None
940 INDEX Melancholia in tuberculosis, 270, 359 Meningitis, tuberculous, 270, 307, 322 Babinski's reflex in, 308 Cheyne-Stokes breathing in, 307 coma in, 308 convulsions in, 307 cytology in, 309 delirium in, 307 diagnosis of, 309 duration of, 309 erj'thema in, 307 etiology of, 307 eyes in, 309 fever in, 307 headache in, 307 hemiplegia in, 307 herpes in, 307 hyarocephalic cry in, 307 hyperaesthesia in, 308 Kemig's sign in, 308 lumbar puncture in, 308 Macewan's sign in, 309 monoplegia in, 307 onset of, 307 optic neuritis in, 308, 309 paralysis in, 308 paresis of muscles in, 308 patholojBjy of, 242 prognosis of, 359 ptosb in, 307, 309 pulse in, 307 respiration in, 307 stages of, 307 strabismus in, 307, 309 temperature in, 309 vomiting in, 307 Meningomyelitis, acute, in syphilis, 462 gonococcal, 113 Menstruation in tuberculosis, 267 Mental diseases in tuberculosis, 322 Mercury in treatment of syphilis, 510 baths, 513 cutaneous complications of, 516 disadvantages of, 515 merits of, 513 Metabolic changes in tuberculosis, 254 .Metallic tinkle in pneumothorax, 881 Metapneumonic pleuritis, 793 Metasyphilis, 487 Meteorism, respiration in, 571 in tuberculosis, 305 Metrorrhagia in tuberculosis, 268 Microcephaly, syphilitic, 489 Micrococcus melitensis, 18 ag^utination of, 27 artificial cultivation of, 18 entrance of, into body, 20 in goat's milk, 23 habitat of, outside the body, 19 life of, outside the bodv, 19 manner of leaving the body, 19 in urine, 18 Micrococcus melitensis, vitality of, 18 Microdontism, 491 Miliaria alba, 534 rubra, 534 Miliary fever, 531 albuminuria in, 533 course of, 533 definition of, 531 diagnosis of, 534 epistaxis in, 533 erythema in, 534 etiology of, 531 history of, 531 onset of, 533 pathological anatomy of, 531 prophylaxis in, 534 relapse in, 534 spleen in, 533 sweating in, 533 symptoms of, 533 treatment of, 534 urine in, 533 tuberculosis, acute, 303 See Tuber- culosis, miliary, acute. Milk sickness, 546 coma in, 547 definition of, 546 diagnosis of, 548 from gastro-enteritis, 548 from typhoid fever, 548 etiology of, 547 history of, 546 pathology of, 547 symptoms of, 547 treatment of, 548 Miners' phthisis, 753 Mitral insufficiency, bronchitis in, 670 in tuberculosis, 321 stenosis, bronchitis in, 671 in tuberculosis, 321, 359 Monoplegia in gangrene of lung, 768 in tubercmous meningitis, 307 Morphcea, diagnosis of, from leprosy, 133 Mouth breathers, tuberculosis and,* 180 tuberculosis of, pathology of, 229 ulcers of, in ganders, 73 Mucous membranes in acute catarrhal larvngitis, 623 in asthma, 711,712 in chronic pharyngitis, 593 in hay fever, 618 lesions in syphilis, 450, 467, 626 in tuberculosis of larynx, 631 patches in congenital syphilis, 491 treatment of, 518 Muscles, respiratory, innervation of, 557 in tetanus, 80 tuberculosis of, pathology of, 245 Mycosis intestinalis, 49 of tonsils and fauces, 602 diagnosis of, 603 from diphtheria, 603 INDEX 941 Mycosis of tonsils and fauces, diagnosis of, from follicular tonsil- litis, 603 etiology pf, 602 symptoms of, 603 treatment of, 603 Myelitis, diagnosis of, from beriberi, 38 Myocarditb, fibrous, syphilitic, 486 ^nococcal, 98 m tuberculosis, 227, 322 Myoidema in tuberculosis, 294 Myoma of mediastinum, 892 Myositis, gonococcal. in pleuritis, 812 respiration in, 567 malignant, in anthrax, 49 of pharynx, angioneurotic, 596 of skin in Rocky Mountain spotted fever, 539 in tuberculosis, 263 QOsophagus, perforation of, in pleuritis, 837 syphilis of, 475 tuberculosis of, 229, 319 Oidium albicans in foetid bronchitis, 680 Oliguria in tuberculosis, 267 Ophiasis, 121. See Leprosy. Opisthotonos, 76. See Tetanus. in rabies, 61 Opsonic index in diagnosis of gonorrhceal arthritis, 106 of tuberculosis, 346 theory in treatment of tubercu- losis, 421 Opsonins in tuberculosis, 170 Optic neuritis in tuberculous menin- gitis, 308, 309 Orchitis in congenital syphilis, 493 in Malta fever, 26 Organotherapy in tuberculosis, 422 Orthopnoea in pneumothorax, 876 Osteitis, gonorrhoeal. 111 in syphilis, 462 Osteo-artnropathy, hypertrophic pulmo- nary, in bronchiectasis, 690 in tuberculosis, 294 Osteochondritis syphilitica, 492 Osteoma of lungs, 774 Osteomyelitis in bronchiectasis, 690 942 INDEX Osteomyelitis, eonorrhceal, HI Otitis media in Dronchopneumonia, 741 in hypertrophy of pharyngeal tonsil, 590 in tuberculosis, 359 Ovaries, tuberculosis of, pathology of, 239 Oxytuberculin, 160 Pachymeningitis in tuberculosis, 270 Painful heel, 110 foot, 110 Palate, tuberculosis of, 319 Palpitation in tuberculosis, 262 Panaritium, diagnosis of, from chancre, 456 Pancreas, syphilis of, 475 tuberculosis of, p>atholog>' of, 232 Papular syphilides, 464 Paralysis in beriberi, 35 compression in syphilis, 462 diagnosis of, from oeriberi, 38 general, syphilis and, 488 of muscles m syphilis of larynx, 627 in tuberculous meningitis, 308 Paralytic rabies, 62 Paraplegia in rabies, 62 Parasitic disease of lung, diagnosis of, from tuberculosis, 349 Parasyphilis, 487 Paratuoerculin, 161 Paravertebral triangle of dulness in pleuritis, 808 Parotid glands, tuberculosis of, 319 Parturition in tuberculosis, 326 Pasteur treatment of rabies, 66 Peach catarrh, 611 Pelvis, syphilis of, 478 Pemphigus, bronchitis in, 639 neonatorum, 491 Peri-anal abscess in tuberculosis, 412 Peri-arteritis, nodular, in syphilis, 484 Pericardial effusion, respiration in, 571 Pericarditis in abscess of lungs, 772 in bronchopneumonia, 741 gonococcal, 98 pleuritis and, 794 m tuberculosis, 321 Pericardium, effusion in, bronchostenosis and, 700 tuberculosis of, pathology of, 226 Perichondritis, gonococcal, 111 in syphilis of larynx, 627 Perihepatitis in pleuritis, 812 Periosteal tuberculosis, 244 Periostitis, j^onorrhoeal, 111 in syphilis, 462 Peripheral neuritides in syphilis, 462 neuritis, diagnosis of, from beriberi, 38 Peripleuritis, 846 Perisplenitis in pleuritis, 812 Peritoneum, tuberculosis of, 233 Peritonitis, gonorrhoea!, 115, 116 in tuberculosis 320, 360 Peritonsillar abscess, 598 diagnosis of, 599 onset of, 599 patholo^ of, 599 prognosis of, 599 symptoms of, 599 treatment of, 599 "Perlsucht" tuberculin, 161 Petechia; in tuberculosis, 263 Pharyngeal tonsil, hypertrophy of, 588 