File:The Journal of laboratory and clinical medicine (1915) (14757859436).jpg

Identifier: journaloflaborat01cent (find matches)
Title: The Journal of laboratory and clinical medicine
Year: 1915 (1910s)
Authors: Central Society for Clinical Research (U.S.)
Subjects: Biological Assay Diagnosis, Laboratory Disease Medicine Medicine Research
Publisher: St. Louis, C. V. Mosby
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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inical fnulings and diagnosis. laid lliem. Let us 1)Ct,Mn our reasoninj^ with a promise like this; there is nosucli a disease as rheumatism and strike the term from medical nonnMudature.If we do so our conclusions will not he tar w rons^. it one careiul search tromscalp to toes does not reveal the trouble let us seareli aijain and a^ain. If wecannot recognize it let us be fair and say we do not know. Routine and methodical examinations are all very sj^ood but we must keep 828 The Journal of Laboratory and Clinical Medicine our eyes open. We must not permit ourselves to be misguided as T was in the following case: E. A., salesman, aged 26, complained June 20. 1915. of articular rheu-matism. January 5, of the same year, he had experienced a severe attack ufpolyarthritis and spent six weeks in bed. He stated that tonsillitis always pre-ceded the pain in the shoulder, knees and feet. Physical examination revealedsubmerged and diseased tonsils, temperature 99, pulse 110; urine—a trace of
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Fig. 2.—Mrs. S. Lungs and heart normal. dlbumin and one or tw^o granular casts. I could not make up my mind tliat thetonsils were the only cause of the trouble, so I went over him three times fromhair to toe nails before I discovered an abscessed root of the left upper in-cisor, which he promptly stated was one of long standing. Streptococci werefound in the exudate. His dentist would not extract the tooth, but said hecould save the root by treating it. This pleased the patient greatly. His tonsilswere removed. Two months later an acute attack of arthritis occurred in hisright knee; the tooth was still discharging. I took him to another dentist Focal Infection 829 and had that tooth removed; two days later the knee was well and has remainedso ever since (April 26, 1916). Focal infection in itself may be but a minor thing, but the complicationsare severe, oftentimes resulting in permanent injury and even in death. Hencethe rheumatic, syphilitic, and nephritic heart; the nephritis, ch

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