AXHDXE–Lectures on the American eclectic system of surgery . h as ivory, cellular and smoothon their external surface, also, or rough and jagged, what iscalled tuberculous. Professor Gibson divides them into four classes: 1st. The circumscribed, which is the most common kind—smooth, seldom painful, and rarely becoming very large. 2d. The lamellated, consisting of numerous plates laid overeach other, and often piled up in irregular masses. 3d. The tuberculated, consisting of knobs or irregular excres-cences, either closely connected or insulated. 4th. The spinous, having slender processes terminating
RM2ANFXAK–Human anatomy, including structure and development and practical considerations . rtain of the nasal lymphatics emj)ty, may result in a retropharyngeal ab-scess ; or (/i) infection (pyogenic or tuberculous) of the submaxillary, preauricular,or deep cervical nodes may follow nose diseases. The graver of these complicationsare, of course, associated with the severer infective forms of rhinitis. Malignantgrowths—commonly sarcomatous—may begin in the nasal chambers and may extendin any of the directions above mentioned. THE ACCESSORY AIR-SPACES. The nasal fossae communicate with a number of remark
RM2AM8339–A system of surgery . : #.» Fig. 66.—Tubercle from Area a, Fig. 63. tubercle formation, but they are fairly well seen at a later period,when the giant cells are in evidence, and are often most distinctwhen the structural details of the part have been obliterated bycaseation. It only remains to be said that the tuberculous process, whenonce established, is liable to indefinite extension. It usually spreadsalong the lymphatic channels, and follows lymphatic vessels. Ingland disease, tubercles may be readily found in the lymph canalswhich connect one infected gland with another; and it may be pos
RM2AN2815–Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . rapidly goes on to suppuration, leading to loosen-ing of the periosteum and bone necrosis and separation of the Diapbyso- diaphysis from its epiphysis. If the patient survives and the epiphyseal r r • separation, inflammatory process subsides, there is a separation of the dead hone (sequestrum) from the living. Unless removed the seques-trum may remain an everlasting source of irritation and sup-puration. NON-TUBERCULOUS OSTEOMYELITIS. 395 The osteomyelitic process
RM2AG94JW–. Modern surgery, general and operative. te symptoms may develop re-sembling acute appendicitis. There is usually a history pointing to intestinalstenosis, the stenosis existing at the ileocecal valve.^ There is always greatthickening, and an abscess of large size is apt to form. The cecum usually,but not always, is involved in the tuberculous process. Chronic cases, withpalpable enlargement, are sometimes mistaken for cancer of the cecum. Appendicitis in the Victims of Pulmonary Tuberculosis.—^Many cases pre-sent the well-known symptoms of appendicitis but they may be very mild.Appendiceal dy
RM2AKTRA2–Modern surgery, general and operative . sesof long duration, especially where dislocation ex-ists, excision is an easy and a comparatively safeoperation; in recent cases it is difficult and carrieswith it decided dangers, but the peril of delaymay be greater than the peril of an early excision.In cases of hip disease with involvement of theacetabulum the mortality is 50 per cent., whetheroperation is or is not attempted. Excision isperformed especially for tuberculous disease andfor gunshot-injuries.Operation hy Anterior Incision (Fig. 441) {Barkers Operation).—In thisoperation the patient is
RM2AWDEC2–Tuberculosis in infancy and childhood : its pathology, prevention, and treatment . fig. 25.—sanatorium for consumptive children at dr. barnardo sgirls village homes, barkingside.. FIG- 26. CHILDRENS SANATORIUM, STANNINGTON, NORTHUMBERLAND. j4^ TUBERCULOSIS IN INFANCY AND CHILDHOOD The National Childrens Home and Orphanage, which undertakesthe care of nearly 2,000 little ones, and has twelve branches in differentparts of the country, deals with a number of tuberculous cripples, andhas made special provision for their open-air management (Fig. 27). Aconsiderable proportion of the children are of
RM2AJBH68–Annual and analytical cyclopaedia of practical medicine . 3. Collections of blood-serum or airmay be evacuated early by aspiration. 4. Children should be carefully ex-amined in cases of continued fever,sweats, and hectic, and prompt measurestaken to remove the possibility of puru-lent collections, by exploration. (h) Operative treatment. 0. Incision and drainage. fi. Trap-door for exploration in casesof tuberculous deposits of caseous ma-terial. 7. Estlanders operation for the oldand stubborn cases of fistulous empyema. 8. Schedes operation for thickenedpleurae, and resistance to the recourse
RM2AXE092–Lectures on orthopedic surgery . e for true tuberculous disease to bepresent in an hysteric patient as well as in another.The simulation of tuberculous osteitis is even closer.The patient walks with a limp, complains of pain, theleg is somewhat flexed, the joint-motions are restricted,there is tenderness to pressure and increased heatabout the joint, and the circumference of thigh and 195 calf may be less than those of the other side. Practi-cally, all the symptoms except the tuberculous abscessmay be present, and only the trained eye of the neu-rologist, accustomed to recognize hysteric manif
