Modern surgery, general and operative . re is early inflammation of the gums. Hewetsonexamined 400 South African males, varying in age from fifteen to found 134 with scorbutic gums, although they seemed in good health(Transvaal Medical Journal, April, 1911). Many think scurvy is due to theabsence of a vitamin which is contained in fresh meat, milk and certain vege-table juices. McCollum and Pitz (Jour. Biological Chemistry, 1917, xxxi)after studying experimental scurvy on guinea-pigs point out that in guinea-pigsdead of scurvy the cecum is found distended with pasty feces and th


Modern surgery, general and operative . re is early inflammation of the gums. Hewetsonexamined 400 South African males, varying in age from fifteen to found 134 with scorbutic gums, although they seemed in good health(Transvaal Medical Journal, April, 1911). Many think scurvy is due to theabsence of a vitamin which is contained in fresh meat, milk and certain vege-table juices. McCollum and Pitz (Jour. Biological Chemistry, 1917, xxxi)after studying experimental scurvy on guinea-pigs point out that in guinea-pigsdead of scurvy the cecum is found distended with pasty feces and that scurvycan be prevented if this cecal distention is prevented by mineral oil or othercathartics. The authors do not accept the vitamin theory of scurvy. The efifect of great depression of spirits in predisposing to scurvy and inaggravating cases of scurvy has often been commented on. During the siege ofBreda in 1625 scurvy was rife. Bad news rapidly increased the number ofcases. Good news checked it. Anson made a similar 1 h(_ uums in m. urvv. Scurvy begins with sore gums, weakness, drowsiness, muscular pains, andgreat susceptibility to cold. The skin is pallid or dirty white, and is occasionallymottled and often peels off. The patient is breathless on the slighest exer-tion. The pulse is excessively weak and slow. There is no fever unless a com-plication arises. The gums are often tender and inflamed from the start, but insome cases they are not. After two or three weeks in all cases usually the gumsare found to be tender, painful and swollen, and bleeding at frequent intervals;the breath becomes offensive, the teeth loosen and even drop out; subcutaneoushemorrhages take place, giving rise to petechiae or extensive extravasations; thevision becomes dim; the urine becomes scanty and of low specific gravity;cutaneous vesicles form, rupture, and give rise to bleeding ulcers, and ulcerslikewise arise from breaking down of blood extravasation; hemorrhages takeplace


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