Pharyngitis, acute, 592 etiology of, 592 phlegmonous, 595 symptoms of, 592 treatment of, 592 bronchitis and, 642 chronic catarrhal, 593 cough in, 593 etiology of, 593 mucous membrane in, 593 pathology of, 593 symptoms of, 593 treatment of, 593 voice in, 593 follicular, 594 in tuberculosis, 264 Pharynx, diseases of, 591 in febricula, 524 in glandular fever, 526 obstruction of, mechanism of, 559 oedema of, angioneurotic, 596 tuberculosis of, 317 ulcers of, in glanders, 73 Phlebitis in glanders, 72 gonococcal, 98, 99 Phlegmonous pharyngitis, acute, 595 Phosphaturia in tuberculosis, 267 Phthisis ab ha'moptoe, 314 acute, 311 pneumonic, 216, 311 calcareous, of Bayle, 703 fibroid, 313 cough in, 313 dilatation of bronchi in, 313 dyspnoea in, 313 fever in, 313 hemoptysis in, 313 heart m, 313 types of, 313 florida, 219,312 Pigeon breast in tuberculosis, 283 Pigmentation of mediastinal lymph nodes, 917 Pigmented syphilides, 466 Piroplasma hominis, 536 Pityriasis rosea, diagnosis of, from syphilitic roseola, 464 versicolor in tuberculosis, 324 Plastic pleuritb, 784 INDEX 943 Pleura, actinomycosis of, 845 adhesion of, respiration in, 571 amyloid degeneration in, 845 diagnosis of, 845 perforation of chest wall in, 845 prognosis of, 845 treatment of, 845 in bronchiectasis, 686, 690 carcinoma of, 858 dyspna?a in, 860 examination of pleural fluid in, 861 occurrence of, 858 pain in, 860 pathology of, 859 physicalsigns in, 860 prognosis of, 861 sputum in, 860 symptoms of, 860 treatment of, 861 in cirrhosis of lungs, 748 diseases of, 780 echinococcus cysts of, diagnosis of, from pleuritis, 814 disease of, 863 blood in, 865 cough in, 864 diagnosis of, 865, 867 duration of, 865 dyspnoea in, 865 etiology of, 862 pathology of, 863 parapleural, 864 pleural, 863 primary, 863 secondary', 864 physical signs of, 865 prognosis of, 867 rupture in, 865 symptoms of, 864 treatment of, 867 urticaria in, 865 effusion of, diagnosis of, from abscess of lung, 772 in gangrene of lung, 768 lipoma of, 858 nocardiosis of, 845 perforation of, in bronchiectasis, 690 sarcoma of, 861 thickened, diagnosis of, from pleu- ritis, 790, 813 tuberculosis of, pathology of, 222 tumors of, 857 benign, 857 di£U^nosis of, from pleuritis, 814 mmignant, primary, 858 secondary, 862 Pleural crepitation in pleuritis, 789 effusion, respiration in, 567 fluids, chyliform, 854 chylous, 854 examination of, 815 i bacteriological, 819. 812 pericarditis and, 794 perihepatitis in, 812 perisplenitis in, 812 physical signs in, 801 auscultation, 805 inspection, 801 palpation, 803 percussion, 803 pleura in, 794 prognosis of, 820 prophylaxis of, 820 pulmonarv infarction and, 794 pulse in, 801 pupils in, 811 radioscopy in, 811 relapse in, 812 respiration in, 800 rheumatism and, 793 , symptoms of, 799 INDEX 945 Pleuritis, acute serofibrinous, symp- toms of, primary form, 799 secondary form, 800 special, 800 seque&e of, 813 side affected in, 795 singultus in, 801 spleen in, 811 spontaneous cure in, 820 sudden death in, 812 thrombosis in, 812 trauma and, 794 treatment of, 820 dru^ in, 832 elimination in, 832 eeneral, 821 local applications in, 822 respiratorj' exercises in, 831 special measures in, 822 tnoracentesis in, 822. See also Thoracen- tesis, thoracotomy in, 832 tuberculin in, 832 tuberculosis, acute miliary, in, 811 tuberculous, 810 typhoid fever and, 794 unne in, 801 voice sounds in, 806 in bronchopneumonia, 741 chronic, 84o classification of, 785 diagnosis of, from cirrhosis of lungs, 750 from tuberculosis, 349 diaphragmatic, 843 dry, 846 encysted, 843 etiology of, 782 age in, 782 bacterial, 783 exposure in, 783 occupation in, 783 season in, 783 sex in, 783 fibrinous, 785 in gonorrhoea, 114 hemorrhagic, 849 primary, 849 secondary, 849 history of, 780 infectious (non-tuberculous), 793 interlobar, 844 metapneumonic, 793 occurrence of, 782 organisms in, 784 plastic, -785 pleural crepitation in, 789 pneumococcus and, 784 VOL, HI.— 60 Pleuritis, pseudo-pleural sounds in, 789 streptococcus and, 784 tubercle bacillus and, 784 tuberculous, 180, 318, 791 animal inoculation in, 792 cells in, 792 diagnosis of, 330 exudate in, 792 postmortem evidence of, 792 prognosis of, 359 subsequent history in, 792 tubercle bacillus in, 792 tuberculin reaction in, 792 in tumors of lungs, 777 with effusion, 847 empyema, 847 serofibrinous form, 847 in tuberculosis, treatment of, 409 Pleuro-pericardial friction in pleuritis, acute fibrinous, 788 Pneumothorax, 868 Pneumatometry in tuberculosis, 286 Pneumatothorax, 868 Pneumococcus in bronchitis, 639 pleuritis and, 784 acute purulent, and, 833 Pneumokoniosis, 752 bronchiectasis and, 754 chronic bronchitis and, 754 cough in, 755 diagnosis of, 755 dyspncea in, 755 emphysema and, 754 etiology of, 752 pathology of, 753 prognosis of, 755 sputum in, 754 symptoms of, 754 treatment of, 755 Pneumonia, aspiration, gangrene of lung and, 765 bronchiectasis and, 689, 693 caseous, pathology of, 217 croupous, diagnosis of, from broncho- pneumonia, 742 diagnosis of, from pneumothorax, 887 fibrinous bronchitis in, 676 fibroid, 746. See Lungs, cirrhosis of. in glanders, 73 in gonorrhoea, 114 interstitial, 746. See Lungs, cir- rhosis of. in syphilis of lung, 472 lobar, diagnosis of, from bronchitis, 679 from pleuritis, 813 j!;angrene of lung and, 765 in Rocky Mountain fever, 540 tuberculosis and, 179, 317, 359 in psittacosis, 542 respiration in, mechanism of, 567 946 INDEX Pneumonia in tetanus, 81 in traumatic hemothorax, 852 tuberculous, acute, 311 albuminuria in, 311 cyanosis in, 311 diazo reaction in, 31 1 dyspnoea in, 311 haemoptysis in, 311 herpes labialis in, 311 onset of, 311 pulse in, 311 sputum in, 311 tubercle bacilli in, 311 in tumors of lungs, 777 white, 472 Pneumonic phthbis, acute, pathology' of, 216 Pneumotherapy in tuberculosis, 423 Pneumothorax, 868 abdominal viscera in, 875 acutissimus, 885 artificial. 