. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. ge-ment of the superficial l^onph-nodes occur. Stage of Eruptwn.—The erup-tion is sometimes abundant, especially on the face and extremities,particularly the larger joints. It has been mistaken for variola. Onlyexceptionally do the pustules show umbilication. In some instances theyare confluent. There is troublesome cough with abundant sanguinolent ormucopurulent foul-smelling expectoration. Suppurative arthritis mayoccur. Hemorrhages into the skin and mucous membranes have been not
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. ge-ment of the superficial l^onph-nodes occur. Stage of Eruptwn.—The erup-tion is sometimes abundant, especially on the face and extremities,particularly the larger joints. It has been mistaken for variola. Onlyexceptionally do the pustules show umbilication. In some instances theyare confluent. There is troublesome cough with abundant sanguinolent ormucopurulent foul-smelling expectoration. Suppurative arthritis mayoccur. Hemorrhages into the skin and mucous membranes have been sweating, diarrhoea, stupor, convulsions, and coma are followedby death, which usually takes place in the course of the second or thirdweek of the attack. When an acute attack develops in the course of chronicglandeis death may occur as early as the second or third day. (Fig. 264.) Acute Farcy.—The infection in man usually takes place from inoc-ulation by way of the skin. There is intense inflammatoiy reaction withphlegmon formation which rapidly breaks down into an ulcer with irregular,. 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
Size: 1588px × 1572px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
