Pediatrics Volume 22

Pediatrics Volume 22

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1910 edition. Excerpt: ... absence of the Babinski reflex. The reaction of the pupils will be normal in pneumonia. Lumbar puncture if performed in pneumonia will give a clear watery fluid; if in cerebrospinal meningitis, the fluid will usually be turbid and contain the diplococcus intracellulars. In some few cases, a clear cerebrospinal fluid, according to Flexner, may also contain the diplococcus intracellularis. The physical signs in the thorax are usually positive. Bronchial breathing is usually observed along with moist rales and the characteristic subcrepitant rales. Besides this, there is marked bronchophony. There is a marked resistance on percussion in addition to dullness. The breathing is superficial, shallow, and owing to the inflammatory condition of the lung, the accessory respiratory muscles are called into play. The alae nasi show the dyspnoea; and the intercostal spaces if observed, show increased respiratory effort. There is a lack of expansion noticeable in the subclavicular region on the affected side. The early appearance of this sign is very important, in the diagnosis of lobar pneumonia affecting the centre of the lung, before the physical signs derived from auscultation and percussion can be made out. When the physical signs are not positive, but we have a distinct evidence of infection manifested by a drowsy stuporous condition, then the disturbance of the normal pulserespiration ratio, which normally is one respiration to four pulse beats, or thirty respirations to 100 pulse beats will be noted. If we find 50 to 60 respirations with pulse of 140, 150 and 160, then an active pneumonia should be suspected. Daily examinations of the thorax must be made in each and every case of suspected pneumonia until the disease is definitely located more

Product details

  • Paperback | 322 pages
  • 189 x 246 x 17mm | 576g
  • United States
  • English
  • black & white illustrations
  • 1236980646
  • 9781236980649