885 in broncniectasis, 690, 693 closed, 884 coin sound in, 882 cough in, 876 course of, 883 cyanosis in, 876 definition of, 868 diagnosis of, 886 from diaphragmatic hernia, 887 from emphysema of lung, 762 from pleuritis, 887 from pneumonia, 887 from tuberculosis, 887 a:-rays in, 887 diaphragm in, 874 double, 886 dyspnoea in, 875 echmococcus disease of lung and, 871 in emphysema of lung, 761 empyema necessitatis and, 871 etiology of, 870 fracture of rib and, 871 from thoracentesis, 830 gas in, analysis of, 883 history of, 868 incidence of, 870 liver in, 875 lungs in, 874 metallic tinkle in, 881 onset of, 875 open, 885 orthopnoea in, 876 pain in, 875 pathology of, 873 physical signs of, 876 physiologj^ of, 869 prognosis of, 883 pulse in, 875 rales in, 882 respiration in, mechanism of, 569 respiratory murmur in, 879 I Pneumothorax, spleen in, 875 ' spontaneous, 872 diagnosis of, 887 onset of, 876 symptoms of, 876 subphrenic, 886 succussion splash in, 881 suffocative, 885 85rmptom8 of, 876 symptoms of, 875 thoracentesis and, 830, 871 traumatic, 870 treatment of, 888 in tuberculosis, 318, 871 prognosis of, 359 treatment of, 409 urticaria in, 875 valvular, 885 varieties of, 884 vocal resonance in, 881 Poisoning, strychnine, diagnosis of, from tetanus, 83 Pollen antitoxin, 614 toxin, 610, 612 Polydactylism, 490 Polyneuritis in gonorrhoea, 1 13 Polyuria in tuberculosis, 267 Post-tussive suction in tuberculosis, 292 Postnasal catarrh, 587 Potassium iodide in syphilis, 516 Pox, 436. See Syphilis. Precipitins in tuberculosis, 170 Pregnancy, asthma and, 712 effect of syphilis on, 489 in tuberculosis, 268, 326, 412 Proctitis, gonococcal, 91 Profeta's law in syphilis, 453 Prostate glands, tuberculosis of, 238, 322 Pseudo-cnylous pleural fluids, 855 Pseudo-pleural sounds in pleuritis, 789 Pseudo-pleuritic friction, 788 Pseudo-tubercle bacillus, 150 Psittacosis, 540 course of, 542 definition of, 540 diagnosis of, 542 from influenza, 542 from typhoid fever, 542 etiolojE^ of, 541 fever in, 542 history of, 540 onset of, 542 pathology of, 541 pneumonia in, 542 prognosis of, 542 spleen in, 542 8>'mptoms of, 542 treatment of, 542 Psoriaform syphilide, 491 Psychical changes in tuberculosis, 268 Psychoses in tuberculosis, 179, 269 Ptosis in tuberculous meningitis, 307, 309 Pulmonary anthrax, 47, 49 INDEX 947 Pulmonary apoplexy, 732 circulation, abnormal, effect of, 580 cirrhosis, 746. See Lungs, cirrhosis of. embolism, diagnosis of, from cedema of lungs, 728 hemorrlmge in bronchopneumonia, 741 respiration in, 567 osteo-arthropathy, hypertrophic, in bronchiectasis, 690 sclerosis, 746. See Lungs, cirrhosis of. stenosis in tuberculosis, 321, 359 tuberculosis, acute, 311 chronic, 313 closed, 314 latent, 314 masked, 314 subacute, 312 Pulse in asthma, 716 in capillary bronchitis, 653 in tuberculosis, 307, 311, 354 Purpura hemorrhajgica in tuberculosis, 263^324 miliana, 534 Pustular ecthyma, diagnosis of, from chancre, 456 syphilides, 465 Putrid bronchitis, 679. See Bronchitis, foetid. Pyaemia in bronchiectasis, 693 Pyelitis in fjonorrhoea, 115 Pyelonephntis in gonorrhcra, 1 15 Pyonephrosis in gonorrhcea, 1 15 Pyojjneumothorax, 868 in abscess of lungs, 772 in gangrene of lung, 768 subphrenicus, 886 Pyorrhoea alveolaris in tuberculosis, 263, 319 Quinsy, 598 Rabies, 52 animals affected by, 52 convulsions in, 61 definition of, 52 delirium in, 62 diagnosis of, 64 from acute mania, 64 from hysteria, 64 from lyssophobia, 64 from tetanus, 64 microscopic, 58 postmortem, 58 distnbution of, 52 of do^, 62 duration of, 62 etiology of, 53 history of, 52 Rabies, incubation of, 56 opisthotonos in, 61 paralytic, 62 paraplegia in, 62 patholo^ of, 56 prevention of, 69 prognosis of, 64 symptoms of, 60 temperature in, 62 treatment of, 65 Calmette's modification of Pasteur's method, 67 dilution method of H6gy^, 67 duration of immunity m, 68 Pasteur method, 66 prophylactic, 66 serumtherapy, 68 virus of 54 distribution of, 54 nature of, 55 penetration of, 56 resistance of, 55 ' Rachitis, tuberculosis and, 180 Radioscopy in pleuritis, 811 Rales in tuberculosis, 290 Raynaud's disease, diagnosis of, from leprosy, 133 Rectum, syphilis of, 477 ulcers of, in tuberculosis, 320 Relapsing fever, diagnosis of, from in- fectious jaundice, 530 Renal affections, bronchitis and, 672, 673 asthma, 672 diseases, bronchitis and, 642, 672 hydrothorax and, 848 Respiration, air pressure and, 581 in anaemia, 580 in asthma, 716 Riot's, 584 in bronchopneumonia, 738 in capillary bronchitis, 653 carbon monoxide and, 581 in embolism of lungs, 733 in infarction of lungs, 733 influence of afferent nerves on, 555 mechanism of, in abdominal tumors, 571 in adhesion of pleura, 571 in aneurism of aorta, 571 in ascites, 571 in asthma, 566 in bronchiectasis, 567 in bronchitis, 564 C^heyne-Stokes breathing in, 583 dyspnoea and, 582 in emphysema, 566 in enlargement of heart, 571 in hemorrhagic infarct, 567 in hypertrophy of thymus, 571 in kyphoscoliosis, 57 1 in meteorism, 571 muscular, 551 nervous, 554 948 INDEX Reepiration, mechanism of, in crdema of lunffs, 567 pathological condition affect- ing, 578 in pericardial eiTusion, 571 in pleural eflfusion, 567 in pneumonia, 567 in pneumothorax, 569 in pulmonary hemorrhage, 567 in substernal goitres, 571 in tumors of lungs, 567 of mediastinum, 571 of thorax, 571 in pleuritis, acute serofibrinous, 800 in tuberculosis, 274, 307, 355 Uespiratory centres, accessory, 557 changes in, efTect of, 583 diseases, mechanics of, 558 modes of death in, 584 murmur in pneumothorax, 879 in sarcoma of mediastinum, 898 muscles, lnner\^ation of, 557 passages, protection of, 637 system, syphilis of, 470 tuberculosis of, patholog>' of , 21 1 tract, anatomy of, 549 below bifurcation of bronchi, obstruction of, 563 foreign bodies in, meclianism of removal of, 578 obstruction of, 558 physiology of, 549 upper, obstruction of, 558, 560 lletropharyngeal abscess, 594 etiology of, 594 symptoms of, 595 treatment of, 595 Rheumatic fever, diagnosis of, from gonorrhceal arthritis, 106 from syphilis, 459 pleuritis and, 793 m tuberculosis, 325 Rhinitis, bronchitis and, 642 Rib, fracture of, pneumothorax and, 871 Rickets, chronic, bronchitis and, 662 congenital syphilis and, 492 • Rocky Mountain spotted fever, 535 blood in, 538 definition of, 535 diagnosis of, 540 from epidemic cer- ebrospinal men- * ingitis, 540 fromtvphoid fever, 540 from typhus fever, 540 epistaxis in, 537 etiolo^ of, 535 fever in, 538 gangrene of skin in, 539 hemorrhages in, 539 history of, 535 