Tuberculosis : its nature, prevention and treatment with special reference to the open air treatment of phthisis / by Alfred Hillier.
- Date:
- 1900
Licence: In copyright
Credit: Tuberculosis : its nature, prevention and treatment with special reference to the open air treatment of phthisis / by Alfred Hillier. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
86/283 page 60
![Surnptoras.—From the many conditions Avhich may arise in peritoneal tubercnlosis, it follows that the symptoms are somewhat varied. It is sometimes overlooked and not recognised during life; it may at other tiines set in abruptly with fever. Chronic cases are not infrequently met Avith accidentally during abdominal section for other conditions. Tympanitis from loss of mmscular tone of the intestines, and fever, are marked in the acuter cases, while in the chronic forms, though the temperature may rise and fall, it is more common to luiA’e a sub- normal temperature. Ascites, though rarely abundant, is generally present; as in cancer, it may be Incmorrhagic. A diagnosis of Addison’s disease has sometimes been made, from the occasional pigmentation of the skin which at times accompanies the very chronic cases. The more chronic cases may closely simulate, and are often mistaken for, typhoid fever. In the chronic form, from matting together and thickening of parts of the intestines and omentum, or sacculated exudations, the physical signs may almost exactly resemble tumours, cither solid or fluid. The (litHculty in diagnosis of these peritoneal tumours is often considerable ; a sacculated accumula- tion of tubercular exudation is often mistaken for a cystic ovarian tumour, and, indeed, many of the operations performed for the relief of tlie latter condition have ])roved to be tubercular in nature. In arriving at a conclusion, the tubercular condition may not be suspected from the general condition of the ])atient, hut a careful examination for phthisis or disease of the Fallopian tubes should be made; the Avithdrawal of fluid from the tumour sometimes aids diagnosis.](https://iiif.wellcomecollection.org/image/b21988614_0086.jp2/full/800%2C/0/default.jpg)
