Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . dition is the result of dissemination of tubercles overthe peritoneum, omentum, and adjacent structures. The inflam-mation excited by their presence gives rise to a serofibrinous orhemorrhagic exudation with gradual agglutination of the inflamedportions, caseation and ulceration. Post-mortem examination ofcases of long standing usually reveals involvement of the mesen-teric and retroperitoneal glands, fatty degeneration of the liver,tuberculosis of the lungs, and p
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . dition is the result of dissemination of tubercles overthe peritoneum, omentum, and adjacent structures. The inflam-mation excited by their presence gives rise to a serofibrinous orhemorrhagic exudation with gradual agglutination of the inflamedportions, caseation and ulceration. Post-mortem examination ofcases of long standing usually reveals involvement of the mesen-teric and retroperitoneal glands, fatty degeneration of the liver,tuberculosis of the lungs, and parenchymatous nephritis. Tuberculous peritonitis is comparatively rare in childrenunder three years of age, but quite frequent in those over this TUBERCULOSIS. 367 age. The classical variety of tuberculous peritonitis is thechronic form. Occasionally, however, it may pursue a subacute,or even an acute course with chills, nausea, vomiting, acuteabdominal pain, and high fever. In the majority of instancesthe disease sets in insidiously, with symptoms of dyspepsia,anemia, evening rise of temperature, accelerated respiration and. Fig. 100.—Tuberculous Peritonitis (15 months old),after Laparotomy. {Sheffield.) Recovered pulse, frequent attacks of colic, and more or less pronounceddiarrhea. Very soon the characteristic symptoms of the disease Distendedare in full bloom. The abdomen is distended and its wall often abdomen,glistening and traversed by blue lines, the epigastric veins. Theumbilicus is either effaced or protuberant. The extremities areemaciated and contrast strongly with the gradually enlarging Bmaciati(abdomen. Palpation of the latter reveals that its consistence is Fluid 368 COMMUNICABLE DISEASES. not everywhere uniform. Some portions of the abdomen are flat,bdominai cm percussion eliciting the presence of fluid or nodular masses;lvlty other portions again are tympanitic, denoting that that part of theabdominal enlargement is due to intestinal gases. Palpation sometim
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