I Rocky Mountain spotted fever, lobar pneumonia in, 540 oedema of skin in, 539 onset of, 537 patholo^ of, 535 prognosis of, 540 rash in, 539 skin in, 537 spleen in, 537, 538 symptoms of, 537 treatment of, 540 Roentgen rays in tuberculosis, 292, 346, 424 Rose fever, 611 Roseola, syphilitic, 463 Ruck's water extract of tubercle bacilli, 160 8 Saccular bronchiectasis, 687 I Salivary glands, syphilis of, 475 tuberculosis of, 232, 319, 324 1 Sarcoma, diagnosis of, from leprosy, 133 j of lungs, 774 I of mediastinum, 893. I of pleura, 861 ; Satyriasis, 121. See Leprosy. Scarlet fever, diagnosis of, from glandular fever, 527, 528 ; tuberculosis and, 180 I Sciatica in gonorrhoea, 113 Sclerosis of mediastinal lymph nodes 917 pulmonary, 746. See Lungs, cir- rhosis of. Sclerotic patches in syphilis of lung, 472 Scoliosis, syphilitic, 490 Scrofula, chronic, bronchitis and, 662 pathology of, 224 Scrotuloderma, 246 Scrofulosis, tuberculosis and, 178 Scrotum, chancre of, 454 Seminal vesicles, tuberculosis of, 238, 322 Septicaemia, gonococcal, 93 blood cultures in, 95 in pleuritis, acute purulent, 838 Serodia^osis in tuberculosis, 346 Serofibnnous pleuritis, acute, 791 Seropneumothorax, 868 Serotherapy in tuberculosis, 422 Sexual desire in tuberculosis, 271 Siderosis, 753 Singultus in pleuritis, 801 Skin, emphysema of, in tuberculosis, 263 eruption, gonorrhoea!, 118 gangrene ef, in glanders, 73 in Rocky Mountain fever, 539 hyperaesthesia of, in tuberculosis, 263 leprosy, 126 lesions in anthrax, 47, 48 oedema of, in Rocky Mountain spotted fever, 539 IXDEX 949 Skin, Gedema of^ in tuberculosis, 263 in Rocky Mountain fever, 537 in syphilis, congenital, 491 tuberculosis of, 246, 262, 324 Smallpox, bronchitis in, 639 diagnosis of, from glanders, 75 tul^rculosLs and, 180 Sneezing, mechanism of, 575 SpenglePs **perlsucht" tuberculin, 161 Spina bifida, syphilitic, 490 Spirochete pallida, 442 clalssification of, 447 cultivation of, 448 diagnosis of, 446 from spirochspte refringens, 446 obtaining the organism, 445 significance of, 447 staining of, 445 refringens, diagnosis of, from spiro- chete pallida, 446 Spirometry in tuberculosis, 286 Spleen in capillary bronchitis, 652 enlargement of, in congenital syphilis of liver, 480 in glanders, 72 in glandular fever, 527 in Malta fever, 25 in miliary fever, 533 inpleuritis, 811 in pneumothorax, 87/> in psittacosis, 542 in Rocky Mountain fever, 537, 538 syphilis of, 457, 478 amyloid spleen in, 478 cicatrices m, 478 congenital, 493 gumma ta in, 478 in tuberculosis, 240, 266, 305, 306 Splenic fever, 42. See Anthrax. Sputum in abscess of lungs, 771 in asthma, 717 in bronchiectasis, 691 in bronchitis, chronic, 663 fibrinous, 676, 677 foetid, 680 in bronchostenosis, 701, 702 in carcinoma of pleura, 860 in cirrhosis of lungs, 749 in congestion of lungs, 724 in dermoid cysts of mediastinum, 907 in embolism of lungs, 733 in emphysema of lungs, 758, 760 in gangrene of lung, 767 in hav fever, 618 in infarction of lungs, 733 in pneumokoniosis, 754 in sarcoma of mediastinum, 896 in serous catarrh, 664 in thrombosis of lungs, 733 in traumatic haemothorax, 832 in tuberculosis, 306, 311, 312, 333 cells in, 336 Sputum in tuberculosis, collection of, 334 consbtency of, 335 ' crystals in, 337 disposal of, 371 elastic tissue in, 336 examination of, 334 macroscopic, 335 microscopic, 336 injection of, into animals, 340 lung stones in, 335 odor of, 335 prognosis of, 356 quantity of, 335 reaction of, 335 secondary organisms in, 339 selection of particles of, 336 specific gravity of, 335 taste of, 335 tubercle bacilli in, 337 cultivation of . 153 decoloration of, 337 differential diagnosis of, 338 examination of, 338 methods of increasing, number of, 339 in tumors of lungs, 776 Staphylococcus albus in bronchopneu- monia, 736 aureus in bronchopneumonia, 736 pleuritis and, 833 Stenosis of bronchi, bronchiectasis and, 685 of larynx in syphilitic laryngitis, 628 mitral, in tuberculosis, 321 pulmonary, in tuberculosis, 321, 359 Stomach in anthrax, 47 dilatation of, in tuberculosis, treat- ment of, 410 syphilis of, 475 tuberculosis of, 229, 264, 319 Stomatitis, diagnosis of, from foot and mouth disease, 545 gonococcal, 92 Stone-cutters' phthbis, 753 Strabismus, syphilitic, 490 in tuberculous meningitis,* 307, 309 Streptococcus in bronchitb, 640 capsulatus, pleuritb and, 834 pleuritis and, 784 acute purulent, and, 833 Stridor in syphilis of trachea, 471 Strychnine poisoning, diagnosis of, from tetanus, 83 Subdiaphragmatic abscesses, diagnosis of, from pleuritis, 814 tumor, diagnosis of, from pleuritis, 814 Succussion splash in pneumothorax, 881 Sudamina in tuberculosis, 256 Suffocation, slow, mechanism of, 584 Suffocative catarrh, 651 . See Bronchitb, capillar}'. 950 IXDEX Suprarenal glands, tuberculosis of, 322 Sweating sickness, 531. See Miliary fever. "SwoUen head fever/' 130 Syncytioma of lunes, 774 Syndactylism, syphilitic, 490 Syphilides, cutaneous, 449 psoriaform, 491 secondary, diagnosis of, from chancre, 456 SyphUis, 436 albuminuria in, 457 of alimentary canal, 475 alopecia in, 467 amyloid degeneration in, 451 anaemia in, 457 aneurism and, 483, 485 anorexia in, 457 of arteries, 484 arthritis in, 460 blood in, 450 of bloodvessels, 483 boulimia in, 457 of bronchi, 470, 674 bronchiectasis in, 675 bronchopneumonia in, 675 diagnosis of, 675 from tuberculosis, 675 symptoms of, 674 treatment of, 675 bronchiectasis and, 684 bronchitis in, 639 bronchostenosis and, 700 of central nervous system, 486 chancre, 453 complications of, 454 course of, 455 diagnosis of, 456 from abscess of tonsil, 456 from carcinoma of tonsil, 456 from chancroidal ulcer ,456 from diphtheria, 456 from panaritium, 456 from pustular ecthyma, 456 from secondary syphilides, 456 from tuberculous ulcera- tions, 456 of dorsum of penis, 454 extragenital, 455 • genital, 454 of glans, 454 histology of, 455 Hunterian, 453 of mons veneris, 455 prognosis of, 456 of scrotum, 454 site of, 454 of urethra, 454 varieties of, 455 charlatanism and, 502 of circulatory system, 483 j Sypliilis, Colles' law in, 452 I compression paralysis in, 462 congenital, 489 deaf-mutism in, 490 deafness in, 490 dystrophies of, 490 early, 491 