Identifier: diseasesofchildr00grah (find matches)
Title: Diseases of children
Year: 1916 (1910s)
Authors: Graham, Edwin Eldon, b. 1864
Subjects: Children Disease
Publisher: Philadelphia and New York, Lea & Febiger
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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coats of the bowel. Asa result of this ulceration perforationor cicatrization may take place andcause a narrowing of the lumen of theintestine. Peritoneum.—Rarely is the perito-neum affected in early childhood, butin general tuberculosis of older childrenit may be the seat of miliary tuberclesor tuberculous nodules.Kidney.—)\Iiliary tubercles or nodules may be found in the kidneysaccompanying generalized tuberculosis, although rarely. Tubercu-losis elsewhere in the genito-urinary tract is most uncommon, althoughseveral cases of involvement of the testicle have been reported. Prognosis.—The prognosis in tuberculosis of children dependsto a great extent upon the location of the disease. Pulmonary lesionsare always serious, and well developed foci usually prove fatal. Gland-ular tuberculosis is in many instances followed by recovery. Theenvironment, climate, care, and treatment of a child with tubercu-lous lesions anywhere in the body also influence the prognosis toa great extent.
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Fig. 72. — Tuberculous perito-nitis, tuberculous spondylitis, andtuberculous glands of the neck in aboy, aged seven years. TUBERCULOSIS 729 Prophylaxis.—The prevention of tuberculosis is a most important,and at the same time a very difficult problem, especially amongthe poor. It can be accomplished, however, if tubercle bacilli fromevery source are destroyed and needless exposure is avoided. Sputumfrom tuberculous patients should be carefully collected and destroyed,since this is probably the most frequent source of tuberculous infec-tion. The living quarters of tuberculous patients should be disin-fected before children or any other persons are allowed to enter them.A tuberculous mother should neither nurse her child nor kiss it uponthe mouth, and the less she fondles it the better. No child shouldbe allowed to associate in any way with tuberculous persons, for ithas been demonstrated that tuberculous spray is projected severalfeet when a consumptive coughs. Systematic school ins

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