. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. be exertedupon the superior cava, the pulmonary artery, and the azygos softening caseous contents of the glands may perforate into thebronchi or trachea and cause asphyxia; into the great vessels with gen-eral infection of the blood stream, or very rarely into the infection very often occurs either by contiguity of tissue oralong the root of the lung. Pericardial tuberculosis may occur. Symptoms.—Pressure symptoms occur, but they are less common andless
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. be exertedupon the superior cava, the pulmonary artery, and the azygos softening caseous contents of the glands may perforate into thebronchi or trachea and cause asphyxia; into the great vessels with gen-eral infection of the blood stream, or very rarely into the infection very often occurs either by contiguity of tissue oralong the root of the lung. Pericardial tuberculosis may occur. Symptoms.—Pressure symptoms occur, but they are less common andless urgent than the anatomical conditions suggest. The enlarged massconstitutes one of the forms of mediastinal tumor. Dyspnoea, paroxysmal,brassy cough from pressure on the recurrent laryngeal nerves, cyanosis andpuffiness of the face from pressure on the superior cava, dysphagia from com-pression of the oesophagus, are occasional symptoms. In the majority ofcases the mechanical disturbance is slight or absent altogether. Xor are defi-nite physical signs common. Impaired resonance upon light percussion over. Fig. 274.—Chronic cervical adenitis.—Rotch. 190 MEDICAL DIAGNOSIS. the manubrium sterni ma} be noted, and slight relative dulness along thespine in the upper dorsal region. These physical signs are, however, neitherso constant nor so well marked as to serve a useful purpose in the diagnosis. Mesenteric Glands—Tabes Mesenterica,—A slight enlargement is com-mon and may not give rise to special symptoms. As a rule the enlargementis general and attains considerable size. The retroperitoneal glands are oftencoincidently involved. Caseation and softening occur. Resorption of thefluid portions and the deposition of lime salts sometimes take place. Thetuberculosis may be primary, infection having arisen by way of thelesions of intestinal catarrh, or it may be secondary to tuberculous lesionsof the bowel. Symptoms.—Tabes mesenterica is common in very young bel
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