anaemia in, 491 coryza in, 491 diarrhcea in, 493 erythema in, 491 hemorrhagic exanthemata in, 492 iaimdice in, 492 lips in, 491 liver in, 493 mucous patches in, 491 nose in, 491 orchitis in, 493 osteochondritis in, 492 pemphigus in, 491 psonaform s>'philide in, 491 rickets and, 492 roseola in, 491 skin in, 491 spleen in, 493 visceral lesions in, 493 vomiting in, 493 effects of, in pregnancy, 489 flat-foot in, 490 hernia in, 490 Hutchinsonian teeth in, 490 idiocy in, 490 keratitis in, 490 late, 493 luxation of hip in, 490 microcephaly from, 490 microdontism in, 491 polydactylism from, 490 scoliosis from, 490 spina bifida from, 490 strabismus in, 490 syndactylism in, 490 cutaneous lesions in, 462 syphilides in, 449 definition of, 436 diabetes insipidus and, 483 diagnosis of, from glanders, 75 from leprosy, 133 from malarial fever, 459 from rheumatic fever, 459 from tuberculosis, 460 from typhoid fever, 459 etiolo^ of, 440, 503 fever in, 458 gumma of, 449 hair in, 467 of heart, 485. See Heart, syphilis of. hereditary, treatment df, 520 history of, 436 immunity to, 451 inflammations in, 450 insontium, 455 INDEX %i Syphilis, insurance and, 495 of intestine, 477 iritis in, 462, 469 jaundice in, 462 of kidneys, 482 of larynx, 626, 629 of liver, 478. See Liver, syphilis of. in adult, 481 congenital, 480 of lung, 471. iSee Lungs, syphilis of. acquired, 472 congenital, 472 diagnosis of, from cirrhosis, 751 from tuberculosis, 349 lymphatic glands in, 458 marriage and, 495, 502 meningomyelitis, acute, in, 462 mucous lesions in, 462 membrane, lesions in, 450, 467 nails in, 467 nephritis in, 457 nervous affections and, 489 system in, 462 notification of, 499 of oesophagus, 475 osteitis in, 462 of pancreas, 475 papular eruption in, 464 paralysis, general, and, 488 pathology of, 448 of pelvis, 478 penostitis in, 462 peripheral neuritis in, 462 Pigmented syphilide, 467, 489 rofeta's law m, 453 prognosis of, 494 benign. 495 herediiary, 495 malignant, 495 normal, 495 prophylaxis in, 496 education in, 503 hereditary, 505 inspection in, 502 private hygiene in, 505 public, 501 pustular eruption in, 465 diagnosis of, from acne, 466 quartemary stage of, 487 of rectum, 477 of respiratory system, 470 roseola in, 463 diagnosis of, from measles, 464 from pityriasis rosea, 464 of salivary glands, 475 secondary, symptoms of, 457 late, 468 specific, 460 treatment of, 509 spirochsete pallida in, 442 of spleen, 457, 478 symptoms of, 453 general, 457 Syphilis, symptoms of, intermediate, 469 of stomach, 475 syphiloma in, 448 tabes and, 488 tertiary stage, 469 cutaneous, 486 gummatous, 487 tuberculous, 486 ulcerative, 487 in third generation, 453 thrombosis in, 462 tongue and, 489 of trachea, 470, 674 bronchiectasis in, 675 bronchopneumonia in, 675 diagnosis of, 675 from tuberculosis, 675 symptoms of, 674 treatment of, 675 transmission of, penalty for, 501 treatment of, 440, 506 of chancre, 506 blockading of, 506 cauterization of, 506 constitutional, 508 excision of, 506 general, 519 of local manifestations, 518 condylomata, 518 eye, 518 mucous patches, 518 syphiloderms, 518 provision for, 499 of secondary stage, 509 auxiliary, 509 mixed, 517 specific, 509 baths, 513 fumigation, 512 injection, 511 intravenous, 512 inunction, 510 iodism in, 517 mercury, 510 complications of, 516 disadvanta- ges of, 515 potassium iodide, 516 salivation in, 515 serum, 520 in tuberculosis, 179, 325 prognosis of, 359 treatment of, 412 tuberculous syphilide, 466 ulcerated syphilide, 466 vesicular eruption in, 465 virus of, nature of, 451 \nsceral lesions in, 462, 470 Syphilitic pseudoparalysis of newborn, 492 Syphiloderms, gummatous, 487 952 INDEX Syphiloderms, treatment of, 51S tuberculous, 486 ulcerative, 487 Syphiloma, 448 Syringomyelia, diagnosis of, from leprosy, 133 Tabes, dia^osis of, from beriberi, 38 syphilis and, 488 Tachycardia in tuberculosis, 407 Talalgia, 110 Tauraman, 161 Teeth, caries of, in tuberculosis, 263 Hutchinsonian, 490 Tendons, tuberculosis of, 245 Tenosynovitis, gonococcal. in pleuritis, 812, 832 in syphilis, 462 in tuberculosis, 322 Thrush in tuberculosis, 264, 319 Thymus, hypertrophy of, respiration in, mechanism of, 571 Thyroid gland, tuberculosis of, 241, 324 Tick fever of Rock)r Mountains, 535 Tinea in tuberculosis, 324 Tongue, tuberculosis of, 319 Tonsilloliths, 604 Tonsillitis, acute, 597 chills in, 597 diagnosis of^ 597 from diphtheria, 597 etiolo^ of, 597 fever in, 597 patholo^ of, 597 prognosis of, 598 symptoms of, 597 treatment of, 598 chronic follicular, diagnosis of, from mycosis of tonsils, 603 Tonsils, calculi of, 604 chancre of, 455 diseases of, 596 faucial, hypertrophy of, 600, 601 in febricula, 524 in ^andular fever, 526 mycosis of, 602 diagnosis of, 603 from diphtheria, 603 from follicular tonsillitis, 603 etiology of, 602 symptoms of, 603 treatment of, 603 pharyngeal, hypertrophy of, 588 tuberculosis of, 223, 264, 317 tumors of, diagnosis of, from quinsy, 699 Trachea, obstruction of, 559 syphilis of, 470, 674 IXDEX 953 Trachea, syphilis of, bronchiectasis in, 470. 675 bronchopneumonia in, 675 diagnosis of, 471, 675 dilatation in, 470 endotracheal contraction in, 470 fibrous tracheitis in, 470 gumma of, 470 prognosis of, 471 symptoms of, 470, 674 treatment of, 675 ulcers of, 470 tuberculosis of, 213, 317, 673 diagnosis of, from syphilis, 675 Tracheitis, fibrous, in syphilis, 470 Transudates, distinction from exudates, 814, 848 Trauma, pleuritis and, 794 Traumatic chylothorax, 856 hsBmothorax, 850. See Hapmotho- rax, traumatic. Tricuspid insufficiency in tuberculosis, 321 Trismus, 76. See Tetanus. Tubercle bacillus, pleuritis and, 784, 833 in pleuritis, diagnosis of, 819 in sputum, decoloration of, 337 diagnosis of, 337, 338 examination of, 338 method of increasing num- ber of, 339 prognosis of, 358 in tuberculous pneumonia, acute, 311 Tubercles, necrogenic, 246 Tubercular leprosy, 129 Tuberculase, 161 Tuberculin, 160 in diagnosis of tuberculosis, 341 administration of, 342 contra-indications to, 343 dosage of, 341 results and statistics of, 345 effects of, 163, 421 modifications of, 160 in pleuritis, acute serofibrinous, 832 reaction to, 164, 343 in treatment of tuberculosis, 415 