RM2AG8PCN–. Orthopaedic surgery for students and general practitioners : preliminary considerations and diseases of the spine : 114 original illustrations. NON-TUBERCULOUS DISEASES OF THE SPINE. 157 cases are neurotic, irritable and high-strung from the pro-longed suffering. The duration of the disease usually coversseveral years and is chronic. The pain fortunately stopsafter a time, but is of course relieved sooner by treatment.There is no angular deformity as in Potts Disease, but the. Fig. 72. General Rheumatoid Arthritis Involving Spine Also. whole spine with ribs may become ankylosed and bowedconc
RM2AWD4GH–Oral surgery; a text-book on general surgery and medicine as applied to dentistry . r for the following reasons: (1) In necrosis a greater amount of tissue would havebeen involved. (2) The character of discharge would have been pus atall times, usually of an offensive odor. (3) The patient was uncertain as to the eruption orextraction of the second incisor. (4) In osteomyelitis or tuberculous bone disease asinus would have formed long before it appeared in thiscase. (5) Associated symptoms, such as swelling, involve-ment of secondary structures, as the antrum, would haveresulted, none of which
RM2AJM318–Gynecological diagnosis and pathology . Fig. 176.—Horizontal Section through the Line A A in Fig. 174.Note from before backwards the bladder, the cervix with the ureters on either side,the peritoneum of the pouch of Douglas, and the rectum. Note how the cellulartissue round the cervix, in which the ureter lies, passes outwards to the sidewall of the pelvis and backwards along the sides of the pouch of Douglas tothe rectum. tuberculous peritonitis is suspected, the uterine appendages should becarefully examined, either biinauually or when abdominal section isperformed. Jfalii/nant affection of
RM2AJD8WY–The animal kingdom, arranged after its organization : forming a natural history of animals, and an introduction to comparative anatomy . toes before, four behind, and the head a little elongated as in the Civets, the legs raised,those behind rather shorter, and a mane as in the Hyaena; and which also resembles the Striped Hyjeiiavery remarkably in its colouring. Its anterior thumb is short, and placed high up. The Proteks Lalandi, Is. Geof.; an inhabitant of caverns. The individuals examined, which were allyoung, possessed but three small false molars,and one small tuberculous back molar. Jtse
RM2AG8HTR–. Orthopaedic surgery for students and general practitioners : preliminary considerations and diseases of the spine : 114 original illustrations. Fig. 85. Before and During Treatment for Kypho-Lordosis. (Attention is directed to the improved nutrition of patient with better chest expan-sion and to the use of webbing straps on the brace instead of an apron.) kyphotone for twenty minutes or half an hour helpful instretching daily these contracted muscles. An exercise to correct forward thrusting of the headand neck, as seen in Figs. 85 and 86, is reach, grasp stand- NON-TUBERCULOUS DISEASES OF T
RM2AJHE6T–Tuberculosis in Massachusetts . ; Secretary, Mrs.Helen L. Sherman. Educational work, aided by an exhibition, has been carried on.At the Lawrence General Hospital a clinic for the examinationand treatment of tuberculous patients has been established, aswell as a day-camp on the hospital grounds. A number of needyadvanced cases have been found and cared for, and food and othernecessities supplied in some instances. LOWELL. The Lowell Anti-tuberculosis Association. President, Mrs.Frederick T. Greenhalge. The active work of the Association has been to hold an exhibitand conduct a campaign of educa
RM2AJEENR–Industrial medicine and surgery . aste and unnecessary lossof human life this Association, through the magnificent efforts of Mr.Stein and Mr. Hockhauser, developed a postsanatorium factory.This factory is located in Hoboken, and is engaged in the manufactureof garments. Here under the best hygienic conditions, and constantlysupervised by a competent doctor, over two hundred tuberculousemployees have been given graduated work until they were finally THE TUBERCULOUS EMPLOYEE 457 able to return to full time employmentthe factory. Tinsmiths, clerks, jewelers,have learned to be garment makers andn
RM2AG8GCE–. Orthopaedic surgery for students and general practitioners : preliminary considerations and diseases of the spine : 114 original illustrations. or osteosclerosisof the trabeculse to stand increased weight bearing and atrabecular resorption or osteoporosis on the convex side onwhich less strain is put. (Fig. 91.) Wolff has clearly shownthat the external contour and internal architecture in bonesare mutually dependent on the function demanded. NON-TUBERCULOUS DISEASES OF THE SPINE. 193 The intervertebral cartilages undergo similar wedge shapechanges and one can well understand that any columnm
