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

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ominal wall. In the ulcerativefomi there is usually a fibrinous exudation. This fonn usually folloAvs themiliary or fibrous variety. Symptoms.—Well-marked evidences of peritonitis can usually be madeout when ascites and tympanites are present. When fever is associatedwith it in addition to evidence of cough or other physical signs in the lungs,then the diagnosis is not doubtful. Sometimes the tubercular or non-tubercular forms of chronic peritonitis ^ill render the diagnosis very diffi-cult. Differential Points.—Cirrhosis of the liver may cause an ascites. Itis rare in very young children. If the history of syphilis is given the Jahrbuch ftir Kinderheilkunde, xxi, TUBERCULO U S PERITOX IT J S. 357 same may be suspected. In some cases a diagnosis can only be made wbenan exploratory puncture is made and the fluid examined. Kven then thediagnosis may be difficult. The only method then left is to make a micro-scopical examination of the fibrous nodules or rarely by inoculation experi-
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Fig. )11.—Case of Tubercular Peritonitis Complicated by TribercularEmpyema. Enlarged Spleen. Rachitic Bottle-fed Infant. (Original.) ments. The following cases represent tubercular peritonitis as occurring inmy private practice :—• M. B., female, 2 years old, was brought to me Avith a history of eereulosiswere made out. The stool cont^xined mucus. Tubercle bacilli were frenuently foundin the nuicons discharges. A cavity couhl be made <uit at the left apex. The chihlsuffered with recurring pleurisy. The chest contained a laruv quantity of liij^uid 358 DISEASES OF THE PERITONEUM. effusion for over four months. Xine ounces of a thin, greenish fluid was aspiratedfrom the left side of the thorax. Examination showed tuber

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