dosage of, 416 duration of, 418 eflfects of, 421 interval of, 416 Tuberculinic acid, 159 Tuberculocidin, 160 Tuberculol, 160 Tuberculoplasmin, 160 Tuberculosis, 137 abscess of lung, 317 activity of, signs of, 294 acute, fever in, 251 Addison's disease in, 326 of adrenal glands, pathology of, 241 advanced, physical si^ns of, 292 adventitious sounds m, 290 I Tuberculosis, agglutinins in, 170 albuminuria in, 267, 323 prognosis of, 355 alimentary system in, 263 alveolar abscess in, 319 amenorrhoea in, prognosis of, 355 treatment of, 412 amyloid disease in, 325 anaemia in, 322 prognosis of, 360 treatment of, 410 aneurism of aorta in, 322 angle of Louis in, 283 in animals, domestic, 146 in natural state, 145 anorexia in, 265 antibodies in, 170 antitoxins in, 170 antitubereulins in, 170 aphonia in, 269, 317 aphthous ulcers in, 319 appendicitis in, 320 treatment of, 412 arrest of, signs of, 294 arteriosclerosis in, prognosis of, 354 arthritis deformans in, 326 treatment of, 412 asthma in, 318 prognosis of, 359 asymmetry of chest in, 283 atelectasis in, 318 avian, 147 bacillus of, 147 "aggressive" activity of, 163 biolo^ of, 151 chemical composition of, 158 pathology of, 162 classification of, 147 cultivation of, 152 duration of life of, 154 diiTerentiation of, 151 distribution of, 208 effects of, on tissues, 200 fats in, 159 immunity to, mechanism of, 165 involution forms of, 148 modes of entry and distribu- tion of, 206 in alimentary tract, 207 in genital tract, 208 in respiratory tract, 207 in skin, 208 morpholo^ of, 147 nucleic acid in, 159 nuclein in, 158 number of, 171 outside the body, 155 pleomorphism of, 147 re-infection with, susceptibility to, 166 resistance of, 155 to antiseptics, 157 to cold, 156 954 ISDEX Tuberculosis, bacillus of, resistance of, to drying, 156 to s^tric juice, 157 to heat, 155 to lieht, 157 mechanism of, 165 to putrefaction, 156 to water, 156 secondary auto-infection by, 199 secretions during growth of, 159 spore formation of, 148 staining properties of, 147 transformations of, 152 tuberculinic acid in, 159 varieties of, 148 avian type, 149 bovine type, 149 human type, 149 piscine type, 150 peeudo-tuoercle bacilli, 150 reptilian type, 150 virulence of, 171 variations in, 152 wax in, 159 bacteriolysin in, 170 barrel chest in, 283 of bladder, 237, 322 blood in, 256 bacteriology of, 259 pressure in, 261 prognosis of, 356 of bloodvessels, 210, 228, 262 of bones, 244 of brain, 242 of breast, 240 breathing in, cogged, 289 harsh, 290 jerky, 289 prolonged expiration, 289 puerile, 290 wavv, 289 weakened, 290 of bronchi, 213,317, 673 diagnosis of, from syphilis, 675 bronchiectasis and, 317, 684 prognosis of, 359 bronchitis in, prognosis of, 359 treatment of, 408 bronchopneumonia and, 317, 742 of buccal cavity, 319 of bursae, pathology of, 246 carcinoma and, 325 cardiorespiratory murmurs in, 291 caseation in, 203 cavity in, signs of, 293 chest in, 285 chilblains in, treatment of, 410 chills in, 256 treatment of, 400 chlorosis in, 322 chronic, fe er in, 250 circulation in, 259 Tuberculosis, circulation in, prognosis of, 354 in cirrhosis of lungs, 750 clinical forms of, 302 acute miliary, 303 meningeal, 307 pulmonar>', 306 typhoid, 304 pulmonary, 311, 312 chronic pulmonary, 313 latent pulmonary, 314 subacute pulmonary, 312 complications of, 315 circulatory system, 321 cutaneous system, 324 gastro-intestinal, 319 genito-urinary, 322 l>Tiiphatic system, 324 ner\'ous system, 322 prognosis of, 359 treatment of, 408 constipation in, 266, 411 coryza in, treatment of, 408 cough in, 272 cause of, 272 emetic, 273, 401 frequency of, 272 morning, treatment of, 401 nervous, 273 night, treatment of, 401 paroxysmal, 273, 401 productive, 272 prognosis of, 355 treatment of, 400, 401, 402 varieties of, 272 course of, 297 cure of, signs of, 294 cyanosis in, 262 prognosis of, 354 cyrtometry in, 285 decrease of, 144 dementia prspcox in, 270 dental caries in, 263, 319 diabetes insipidus in, 325 mellitus in, 325, 359, 412 diagnosis of, 327 cough in, 329 cytSdiagnosis, 341 differential, 347 from actinomycosis of lung, 350 from anthrax, 350 from bronchiectasis, 349, 690, 693 from bronchitis, 348, 664 from bronchopneumonia, 348, 742 from chlorosis, 348 from cirrhosis of lungs, 751 from endocarditis, 349 from exophthalmic goitre, 349 from gangrene of lung, 349 IXDEX 955 Tuberculosis, diagnosis of, difTerential, from glanders, 75 from dandular fever, 527 from Hodgkin's disease, 349 from malarial fever, 348 from nervous dyspepsia, 348 from parasitic disease of lung, 349 from pleurisy, 349 from pneumothorax, 887 from syphilis of lung, 349, 460 from tumors of lung, 350, 779 from typhoid fever, 348 dyspnoea in, 330 fever in, 328 hsemoptysis in, 329 loss of strength in, 329 opsonic index in, 346 pnysical signs in, 331 pleurisy in, 330 predisposing factors in, 327 Koentgen rays in, 346 serodiagnosis in, 346 source of infection in, 327 of special forms of, 346. 347 sputum in, 333. See Sputum in tuberculosis, symptoms in, 327 tuberculin in, 341 adminbt ration of, 341 contra-indications to, 343 dosai^ of, 341 reaction of, 343 results of, 345 urine in, 341 weight m, 328 diarrhcea in, 266 diazo reaction in, prognosis of, 355 digestion in, 264 disturbances of, treatment of, 410 diphtheria in, 325 projgnosis of, 359 disposition to, 172 in prognosis of, 352 distribution of, geographical, 144 zoological, 145 duration of, 299 dyspnoea in, 274, 407 of ear, 319, 408 early physical signs of, 292 economic loss from, 143 emaciation in, 284 embolbm in, 322 emphysema in, 317 prognosis of, 359 of skin in, 263 empyema in, 319 prognosis of, 359 treatment of, 409 endocarditis m, 227. 