RM2AWDB82–The operating room and the patient; a manual of pre- and post-operative treatment . Fig. 200.—Jury mast.(Fowlers Surgery.) Fig. 201.—Anteroposterior supportwith head-piece. (Fowlers Surgery.) Tuberculous Spondylitis.—The mechanic treatment is of thehighest importance. Its application should not be delayedafter the discovery of the disease. While it cannot correctalready existing kyphosis, on account of the processes of con-solidation which have already taken place, progressive deformityis prevented by arrest of the disease. Two types of appliancemay be mentioned, the one a solid fitting corset
RM2AG7443–. The diseases of children : medical and surgical. us is one of the mosttroublesome of the skin diseases met with in tuberculous subjects, especiallyas great deformity and disfigurement are often produced by its ravages.On scraping out a lupus tubercle a hollow or pit is seen in the thicknessof the dermis, while at the edge of the patch the superficial part of the skinis undermined. Treatment.—The general treatment is that of tuberculosis, cod-liver oiland arsenic being of especial value. Locally nothing is so effectual asthorough removal of the disease mechanically. It is best to give ananaes
RM2AKBKG4–The War Cry . ,IDd (Qea Prayer Ifl MUwt* gaea Two) FIGHTING TUBERCULOSIS•??HE Nineteenth Annual Report * of the Secretary of the Canadian:Association for the Prevention ofTuberculosis tells of a wldesprealeffort throughout the Dominion oathe part of provincial and muni-cipal health authorities in theeducational campaign. The report indicates that thocapacity of the institutional accom-modation for the tuberculous is 3,-500 beds, but it points, out that theincrease is due largely to the pro-vision made during the past year fortuberculous soldiers. - ? •It Is furthef stated that onlyabout fifte
RM2AM81FN–A system of surgery . vicinityof the main ulcer may be produced. It is the insidious under-mining of the integument, and the absence of a protecting barrier ofsound lymph, which give the main features to the tuberculous ulcer. The scars that result from this form of ulceration vary, and aremost commonly drawn attention to when situated in the neck. Insome instances the resulting cicatrix is surprisingly soft, simple, andpliant. In other instances the scar left is irregular, hard, bossy,raised, and unsightly, by reason of its purple colour. Now and then,as the result of the undermining and irre
RM2AJEFPR–Industrial medicine and surgery . Fig. 63.—Plan of sleeping shack for six patients. 454 INDUSTRIAL MEDICINE AND SURGERY forty-nine people who had worked here for five years or longer, andonly 13.8 per cent, of the tuberculous were among this number.This result was obtained by constant health supervision, by eliminatingthe tuberculous applicant and by improved working conditions.Fig. 52 illustrates very graphically this decrease in tuberculosisamong the older employees and also shows the great advantage tothe concern of examining applicants for work. There were onlyeight hundred thorough examin
RM2AGB67T–. Modern surgery, general and operative. portion of the erector spinae sheath is incised. The quadratus lum-borum muscle is next cut, and then the anterior leaflet of the lumbar aponeu-rosis is slit. The abscess is thus reached and opened and tuberculous pusflows out. The abscess-cavity is irrigated with ciuantities of warm corrosivesublimate solution (i : 5000). The cavity is tilled, the fluid is allowed to flowout, its exit being aided by pressure in front and changes of posture; the cavityis filled again, and so on, and, after all loose debris is removed, the bodies ofthe vertebras are care
RM2AGA6JY–. Public health and preventive medicine. spring. Race.—All races are liable. Climate.—It prevails especially in countries with variabletemperatures, much humidity, cold winds, and damp soils.There is less tubercle in elevated regions than in lowlands.Isolation.—The need of isolation is becoming more and more apparent.Method of Transmission.—-Aerial, as from the inhalation of air infectedby the dried sputum and discharges containing the organism. Alimented, as from the milk of tuberculous cows, butter and cheese madefrom such milk, and the meat of tuberculous cattle. Koch has recentlythrown dou
RM2AKH56F–Diseases of the nervous system : a text-book of neurology and psychiatry . , lead, diabetes, lepto-meningitis, cerebrospinal and tuberculous meningitis. The therapy is causal, usually specific. Salvarsan is less to be fearedthan an active syphilis. Most so-called neurorecidives causing blind-ness are due more to the syphilis than to the arsenic. C. DifEuse Neuritis.—Here the inflammatory process involves theentire nerve stem resulting in marked amblyopia, or blindness. Itmay be implicated locally or throughout its entire course from theretina to the chiasm. In acute myelitis this severe inflam
