The medical diseases of children . ortunity for a pathologicalexamination arise—that in place of such a condition we have a collec-tion of small dilated bronchioles. EMPHYSEMA. Acute emphysema develops very rapidly in young children. Itmay be dependent upon the occurrence of bronchitis, pneumonia(particularly consecutive broncho-pneumonia), or pulmonary such cases it is compensatory in origin. It may arise chiefly fromobstruction to expiration, as in whooping-cough, asthma, and laryngealstenosis. Chronic emphysema, producing the barrel-shaped chest and hyper-trophic lungs, as are s
The medical diseases of children . ortunity for a pathologicalexamination arise—that in place of such a condition we have a collec-tion of small dilated bronchioles. EMPHYSEMA. Acute emphysema develops very rapidly in young children. Itmay be dependent upon the occurrence of bronchitis, pneumonia(particularly consecutive broncho-pneumonia), or pulmonary such cases it is compensatory in origin. It may arise chiefly fromobstruction to expiration, as in whooping-cough, asthma, and laryngealstenosis. Chronic emphysema, producing the barrel-shaped chest and hyper-trophic lungs, as are seen in adults, is not a common condition in PULMONARY ABSCESS 355 children. When found it is generally due to recurring attacks ofasthma, and is associated with more or less chronic bronchitis. Insome cases there is, perhaps, a congenital weakness of the pulmonaryelastic tissue, for a hereditary tendency may be traceable. Figs. 58 and 59 show the old-man chest in a child of 9 years,with emphysema, chronic bronchitis, and Fig. 58,—Emphysematous Chest in a Child of 9 years. Treatment.—In chronic cases treatment should be directed towardsthe prevention of acute attacks of bronchitis and asthma, whilechronic bronchitis, if present, should be relieved as far as possible(P- 3SI-) PULMONARY ABSCESS. Large abscesses in the lung are occasionally found following pneu-monia, most frequently of the primary type, in emaciated multiple abscesses are much more common, but can hardly berecognized clinically. Rarely, the presence of a foreign body in the o56 DISEASES OF THE RESPIRATORY SYSTEM bronchus or one of its divisions occasions an abscess. Even largeabscesses may be multiple. Symptomatology.—At the termination of the pneumonia thetemperature assumes the hectic type, the child becomes paler andmore wasted. The physical signs at this stage are those of anunresolved pneumonia, but then occur further emaciation and an
Size: 1497px × 1668px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatrics, bookyear1
