. A practical treatise on medical diagnosis for students and physicians . or to tuberculous pleurisy, tuberculous peritonitis, or to tuberculosisof some other organ. Symptoms. Its onset is usually marked by cough, fever with or with-out chills, dyspnoea, and sometimes haemoptysis. The fever rises to103° or 104° F., and is of a continued type (lobar pneumonic form),or rapidly assumes a hectic type, accompanied by restlessness and ex-hausting night-sweats, anorexia, and rapid emaciation. Prostration isextreme, but the mind is at first clear and the spirits cheerful. Coughincreases; the expectora
. A practical treatise on medical diagnosis for students and physicians . or to tuberculous pleurisy, tuberculous peritonitis, or to tuberculosisof some other organ. Symptoms. Its onset is usually marked by cough, fever with or with-out chills, dyspnoea, and sometimes haemoptysis. The fever rises to103° or 104° F., and is of a continued type (lobar pneumonic form),or rapidly assumes a hectic type, accompanied by restlessness and ex-hausting night-sweats, anorexia, and rapid emaciation. Prostration isextreme, but the mind is at first clear and the spirits cheerful. Coughincreases; the expectoration, at first mucoid and scanty, but often tingedwith blood, becomes more copious and mucopurulent. The bowels maybe loosened or constipated. The urine may show the diazo reaction. When death takes place without more decided pulmonary symptoms,the tuberculosis has been secondary to tuberculosis elsewhere, or deathis the result of a general miliary tuberculosis. PLATE XXII. FIG. 1. —Anterior Aspect. r+X\ 1 / / \f >rk f+ KC ■T->v V FIG. 2.—Posterior Aspee. Acute Pulmonary Tuberculosis. Consolidation of the entire right upper lobe and of the left apex. PULMONARY TUBERCULOSIS. 893 When the acute pulmonary tuberculosis is primary, the character of thedisease is soon made clear by the early development of consolidation ofthe lungs, usually of an apex first, rapidly followed by softening andthe formation of cavities. The sputum becomes mucopurulent, is fre-quently streaked with blood, and pure blood is often coughed up. Thesputum contains yellow elastic tissue and abundant tubercle bacilli. Thepatient often presents a cachectic appearance; emaciation has been veryrapid, and has reached an extreme degree; there is frequently a redflush about the cheek-bones, which, with the bright eyes, contrastsstrongly with the hollow cheeks and temples, and the white, wasted handsand clubbed fingers with bluish nails. Cyanosis is shown in the duskycountenance and blue finger-tips. The
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