Diseases of infancy and childhood (1914) (14771730452)

Identifier: diseasesofinfan00fisc (find matches)

Title: Diseases of infancy and childhood

Year: 1914 (1910s)

Authors: Fischer, Louis, 1864- (from old catalog)

Subjects: Children

Publisher: Philadelphia, F. A. Davis company (etc., etc.)

Contributing Library: The Library of Congress

Digitizing Sponsor: The Library of Congress

Text Appearing Before Image:

ncy and had always suffered with dyspeptic trouble andconstipation. He has had furunculosis of the scalp, which necessitated incisions,during the second year. Was troubled with tonsillar and catarrhal trouble; alsodouble otitis. The glands of the neck are swollen and frequently break down and dischargepus. The temperature is not elevated. This suppuration is known as the cold alscesstype. The general condition is fair. The child is taking maltine with hypophos- TUJ3ERCULAR ADENITIS. pliites. A restorative diet of cereals, cream, butter, eggs, etc., is given,hygiene, and out-door life is the most important part of the treatment. 71.J Attention to Dia^osis.—This can easily be made when we consider the characterof the glandular swelling, their tendency to caseation, and to suppuration.When the pus is examined, tubercle bacilli are invariably found. Deferential Diagnosis.—In the beginning this disease is difficult todiagnose. We can exclude syphilis by the history of the parents. When

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Fig. 233.—Case of Cervical Adenitis in which a Positive von PirquetReaction Appeared. (Original.) the history is not obtainable, resorting to anti-syphilitic treatment willmaterially aid in eliminating the diagnosis of syphilis. In Ilodgkins dis-ease the glands do not suppurate. In simple chronic adenitis there is nosuppuration. Treatment.—Attention to hygienic details is of prime importance.The diet should consist ot restorative foods in which proteins and fatsabound. Eestorative medication, such as iron, codliver-oil, iodide of sodium,and arsenic, and syrup oL iodide of iron are the most useful drugs to beconsidered. ;iG DISEASES OF THE GLANDS AND LYMPH XODES. Eead also the treatment outlined in the chapter on •Acute MiliaryTuberculosis/^ The surgical treatment of tubercular adenitis should consist in thetotal removal of the suppurating glands, using aseptic precaution, ratherthan to rely on slow spontaneous evacuation of pus by Xature. Mumps (Specific Parotitis). This is a sp

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1914

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