. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. Fig. 263.—Bacillus mallei. 168 MEDICAL DIAGNOSIS. abrupt edges, from which extend painful reddened lines marking the courseof the Ijonph vessels. The corresponding- lymphatic glands are swollen,tender, and painful. The swollen lymphatics are known among veteri-narians as farcy-pipes; the nodular dilatations in their course as farcy-buds or buttons. If the lesion be situated upon one of the extremities thelimb rapidly becomes oedematous. Phlebitis may occur and abscesses formin the s
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. Fig. 263.—Bacillus mallei. 168 MEDICAL DIAGNOSIS. abrupt edges, from which extend painful reddened lines marking the courseof the Ijonph vessels. The corresponding- lymphatic glands are swollen,tender, and painful. The swollen lymphatics are known among veteri-narians as farcy-pipes; the nodular dilatations in their course as farcy-buds or buttons. If the lesion be situated upon one of the extremities thelimb rapidly becomes oedematous. Phlebitis may occur and abscesses formin the subcutaneous connective tissue. In other cases there are no signsof local inoculation. The sickness begins with the constitutional symptomscharacteristic of glanders. In the course of from three to seven days smallnodules occur in distant parts of the body which rapidly undergo suppu-ration with the formation of deep ulcers and areas of gangrene. The joints. Fig. 264.—The pustular eruption of glanders, often mistaken for small-pox. (Bovaird.) may be involved and abscesses form in the muscles. The constitutionals^Tuptoms are those of an acute infection. The attack frequently beginswith a chill or shivering. The fever is constant and may be intense. Itdoes not conform to type. Remissions and intermissions occur. The miicousmembrane of the nose may not be involved and the eruption may be the acute cases the bacilli have been found in the urine, both in animalsand man. The termination is commonly in death in the course of thesecond week. Chronic Forms.—The disease develops insidiously. Fever as a ruleis absent. If the infection takes place through a lesion of the skin, similarmanifestations to those in acute farcy may occur, developing howevermore slowly, and only after some time do symptoms of glanders or farcyappear. Symptoms referable to the organs of respiration are consist of sensations of fulness in the nose
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
