The practice of pediatrics . granulations. These ulcers rarely perforate, though the intestine may beso softened that when taken out and washed it may appear riddled withholes. The peritoneum usually presents a more or less general adhesiveperitonitis and may be more or less thickly sown with miliary lesions of the mesenteric nodes may be an apparently simplehyperplasia, or there may be miliary tubercles, or tuberculous nodules,or diffuse caseation and breaking down, so that the nodes are full ofthick, pale-greenish pus. Wherever there are tuberculous ulcers of theintestine, we m


The practice of pediatrics . granulations. These ulcers rarely perforate, though the intestine may beso softened that when taken out and washed it may appear riddled withholes. The peritoneum usually presents a more or less general adhesiveperitonitis and may be more or less thickly sown with miliary lesions of the mesenteric nodes may be an apparently simplehyperplasia, or there may be miliary tubercles, or tuberculous nodules,or diffuse caseation and breaking down, so that the nodes are full ofthick, pale-greenish pus. Wherever there are tuberculous ulcers of theintestine, we may be epiite sure that the mesenteric nodes are tuber-culous, even though on section they appear normal. The size of theindividual lymph nodes varies from 1 to 3 cm. They may be groupedin masses of considerable size. Holt speaks of a mass the size of achilds head at birth. It is not uncommon to see masses the size ofa hens egg (Fig. 75).The peritoneum is usually matted together everywhere and full of TUBERCULOSIS 371 Fig. 73. Fio. 74


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectchildren, bookyear190