RM2AKNRB0–American practice of surgery : a complete system of the science and art of surgery . that position the widest part of the astragalus has passedfrom between the tibia and fibula, and the ligaments are more relaxed than inthe full plantar flexion, so that lateral movement to a limited extent is under TUBERCULOUS DISEASE OF BONES AND JOINTS. 713 such circumstances possible. When full dorsal flexion is brought about, theanterior and widest part of the superior articular surface of the astragaluspasses between the fibula and tibia and even to a sight extent separates thefibula from the tibia suffic
RM2AJDRFB–A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . ose is to be attributed to such varicosity. A long-standing ulcer of the leg of a non-malignant, non-syph-ilitic, non-tuberculous character is better spoken of as achronic ulcer. It may be the direct or indirect result ofvaricose veins, but it may also be due to traumatism oreczema, or cedema, or aniemia. It is misleading to callall such ulcers varicose ulcers. Thej- are all due to poorlocal nutrition, of which varicosity of the veins is sim-jily one cause. When var
RM2AWNEC3–A practical treatise on medical diagnosis : for students and physicians . s are slanting, the epigastric angle is particu-larly sharp. The shoulders are not high, the scapulae are prominent—so marked in many cases that the term alar, or winged chest hasbeen applied to it. Associated with this type of chest the neck is loug, the larynx(Adams apple) very prominent, the arms are long. The patient isloosely put together; the length of the long bones is increased. It is known as the phthisical, phthisinoid, or tuberculous chest (seeFigs. 38 and 39). Although the term tuberculous is applied to thech
RM2AM2TX9–A system of surgery . d even where extensive abscesses have formed in connection withsuch disease in the ends of the bones, we must be cautious in as-suming that the joint proper is affected, and must proceed with theutmost caution, so as by all means to avoid interfering with thelatter. It is very striking how much may be done in many ap-parently unfavourable cases in this direction, and our aim should behere, as in all tubercular diseases, to go to all lengths in the direc-tion of conservative surgery compatible with proper eradication oflocal foci. The prognosis of tuberculous disease of th
RM2AG7A26–. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Fig. 105.—Tuberculous affection of the bones of the hand simulating syphilitic disease.Child, aged sixteen months. The Wassermann Reaction.—In every case of syphilis in the infantor child or where such a condition is suspected the Wassermann reactionmust be obtained under conditions which we detail. It is present inmost cases which have been untreated, though not always j^resent inrelapses. Antiluetic treatment will uitluence the presence of a Wasser-mann reaction except in cases of late h
RM2AFW002–. Manual of operative surgery. Fig. 1193.—Excision of pubis. Fig. 1194.—Excision of acetabulum. Excision of Symphysis Pubis.—Tuberculous osteomyelitis affecting thepubic bones and the symphysis calls for early operation. The disease may beexposed by an incision directly over it; all affected bone cut away with chisel andmallet and all abscesses opened and curetted. If no distinct and separatedsequestrum is present v. Bunger recommends that a transverse incision be madeimmediately above the pubis, the soft parts separated and the bone dividedsubperiosteally beyond the disease (Fig. 1193). The r
RM2AKGN0D–Pyelography (pyelo-ureterography) a study of the normal and pathologic anatomy of the renal pelvis and ureter . Fig. L51.—Renal tuberculosis (stricture of the ureter).. Fig. 152.—Renal tuberculosis (stricture of the ureter). 182 PYELOGRAPHY suggestive of a simple inflammatory stricture of the ureter.However, the marked inflammatory changes in the outlineof the pelvis and the area of cortical necrosis connectedwith the upper portion of the pelvis would indicate that theprocess is tuberculous. In Fig. 151 the ureter is markedlydilated above a point of obstruction 6 or 7 cm. above thebladder. The
RM2AWY5C8–Clinical tuberculosis . same under these conditions, the percussion noteWOuld be higher and the resistance to the finger greater on theside of the normal soft parts because of the greater thickness ofthe soft tissues on that side. This same holds tnie when one apexis the seat of a tuberculous infiltration unless there is a suifficientamount of pathological thickening present in the lung to more 422 DIAGNOSIS OF EARLY PULMONARY TUBERCULOSIS than overcome the decrease in soft tissues which is due to Avastingof the muscles and subcutaneous tissue. If the lesion in this in-stance has thoroughly he
RM2AN29X9–Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . COXITIS TUBERCULOSA. 889 tensor fasciae latae; irregular temperature, especially during thestage of suppuration. Cases presenting the aforementioned typical symptoms arerecognizable at a glance. Indeed, at this late stage of the disease,it is almost immaterial whether a correct diagnosis is made or not,since a fatal issue from exhaustion, amyloid degeneration andgeneral tuberculosis is all that can be expected, particularly inchildren with a tuberculous diathesis.
