Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . So-called obsolete tubercle (old encap-sulated caseous focus. (/;) Induration. (c) Caseous, partlyagminated nodules (transverse section of caseous bronchi), (d)Submiliary non-caseated tubercle in the true lung tissue, (e)Tubercle of the pulmonary pleura. One-half natural size.( Langerhans.) MILIARY TUBERCULOSIS(Hasty Consumption). Wide dis- Thi tribution of lesions, tuberculous lesions lisease is characterized by wide distribution of theThe latter are from a pinhea


Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . So-called obsolete tubercle (old encap-sulated caseous focus. (/;) Induration. (c) Caseous, partlyagminated nodules (transverse section of caseous bronchi), (d)Submiliary non-caseated tubercle in the true lung tissue, (e)Tubercle of the pulmonary pleura. One-half natural size.( Langerhans.) MILIARY TUBERCULOSIS(Hasty Consumption). Wide dis- Thi tribution of lesions, tuberculous lesions lisease is characterized by wide distribution of theThe latter are from a pinhead to millet- TUBERCULOSIS. :;:,- seed in size, gray or yellow in color, and firm in are found scattered throughout almost all organs andtissues of the body, but especially the lungs and bronchial glands,intestines and mesenteric glands, the liver, spleen, kidneys andbladder, and the brain and its coverings. They may remainlatent for some time, or give rise to indefinite symptoms, such asanorexia, dyspepsia, gastroenteritis, and emaciation, or symptomsof pulmonary phthisis. The outbreak is often determined by. Fig. 96.—Miliary Tuberculosis (skiagram). (Sheffield.) some intercurrent disease or traumatism, but once established itusually runs a very violent course. The temperature rises, is intermittent, hectic in character, Hectic feveronly rarely drops to normal, and may be associated with chillsand sweats. Tn the beginning, especially in the absence of markedpulmonary symptoms, and in the presence of large liver or spleenor both, the disease greatly resembles malarial fever or examination, however, reveals the absence of the malarialor typhoidal germs in the blood. Where signs of pulmonary dis-ease predominate, it is readily con founded with lobar or lobularpneumonia. In such cases the diagnosis is extremely difficultand often can be decided only by microscopic examination of the Resemblanceto malaria,typhoid andpneumonia. 358 COMMUNICABLE DISE


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191