File:Interstate medical journal (1917) (14781358784).jpg

Identifier: interstatemedica2419unse (find matches)
Title: Interstate medical journal
Year: 1917 (1910s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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with stout adhesions to the cecum. Many enlarged glandsand tubercles were found throughout the mesentery. Three months later thepatient gradually developed tuberculous enteritis, with the following symptoms:pain, diarrhea, with mucus, rise of temperature in the afternoon, slow emacia-tion. This was complicated with ulcers above the sphincter ani, and a typical 186 INTERSTATE MEDICAL JOURNAL picture of ulcerous proctitis presented itself. Mucus taken from these ulcerscontained tubercle bacilli. Case III. S. E., after being operated for duodenal ulcer in another hospital, came toNorth Chicago Hospital with indefinite pain in the left side of the chest andabdomen. Lungs were normal. The only positive findings were tuberclebacilli in the mucus of the stool. Probable diagnosis of tuberculous ulcerin the intestine was made, which was not verified by Dr. Carl Beck at theoperation, which shows that we may have tubercle bacilli in the stools withouthaving a tuberculous lesion of the intestine.
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Fig. 1.Case IV. Miss B. D., aged 24, clerk. Entered the North Chicago Hospital December1, 1914, with the following complaint: For the past nine days has hadsevere pain in the epigastric region ten minutes after eating. The painradiates to the back and lasts forty minutes. No vomiting. Family historynegative. Patient had no cough, no hemoptysis, no night sweats, no fever.Menstruated two weeks ago, had not menstruted previously for seven weeks.Three weeks ago had constant desire to urinate, with burning and itching. Atthe present has no urinary disturbances. Appetite poor. Intervals of diar-rhea and constipation. Examination shows a poorly developed, fairly well- Frankel: Primary Tuberculosis of the Intestines 187 nourished individual. Temperature, 100°; adenopathy. Heart and lungs nor-mal. Slight tenderness in the epigastrium, constant dull aching in the regionof the appendix, does not radiate and is not relieved by thermic applicationsor pressure. Urine normal, blood picture shows a

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