RM2AN97G3–Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value . oidea), are alwaysthe result of a tuberculous infection, as they contain thetubercle bacilli, and when inoculated into guinea pigswill invariably produce tuberculosis. In the severe forms the disease may still be arrestedand the granulations undergo cicatrization. If cicatriza-tion takes place, the synovia is studded with tubercles,which are covered by a pale, grayish-red, granular coat-ing; if the disease progresses, the synovia is covered witha spongy mass of soft and mushy granulation. This con-dition i
RM2AG7GG9–. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Fig. SS.—Tuberculous peritonitis,side Wew.. Fig. 89.—Tuberculous peritonitis,front view. may be seropurulent, hemorrhagic, or, in mixed infections, putrid.In the purely ascitic variety the fluid is free; in the purulent form,it is frequently sacculated between the adhesions on the coils of gut.Symptoms.—The disease is, as a rule, insidious and slow hi devel-opment. The stage of abdominal distention has usually been reachedwhen the patient is first brought to the physician. The history show
RM2AGAYT0–. Modern surgery, general and operative. of the tendon-sheath with J serum. The serum contains rice, riziform, or melon- pj,. Method of seed bodies, and the wall of the tendon-sheath is here suturing the annular liga-and there thickened and caseating. Later in the case rnent of the wrist.the interior of the tendon-sheath becomes lined with tuberculous granulations and a tuberculous abscess may form. Rice bodies aresometimes fibrinous masses, are sometimes pieces of separated and deadrecently formed fibrous tissue, and are sometimes masses of proliferating cells.In tuberculous cases the swellin
RM2AG84W3–. The diseases of children : medical and surgical. erent classes of cases come under observation : the one isa simple synovitis, usually traumatic, a lesion that occurs in the healthy andunhealthy alike, and is as amenable to treatment in the hip as elsewhere.The other class is one composed of tuberculous patients ; from some injury,or even slight overstrain only of the part, the cancellous tissue of the bonehas its normal circulation slightly interfered with ; inflammation follows, andinflammation in a tuberculous subject is only too prone to follow the usualcourse of a tuberculous lesion, an
RM2AWT66D–Health in home and town . culosis in the familythey take the disease easily, sometimes before theparents know it. The children of tuberculous parentsshould receive special care until they are well andstrong. A Curable Disease. — One of the most encouragingphases of the entire problem is that tuberculosis hasbeen cured, and is being cured today. If consumptionis discovered in its early stage, and the right treatmentbegun, the chances for recovery are good. Seventyper cent of such cases have apparently been cured, orthe disease arrested or stopped. The cure of con-sumption depends upon plenty of
RM2AFTE96–. Transactions of the Western Surgical Association. Fig. 13. Fibromadurum. Tumor at max-imum; marked deviationof trachea and esopha-gus; some emaciation. Fig. 14. Fibromadurum. Tumor has en-tirely disappeared. HARE 297 nite attachment to the skin; the lipomata are lobulatedand without deep attachment; tuberculous glandsusually are more firm, and accompanied by perilympha-denitis; the presence of pus in abscesses may be shownby aspiration. The treatment is entirely surgical, and consists incomplete removal. Owing to the course of the bran-chial duct, the dissection must be carefully made inorde
RM2AWW072–Breeder and sportsman . the naturalseasons. The man who is able to geteggs on the market when they are scarce,will reap a higher price than the manwho is contented to let his hens taketheir own choice in the matter. The poultry business is in no danger ofbeing overdone. At the present timemany city dwellers are doing withoutsuch delicacies because they are unableto get them at a price which is commen-surate with their incomes. Dr. J. M. Wright, State veterinarianof Illinois, has made an arrangementwhereby tuberculous cows in that Statemay be ear-marked. The arrangementis not compulsory, but as