321 Tuberculosis of epididymis, 238, 322 erythema in, 262, 324 etiology of, 142 expectoration in, 273 treatment of, 402 at e?ctremes of life, 300 of eye, 319 of Fallopian tubes, 239, 322 of fasciae, pathology of, 245 fats in, 254 of fauces, 319 fever in, 248 cause of, 249 treatment of, 397 fingers, clubbing of, in, 263, 294 fistula-in-ano in, 320 prognosis of, 360 treatment of, 412 funnel chest in, 283 of gall-bladder, pathology of, 233 of gall-ducts, pathology of, 2S3 gangrene of lung in, 317 prognosis of, 359 gastralgia in, 265 gastric disorders in, 264 ulcer in, 319 genito-urinary system in, 235, 266 gingivitis in, 319 gout in, pro^osis of, 359 hsemoptysis in, 275 amount of blood in, 277 causes of, 278 effect of, 279 freauency of, 275 patnolo^ of, 276 prognosis of, 355 site of, 276 treatment of, 403 hair in, 263 headache in, 271 heart in, 261,320 hemidrosis in, 256 Henoch's purpura in, 324 herpes labialis in, 263 zoster in, 271, 324 Hippocratic digits in, 263, 294 history of, 137 hyperaesthesia of skin in, 263, 408 hypertrophic pulmonary osteoar- thropathy in, 294 hystena in, 269 immunity to, 167 experiments in, 168 specific, mechanism of, 169 incipient, physical signs of, 292 inequality of pupils m, 284 infection of, 186 conditions influencing, 171 frequency of, 198 from cattle, 187 intra-uterine, 189 latent, 197 paths of, 191 95G INDEX Tuberculosis, infection of, relative fre- quency of modes of, 197 sources of, 187 influenza in, treatment of, 408 inorganic salts in, 255 insanity in, prognosis of, 359 insomnia in, 271, 412 of intestines, 230, 319 treatment of, 411 ischiorectal abscess in, 320 of joints, pathology of, 244 knee-jerks in, 270 of kidneys, 235, 322 of larynx, 212, 317, 630. See Laryn- gitis, tuberculous, latent, physical signs of, 292 leukocytes in, 258 of lips,* 319 ofliver, 232, 266,320 loss of strength in, 255 of lungs, pathology of, 213, 217, 221 lupus in, 324 of lymphatic glands, 223, 226, 324 of mammary glands, 324 mania in, 270 of mediastinal lymph nodes, 918 melancholia in, 270 prognosis of, 359 of meninges, 242 meningitis in, 270, 322 prognosis of, 359 menorrhagia in, 268 menstruation in, 267 mental diseases in, 322 metabolic changes in, 254 miliary, acute, 303 etiology of, 304 generd, 305 Cheyne-Stokes breath- ing in, 305 cyanosis in, 305 delirium in, 305 diagnosis of, 305 dyspnoea in, 305 emaciation in, 305 fever in, 305 leukocytes in, 305 meteorism in, 305 pathology of, 209 petechite in, 305 m pleuritis, 811 pulse in, 305 spleen in, 305 symptoms of, 305 treatment of, 306 history of, 304 incidence of, 304 meningeal, 307 Babinski's reflex in, 308 Cheyne-Stokes breath- ing in, 307 Tuberculosis, miliary, acute meningeal, coma in, 308 convulsions in, 307 cytology in, 309 delirium in, 307 diagnosis of, 309 duration of, 309 erythema in, 307 etiology of, 307 eyes in, 309 fever in, 307 headache in, 307 hemiplegia in, 307 herpes in, 307 hydrocephalic cr\' in, 307 hj'peraesthesia in, 308 Kernig's sign in, 308 lumbar puncture in, 308 Macewan's sign in, 309 monoplegia in, 307 onset of, 307 optic neuritis in, 308, 309 paralysis in, 308 paresis of muscles in, 308 prognosis of, 310 ptosis in, 307 pube in, 307 respiration in, 307 stages of, 307 strabismus in, 307 temperature in, 309 treatment of, 310 vomiting in, 307 pulmonary, 306 Cheyne-Stokes breath- ing in, 306 cough in, 306 cyanosis in, 306 diagnosis of, 306 dyspncea in, 306 fever m, 306 hemoptysis in, 306 physical signs of, 306 pulse in, 306 spleen in, 306 sputum in, 306 mitral insufficiency in, 321 stenosis in, 321 prognosis of, 359 mortality from, 143 of mouth, pathology of, 229 of muscles, pathology of, 245 myocarditb in, 322 of myocardium, pathology of, 227 mvoidema in, 294 nails in, 263 nausea in, 265, 410 nephritis in, 322, 323 prognosis of, 355 IXDEX 957 Tuberculosis, nervous system in, 242, 268 neuralgia in, 270 neurasthenia in, 269 neuritis in, 270 neuroses in, 269 night-sweats in, 255 treatment of, 406 of nose, 211,317,408 oedema of lungs in, prognosis of, 359 of skin in, 263 of oesophagus, 229, 319 oliguria in, 267 onset of, 295 ansemic, 297 catarrhal, 296 diarrhoeic, 297 febrile, 297 following fistula-in-ano, 296 gastric, 297 glandular, 296 nsemoptic, 296 insidious, 295 laryngeal, 296 latent, 295 ''malarial," 296 nervous, 296 pleuritic, 296 typhoidal, 297 opsomns in, 170 otitis media in, prognosis of, 359 of ovaries, pathology of, 239 pachymeni igitis in, 270 pain in, 280, 407 of pancreas, pathology of, 232 of palate, 319 palpitation in, 262 of parotid glands, 319 parturition in, 326 patliology of, 200 peri-anal abscess in, treatment of, 412 of peribronchial glands, 225 pericarditis in, 321 of pericardium, pathology of, 226 of peritoneum, pathology of, 233 peritonitis in, 320 prognosis of, 359 petecnia; in, 263 pharyngitis in, 264 of pharynx, 317 phosphaturia in, 267 physical signs of, 282 auscultation, 288 inspection, 282 mensuration, 285 palpation, 286 percussion, 286 pigeon breast in, 283 pityriasis versicolor in, 324 of pleura, pathology of, 222 pleuritic effusion in, prognosis of, 359 treatment of, 409 friction in, 291 pleuritis in, 318, 786 Tuberculosis, pnieumatometry in, 286 pneumonia, lobar in, 317 prognosis of, 359 pneumothorax in, 318, 871 prognosis of, 359 treatment of, 409 polyuria in, 267 post-tussive suction in, 292 precipitins in, 170 predisposition to, acquired, 178 danger of infection, 183 asylums, 185 dwellings, 183 factory or shop, 184 familv, 183 health resorts, 184 institutions, 184 marriage, 183 prisons, 185 sanatoriums, 184 schools, 185 local, 176 age, 177 sex, 178 natural, 173 constitution, 175 heredity, 173 race, 173 pregnancy in, 268, 326 treatment of, 412 prognosis of, 350 age in, 351 basis for scientific, 350 character in, 352 disposition in, 352 environment in, 351 heredity in, 351 nervous symptoms in, 355 onset in, 353 physical signs in, 356 sex in, 351 sputum in, 358 weight in, 353 prophylaxis in, 361 general, 371 burial in, 375 churches, 375 coughing, 373 domestic pets, 375 expectoration, 371 house, 374 laundry, 374 rules for patients, 374 servants, 375 sputum, disposal of, 371 history of, 301 indiviclual, 375 amusements, 377 choice of occupation, 377 in childhood, 375 marriage, 377 results of, 378 State and municipal, 362 958 INDEX Tuberculosis, prophylaxis in, State and municipal,animal,363 armv, 362 clothing, 367 dairies, 363 dispensaries, 370 education, 364 factories and shop8,368 hospitals, 369 house, 365, 366 institutional, 367 navy, 362 notification, 365 prisons, 368 sanatoriums, 370 schools, 368 slaughter-houses, 363 tenements, 367 trades, 369 traffic, 369 of prostate, 322 proteids in, 254 psychical changes in, 268 pulmonary, acute, 311,312 chronic, 313 fibroid phthisis, 313 