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By J. Smart (Auth.)

ISBN-10: 1483167720

ISBN-13: 9781483167725

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2) Milk of cattle with tuberculosis of the udder. In meat, bacilli are mainly killed b y cooking. —Pasteurization of milk kills tubercle bacilli. —Three possible modes: (1) Inhalation; (2) Ingestion; (3) Cutaneous inoculation. I N H A L A T I O N . — T h e main evidences are: (i) Tuberculous sputum supplies factor; (ii) The frequent onset in the lungs; (iii) Pulmonary tuberculosis in adults is caused b y the human type of bacillus. —Infection m a y occur through (a) tonsil, (b) alimentary canal.

Occasionally almost silent, when prognosis serious. S t a t u s A s t h m a t i c u s . — F o l l o w i n g repeated attacks of ordinary duration, during which increased amounts of ephedrine usually taken, attacks m a y persist and owing to development of resistance to ephedrine, status asthmaticus supervenes, preventing sleep and nourishment: rarely ends in cardiac failure. S p u t u m . — U s u a l l y mucoid and frothy, but at end of attack m a y contain Curschmann's spirals. —Expectoration commences as paroxysm passes: at first viscid, then looser.

1 ) Caseation; (2) Fibrosis; (3) Liquefaction; (4) Calcification. Very rarely: Ossification. These reactions do not take place in an orderly or permanent sequence. Thus in an affected area, fibrosis m a y be interrupted b y renewed productive changes or on the other hand b y liquefaction: the course of chronic tuberculosis thus m a y slow or accelerate, advance or regress, and m a y vary at different parts of same lesion. —Commences in centre of tubercle, a coagulation necrosis, spreading outwards: cells stain badly, lose outline, and become debris: bacilli scanty or absent, but matter usually virulent on inoculation.

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A Synopsis of Respiratory Diseases by J. Smart (Auth.)

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