RM2AJ17X4–Modern surgery, general and operative . .The contents of the acute abscess dil^er from those of the tuberculous abscess.When an abscess exists in an important region (brain, appendix, liver, etc.)cultures of the pus should be taken after incision. Such studies often givevaluable information as to the probable course of the condition, and an accumu-lation of many accurate observations will add greatly to scientific information.Figure 77 shows a convenient case for carrying culture-tubes. Prognosis.—The prognosis varies according to the number of abscesses,their location and size, the vital resi
RM2AKN367–A treatise on the principles and practice of medicine . ent of the root and trunk bymeningitis, syphilis, caries, trauma, aneurysm of the arch or its branches,carcinoma, esophageal growths, tuberculous or other adenopathies,pleural (right-sided) or pericardial effusions or adhesions, mediastinitis,goitres, operations on the neck or rarely neuroma and neuritis fromdiphtheria or other infections, tabes or plumbism. Cortical, especiallyfunctional, causes may occasion symptoms. Pharyngeal Branches.—The pharyngeal plexus consists of branchesfrom the ninth and tenth nerves. In paralysis, sensation a
RM2AJB94H–A treatise on orthopedic surgery . Painful swellings about the ankles, common in over-weighted subjects. The patients usually complain of weakness and discomfort.The treatment aside from reduction of weight, and support forthe weakened arch, is massage, strapping and bandaging. Theoperative removal of the swollen tissue is indicated in obstinatecases. CHAPTER XII. DISEASES AND INJUEIES OE THE ARTICULATIONS OF THEUPPEE EXTEEMITY. TUBERCULOUS DISEASE OF THE SHOULDER-JOINT. Disease at the shoulder is very uncommon in childhood. Ina total of 453 cases of tuberculous disease treated at the Vander-b
RM2AJBAP4–A treatise on orthopedic surgery . Tuberculous disease of the subastragaloid joint. In this form forced lateral motion of the os calcis causes dis-comfort, and the range of adduction and abduction of the footis restricted, while dorsal and plantar flexion may be unre-stricted. Astragalo-navicular Disease..—If the disease is limited to thejoint the foot is usually fixed in an attitude of persistent ab-duction and as the process is usually of the subacute type itmay be mistaken for rigid weak foot. Diagnosis.—The principles of differential diagnosis of tuber-culous disease from other affections
RM2AG774H–. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. he intes-tine. They generally, however, enlarge in the oppositedirection, and may extend entirely around the intestine,forming the so-called girdle ulcers. This form is charac-teristic of the tuberculous ulcers. It is due to the ten-dency which the process has to extend in the course ofthe lymphatics. Frequently, over the ulcer and extend-ing from this along the mesentery to the nearest lym-phatic glands, large whitish-yellow cords, with smallnodular swellings al
RM2AJCPHY–A treatise on orthopedic surgery . Stills form of polyarthritis, sliowing the general atrophy, the enlarged joints,and the prominence of the abdomen, due to amyloid degeneration of the liverand spleen. motion. There is nsnally some local heat and infiltration, in-creasing and diminishing according to the character of thedisease and to the strain or injury to v^hich the joint may be Fig. 198.. The hands in the case shown in the preceding figure. subjected. In cases of this character the affection is usuallymistaken for tuberculous disease until the involvement of other19 290 OETHOPEDIC SUBGEBY.