ulcerative, 313 classification of, 427 closed, 314 latent, 314 masked, 314 stenosis in, 321 prognosis of, 359 subacute, 312 dyspnoea in, 312 pulse in, 259 purpura in, 263, 324 pyorrhoea al\«eolaris in, 26;?, 319 rales in, 290 re-infection of, 198 rectal ulceration in, 320 resistance to, natural, 171 respiration in, 274 prognosis of, 355 respiratory exchange in, 255 rheumatic fever in, 325 Roentgen rays in, 292 of salivary fjiands, 232, 319, 324 secondary mfection in, 315 treatment of, 409 of seminal vesicles, 238, 322 sexual desire in, 271 of skin, 246, 262, 324 softening in, physical signs of, 293 spirometry in, 286 spleen in, 240, 266 statistics of, 142 of stomach, 229, 319 stomatitis in, 264, 319 sudamina in, 256 of suprarenals, 322 symptoms of, 248 syphilis and, 325 Tuberculosis, syphilis of lung and, 475 prognosis of, 359 treatment of, 412 tachycardia in, treatment of, 407 of tendons, pathology of, 245 termination of, 301 arrest, 301 death, 302 of testicle, 238, 322 thoracic abscess, superficial, in, 324 duct, 211 thrombosis in, 322 thrush in, 264, 319 of thyroid gland, 241, 324 tinea in, 324 of tongue, 319 of tonsils, 223, 317 of trachea, 213, 317, 673 diagnosis of, from syphilis, 675 transmission of, external modes of, 190 hereditary, 188 placental, 189 treatment of, 378 accessories for, 424 patients confined to lied, 425 sleeping out of doors, 426 balneotherapy in, 397 climatic, 391 deserts, 394 high altitudes, 395 marine, 394 dietetic, 383 home, 390 hygienic-dietetic, 380 exercise, 381 respiratory, 383 rest, 381 institutional, 387 dispensaries, 387 hospitals, 387 sanatorium, 387 advantages of, 388 amusements in, 389 classes in, 389 dailv life in, 389 length of stay in, 390 modifications of, 390 selection of jMitients for, 388 treatment in, 389 work in, 389 medicinal, 413 alcohol in, 414 arsenic in, 413 cinnamic acid in, 414 creosote and its derivatives in, 413 f)Ost-discharge, 397 results of, 426 INDEX 959 Tuberculosis, treatment of, results of, at ! Adirondack Cottage 8ani- ' tarium, 429 | in children, 434 i classification of, 427 of dispensary treatment, ' 429 loss of physical signs, 433 tuoercle bacilli in, 435 |n sanatorium, 429 in sanatoriiuns, German, 433 statistical reports of, 429 of tuberculin treatment, 434 at Adirondack Cot- tage Sanitarium, 434 ultimate, 428 weight in, 433 specific, 415 electricity in, 424 hydrotherapy, 422 inhalations in, 423 injections in, 423 opsonic theory in, 421 organotherapy in, 422 pneumotherapy, 423 serotherapy, 422 tuberculin m, 415 with bacteria, 421 x-rays in, 424 surgical, 424 symptomatic, 397 tricuspid insufficiency in, 321 tubercles in, 200 ulcerative, diagnosis of, from gan- grene of lung, 768 unemia in, 323 of ureter, pathology of, 237 of urethra, pathology of, 238 urine in, 267 of uterus, 239, 267, 322 of uvula, 319 vaccination in, 325 of vagina, jjathology of, 239 of vas deferens, pathology of, 238 veiled pufif in, 292 venous varices in, 284 verruca necrogenica in, 324 vocal resonance in, 290 voice in, 282 vomiting in, 266, 410 of vulva, 322 weight in, 252 Tuberculous bronchopneumonia, acute, 312 empyema, treatment of, 841 memn^tis, 307 pleuritis, 791 hemorrhagic, 849 pneumoiva, acute, 311 syphilides, 466 syphiloderm, 486 Tuberculous ulcers, diagnosis of, from chancre, 456 vaccines, 161 Tulase, 161 Tumors, abdominal, respiration in, 571 of liver in syphilis, 481 of lungs, 773. gangrene and, 765 respiration in, 567 of mediastinum, 890 bronchostenosis and, 699 diagnosis of, from asthma, 719 from bronchitis, 665 primary, 891 respiration in, 571 of pleura, 857. See Pleura, tumors of. subdiaphragmatic, diagnosis of, from pleuritis, 814 of thorax, respiration in, 571 of tonsils, diagnosis of, from quinsy, 599 Typhoid bacillus, pleuritis and, 834 fever, bronchitis in, 643, 669 diagnosis of, from acute miliary tuberculosis, 305 from infectious jaundice, 530 from milk sickness, 548 from psittacosis, 542 from Rocky Mountain fever, 540 from syphilis, 459 from tuberculosis, 348 gangrene of lung and, 765 pleuritis and, 794 tuberculosis and, 180 in tuberculosis, prognosis of, 359 Typhus fever, diagnosis of, from Rocky Mountain fever, 540 Ulcerated syphilides, 466 Ulceration of" lung in foetid bronchitis, 681 IHcerative pulmonary tuberculosis, 313 syphiloderm, 487 Ulcers, aphthous, in tuberculosis, 319 chancroidal, diagnosis of, 456 gastric, in tuberculosis, 319 of intestines, syphilitic, 477 of larynx in glanders, 73 of mouth in glanders, 73 of pharynx in glanders, 73 of rectum in tuberculosis, 320 syphilitic, of stomach, 475 of trachea, 470 tuberculous, diagnosis of, from chancre, 456 Uraemia, diagnosis of, from OBdema of lung, 728 in tuberculosis, 323 ^ 960 INDEX Ureter, tuberciilosLs of, pathology of, 237 Urethra, chancre of, 454 tuberculosis of, pathology of, 238 Urination in tetanus, 80 Urine in beriberi, 36 in bronchitis, 647, 649, 663 in bronchopneumonia, 739 in febricula, 524 in glanders, 73 in infectious jaundice, 529 in miliary fever, 533 in milk sickness, 547, 548 in pleuritis, 801 in syphilis, 482 in tetanus, 80 in tuberculosis, 267, 305, 341, 355 Urticaria, 118 in echinocoocus disease of pleura, 865 in pneumothorax, 875 Icterus in tuberculosis, 239, 267, 322 Uvula, tuberculosis of, 319 Vaccination, anti-syphilitic, 500 in tuberculosis, 325 Vaccines, tuberculosis, 161 Vagina, tuberculosis of, pathology of, 239 Valvular pneumothorax, 876 Vas deferens, tuberculosis of, 238 Venous varices in tuberculosis, 284 Verruca necrogenica in tuberculosis, 324 Vertigo in tuberculosis, 270 Vesicular syphilides, 465 Virus of rabies, 54, 55, 56, Visceral lesions in syphilis, 462, 493 Vocal cords in chronic laryngitis, 625 in oedema of laiynx, 634 in tuberculosis of larynx, 631 resonance in tuberculosis, 290 Voice in asthma, 716 in bronchostenosis, 701 in chronic catarrhal pharyngitis, 593 in hay fever, 618 in hypertrophy of faucial tonsils, 601 of pharyngeal tonsil, 590 Voice in oedema of larynx, 634 in sarcoma of mediastinum, 897 sounds in pleuritis, 805 in syphilis of larynx, 627, 628 in tuoerculosis, 282 Vomiting in anthrax, 49 in gangrene of lung, 767 in glandular fever, 526 in infectious jaundice, 529 in miliary fever, 533. 