. Diseases of the rectum and anus: designed for students and practitioners of medicine. ctious ameba was observed. Of the pathogenic bacteria occurring in the intestinal dis-charges, the bacilli of tuberculosis, typhoid fever, and choleraare deserving of special consideration. It should not be for- EXAMINATION 61 gotten that, under certain circumstances, the gonococcus alsomay be present. It may also be stated that the diarrheal stoolsof infants, especially the mucous admixtures, very frequentlycontain spirilla, the source of which is not quite certain. Atnecropsies made by Escherich upon such
. Diseases of the rectum and anus: designed for students and practitioners of medicine. ctious ameba was observed. Of the pathogenic bacteria occurring in the intestinal dis-charges, the bacilli of tuberculosis, typhoid fever, and choleraare deserving of special consideration. It should not be for- EXAMINATION 61 gotten that, under certain circumstances, the gonococcus alsomay be present. It may also be stated that the diarrheal stoolsof infants, especially the mucous admixtures, very frequentlycontain spirilla, the source of which is not quite certain. Atnecropsies made by Escherich upon such children shortly afterdeath these organisms were found almost exchisively in themucous deposits in the colon and especially the cecum. Discharge of admixed mucus is of great clinic signifi-cance. Mucus visible to the naked eye can readily and posi-tively be identified as such by its chemic behavior. It alsooccurs in the form of yellozvish-broivn to dark-green granules,which were first pointed out by Nothnagel, If these arecrushed beneath a cover-glass they spread out into a uniform. Fig. 27.—Patient Prepared and in Position for Examination or Operation. yellow mass, while the yellow bodies resembling sago, or frog-spawn, which usually consist of vegetable remnants and water,always remain in fragments. They are neither dissolved norstained by water, ether, iodin, and osmic acid. On additionof nitric acid they give a distinct reaction for bile coloringmatter. An especial structure is absent. They always indi-cate catarrh of the ileum and upper portion of the colon; butthey also occur in pure ileitis. The active reaction for bilecoloring matter with regard to the presence of mucus is ofitself evidence of the existence of catarrh of the ileum; forthe reason that bile-pigment is normally met with only in theileum, never in the colon, and can therefore occur in the fecesonly when there is very active peristalsis of the ileum and 62 DISEASES OF THE RECTUM AND ANUS colon. If along w
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