RM2AMXTAA–Organic and functional nervous diseases; a text-book of neurology . Vein in pia mater with swollen and infiltrated wall. Eosin-methylene-blue stain.Magnification 175. (Barrett.) In tuberculous cases search must be made for the bacillus and theWasserraann test applied to both the spinal fluid and the blood serum. These are, in brief, the means by which we make our diagnosis insyphilis. I. Syphilitic Endarteritis and its Results on the Nervous System. —Syphilitic endarteritis produces a progressive diminution in the calibreof the bloodvessels, both in the arteries, as Huebner has shown, and inth
RM2AX01NX–Practical pathology; a manual for students and practitioners . ranch of pulmc^nary artery containing gelatin injection mass.Around both of these structures there is well-marked cellular proliferation and infiltration ; a similar infiltration is seen along the line ofc. An interlobular septum.(/. Central caseous mass of the tuberculous broncho-pneumonic patch. e. Coagulative necroses seen in broncho-pneumonic patches around central caseous area./. Early catarrhal pneumonia. Note that the central part of the tubercle is now entirelyavascular. The infection seldom passes into the area ofcoagulati
RM2AKNWKN–American practice of surgery : a complete system of the science and art of surgery . e have a clinical picturepresented which is very characteristic. In cases in which the synovial mem-brane is involved—and in most instances, where at all events the disease has notbeen checked at an early stage in its development, this structure is affected— TUBERCULOUS DISEASE OF BONES AND JOINTS. 693 knee will present a fusiform shape which is in marked contrast with the nor-mal contour of the parts above the joint. The bony prominences, which arevisible upon the sound side, have been effaced; the depression
RM2AWDBP8–The operating room and the patient; a manual of pre- and post-operative treatment . Fig. 200.—Jury mast.(Fowlers Surgery.) Fig. 201.—Anteroposterior supportwith head-piece. (Fowlers Surgery.) Tuberculous Spondylitis.—The mechanic treatment is of thehighest importance. Its application should not be delayedafter the discovery of the disease. While it cannot correctalready existing kyphosis, on account of the processes of con-solidation which have already taken place, progressive deformityis prevented by arrest of the disease. Two types of appliancemay be mentioned, the one a solid fitting corset
RM2AJHDPW–Tuberculosis in Massachusetts . curative and vivifying in-fluences of the sunshine. In a large institution the extra cost ofattendance upon patients in separate shacks may be a seriousitem, but even in such establishments some shacks are needed forpatients whose symptoms require the conditions which can beprovided only in them. For those persons who, under properadvice, undertake their own cure, they are infinitely preferable tothe tents commonly used. The shack for tuberculous patients must have all the air andsun which can possibly be admitted to it, and proper shelter fromrain, snow and vio
RM2AN3A7K–Gynaecology for students and practitioners . eter being cut out of the edge so as to include a definitearea of outlying healthy tissue, and the excised piece droppedimmediately into a weak solution of formalin or 50 per cent, spiritbefore being sent to the histologist. The early malignant ulcer may be confused with tuberculous diseaseor with a chancre. Tuberculous disease of the cervix is rarely primary{see p. 306), and accordingly the presence of signs of tubercle in otherorgans may direct attention to the possibility of the cervical lesion 542 GYNECOLOGY being of the same nature. The local a
RM2AJCJAA–A treatise on orthopedic surgery . Wandering of the acetabulumdisease. (Krause.) in hip 306 OETHOPEDIC SUBGEET. the joint shows evidences of sympathetic irritation; the synovialmembrane is congested, and the ilnid within the joint is in-creased in quantity. These changes become more marked as thedisease progresses, the lining membrane becomes thickened andgranular, and adhesions between its folds lessen the capacity ofthe joint. An amount of tuberculous fluid, large enough to be Fig. 209.. Erosion of the head of the femur and of the upper border of the acetabulum.Formation of new bone (osteoph
RM2ANENXT–Milk and its relation to the public health . earlier stages byphysical examination, but most veterinarians, more particularly thosewho have had large experience in the examination of bovine lungs bymeans of ausculation and percussion, are now convinced that this israrely possible. The broad, flat ribs, the thick hairy hide over thethorax, the transmission of sounds from the intestinal tract, which isenormously large because of the coarse materials ruminants eat, andthe common location of tuberculous disease in the dorsal portion ofthe lung and in the mediastinal space, where it can not be dete
RM2AN3Y87–Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . pneu-mococci) ; in heart disease, with edema (the same as inpulmonary edema from other causes; besides heart-cells) ; in tuberculous lesions of the air-passages(either large hemorrhage, hemoptysis, or bloodstained nummular and heavy sputum, containingtubercle-bacilli) ; in neoplasms (red-currant-like spu-tum, with characteristic histologic structures) ; invicarious menstruation; hemorrhagic diathesis, andhysteria. See Hematemesis and Epistaxis. The expectoration co
