The practice of pediatrics . gical study is the most certainmeans of diagnosis. Tuberculosis.—In early casesof tuberculosis this may be verydifficult. If there is no fevertuberculin may be used. It iscertain and harmless. There isusually tuberculosis in the lungsor elsewhere and there may besuppuration of the node or thematting together of the removal of a node will clear updoubtful cases. Leukemia.—Diagnosis in leukemia is easy, as a rule, from a bloodexamination, but there are rare cases where in a leukemia the leuko-cytes have fallen to normal or near it. The structure of the node
The practice of pediatrics . gical study is the most certainmeans of diagnosis. Tuberculosis.—In early casesof tuberculosis this may be verydifficult. If there is no fevertuberculin may be used. It iscertain and harmless. There isusually tuberculosis in the lungsor elsewhere and there may besuppuration of the node or thematting together of the removal of a node will clear updoubtful cases. Leukemia.—Diagnosis in leukemia is easy, as a rule, from a bloodexamination, but there are rare cases where in a leukemia the leuko-cytes have fallen to normal or near it. The structure of the nodes isdifferent. Prognosis.—This is bad. Sooner or later the cases become cachecticand die. The average duration of life after the appearance of thedisease is from one to four years. Death is usually caused by a sec-ondary tuberculosis or by progressive weakness with general anasarca. Treatment.—Treatment is not very satisfactory. If the case is diag-nosticated early and the enlarged lymph nodes are only on one side of. Hodgkins disease. (Case of Drs. Sberman andGaylord, Archives of Pediatrics.) 844 DISEASES OF BLOOD, LYMPHATIC SYSTEM AND GLANDS the neck, removal of the nodes is thought to have some influence onprolonging life and preventing, at least for a time, the progress of Osier thinks that the Roentgen rays may have some influencein selected eases. The patient should lead a regular hygienic life, withplenty7 of fresh air and good food. Of the drugs used arsenic is thefavorite and some results seem to have been attained by it. It mav liegiven in fairly large doses over rather long periods without causingany trouble. In some cases it produces pigmentation of the skin andin others neuritis mav result. Fowlers solution may be given in to (2 to 5l) doses three or four times a day. Thesyrup of the iodide of iron may be tried if the arsenic disagrees, or othertonics may be given, such as cod-liver oil and quinine. Phosphorushas been rec
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectchildren, bookyear190