RM2AJ93YR–A practical treatise on fractures and dislocations . ncreased action in theabsorbents, ensues, resulting in an equally slight softening of the bonytissue, these pathological circumstances may end, sooner or later, in astriking change of form in the neck or head. But it is not necessaryto suppose an external injury to explain the occurrence of this inflam-mation, and consequent softening of the bone; a scrofulous, or rickety,or tuberculous constitution may occasion it, and we see no reason whythese conditions are not as likely to lead to a change of form here as inthe bones of the leg or of the
RM2AJD4B8–Industrial medicine and surgery . Fig. 204.- -Forty-seven large army hospitals are now carrying on physicalreconstruction. have been found the most excellent adjuncts toward hastening thecure of these soldiers. As far as possible the work has been madepractical with a view of improving their future economic state. In-stead of seeing the typical group of hospitalized tuberculous patientsone finds here an apparently healthy group of young men engagedin many different activities. Their morale is good and as a generalrule they are anxious to remain until cured. Many orthopedic cases are under trea
RM2AN2K25–Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . s and Bronchial Glands). The lungs proper, the bronchial glands, or both, may be theprimary seat of tuberculous deposits. The upper lobes are morefrequently affected than the lower, and the portions adjacent tothe bronchial glands more so than the remaining parts. ThePacthangesC pathologic changes consist essentially in the formation of vari-ously sized caseous nodules filled with colonies of tubercle bacilliand large, so-called giant cells, and subsequent softenin
RM2AJEF4R–Industrial medicine and surgery . 456 INDUSTRIAL MEDICINE AND SURGERY The Jewish Tuberculous Association of New York City hasintroduced an entirely new idea into the treatment of this disease.After years of combating tuberculosis among the Jewish people of NewYork they were impressed with the great economic waste which fol-lowed in the wake of this disease. During the perod of ^sanatoriumcare it was necessary to give large sums of money to maintain thefamily while the bread winner was absent. After his discharge fromtreatment months and often years elapsed before he could supporthis family. In
RM2AKPEXF–American practice of surgery : a complete system of the science and art of surgery . The experiment is notas conclusive, however, as might appear at first sight, because a very consider-able degree of pressure is necessary within the capsule in order to produce theattitude in question in the cadaver. In the presence of effusion into the joint TUBERCULOUS DISEASE OF BONES AND JOINTS. 637 one would expect this attitude in order to accommodate the joint cavity to theeffused material, and this is undoubtedly the case in acute synovitis. In hip-joint disease, while there is seldom, if ever, much ef
RM2AWHRYT–The animal kingdom : arranged after its organization, forming a natural history of animals, and an introduction to comparative anatomy . speltea) :irefound in many cavern deposits of France, Gennany, and England. [Hya;nas are easily tamed, if allowed tboirliberty, and aie susceptible of strong attachment to those who use them kindly : many are employed in the capacityof watch-dogs both in Asia and Africa. They are physiologically nearly related to the Civets, and not to tlieDogs*; and the loss of the posterior tuberculous molar appears to be a consequence of the great increase in sizeof the ca
RM2AJEECJ–Industrial medicine and surgery . sanatorium treatment is but a part—a large part it is true—of the treatment of the tuberculous. After-care of the patient in his home is vital to any scheme whichtries to conserve the gains made in the sanatorium and to protect thefamily from infection. Carefully selected patients can be treated at home with as goodresults as at a sanatorium. Some patients improve at home and atwork even though they do not do well at an institution. 458 INDUSTRIAL MEDICINE AND SURGERY To provide industrial convalescence or a scheme of graduallyreturning patients to ordinary ec
RM2AWD55W–Oral surgery; a text-book on general surgery and medicine as applied to dentistry . rupt. The process of buddingmay be in the wrong direction, and the tooth grows upwardor to one side, or some obstruction may interfere with thenormal eruption, and instead of the crowns pushing its waythrough the alveolus it grows in the opposite direction. Discharging sinuses from the maxilla or mandible arenot always evidence of disease of the antrum or othersinuses, nor of osteomyelitis or tuberculous bone disease.These sinuses are not infrequently the result of impactedteeth. Indeed, all sinuses giving a ve
RM2AWCRMB–Tuberculosis in infancy and childhood : its pathology, prevention, and treatment . fig. 25.—sanatorium for consumptive children at dr. barnardo sgirls village homes, barkingside.. FIG- 26. CHILDRENS SANATORIUM, STANNINGTON, NORTHUMBERLAND. j4^ TUBERCULOSIS IN INFANCY AND CHILDHOOD The National Childrens Home and Orphanage, which undertakesthe care of nearly 2,000 little ones, and has twelve branches in differentparts of the country, deals with a number of tuberculous cripples, andhas made special provision for their open-air management (Fig. 27). Aconsiderable proportion of the children are of
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