None
Symptoms. — In many cases of tuberculosis of the mediastinal lymph nodes no symptoms result. In children dying of some of the acute infec- tious diseases tuberculous lymph nodes are quite frequently found without there having been any symptoms during life pointing to them. When the lymph nodes are sufficiently enlarged and so situated as to produce pressure, we get a variety of symptoms. A very important one is cough due to bron- chial irritation. This is apt to be persistent in the form of paroxysms of spasmodic cough, often resembling pertussis. Substernal pain may occur. More characteristic is pain behind, in the region of the fourth dorsal verte- bra. Dyspnoea may be present, as also dysphagia. The latter may be pres- ent and persist without the oesophageal sound giving any evidence of stenosis. Venous dilatation, oedema, cyanosis, hoarseness, and aphonia, as evidence of localized intrathoracic pressure, occur. Physical EzamisatiQn is often negative. In some cases enlarged lymph nodes can be palpated in the suprasternal notch. Fixation of the trachea during respiration may be detected. In a few cases dulness on percussion is elicited, especially behind in the region of the second to sixth dorsal verte- brie on one or both sides, near the midline or in front over the sternum. In other cases, with or without dulness near the naidline behind, percussion over the spinous processes may give resonance different from that elicited under normal conditions. Kor&nyi' has pointed out that normally over the seventh cervical spine there is flatness; from the first to fifth dorsal spines there is a gradually increasing resonance, and, from the sixth to the ' CerUralbl /. aUg. Path., etc., 1904, xv, 749. ' Transactions of the Pathological Society of London^ 1898, xlix, 22. » Zeit. /. klin. Med., 1906, Ix, 295. 920 DISEASES OF THE MEDIASTINUM eleventh, resonance. In cases with enlarged bronchial lymph nodes flatness continues below the seventh cervical and modified resonance extends to a lower level than in the normal. On auscultation increased transmission of respiration and voice may be detected in these regions. Snuth has called attention to a venous hum, heard over the sternum with the head thrown back, as a sign of enlarged bronchial lymph nodes. Wie- derhofer attaches importance to a relatively loud expiration heard behind over the left bronchus, where normally sound transmission is rather less than on the right. Neisser* has recently devised an ingenious method for palpating the bronchial lymph nodes. He uses a stomach tube with a thin rubber mem- brane so tied over its lateral opening that, when air is forced into the tube, the rubber membrane is blown up to produce a local bulging. The tube is passed into the oesophagus so that the lateral opening is about at the level of the bifurcation of the trachea. Air is now forced into the stomach tube and pressure is brought to bear on the wall of. the oesophagus by the dilating rubber membrane. In consequence pressure is made on the wall of the oesophagus in the region of the bronchial lymph nodes. If the latter are in an inflammatory condition pain is produced by this pressure, and Neisser considers this a delicate method for cletecting disease of the bronchial lymph nodes. This may prove of service in diagnosing even the slighter forms of tuberculosis of the bronchial lymph nodes. Diagnosis. — Diagnosis in children in whom tumors are not so very com- mon can be correctly made in many cases. In adults the difiBculties are much greater, since, freauently, all the signs of tumor are closely simulated, and this diagnosis is made on account of the greater frequency of mediastinal tumors in the adult. Even confusion with aneurism may arise. Treatment. — ^The treatment does not differ from that applicable to other forms of tuberculosis unsuited for surgery. 1 Deuisch. Arch, /. klin. Med., 1905, Ixxxvi, 28. INDEX. Abdominal viscera, hernia of, 915 in pneumothorax, 875 Abscess, alveolar, in tuberculosis, 319 of brain in abscess of lungs, 772 in acute purulent pleuritis, 838 in bronchiectasis, d90, 693 in bronchopneumonia, 741 ischiorectal, in tuberculosis, 320 of kidney in bronchiectasis, 690 of liver in bronchiectasis, 693 of lungs, 769. See Lung, abscess of. in bronchopneumonia, 741 in traumatic hsemothorax, 852 in tuberculosis, 317 of mediastinum, bronchostenosis and, 700 peri-anal, in tuberculosis, treatment of, 412 peritonsillar, 598. See Peritonsillar retropharyngeal, 594. See Retro- ;eal abscess, thoracic, in tuberculosis, superfioi 324 of tonsils, diagnosis of, from chancre, 456 Acne, diagnosis of, from pustular syphil- ides, 466 syphilitica, 492 Actinomyces, acute purulent pleuritis and, 834 Actinomycosis of lung, diagnosis of, from tuberculosis, 350 of pleiu», 845. See Pleura, actino- mycosis of. Addison's disease in tuberculosis, 326 Adenitis, acute cervdcal, 525 gonococcal, 112 tuberculous, pathology of, 224 Adenoid growths m nasophar\'nx, 588 Adenoids, chronic bronchitis and, 662 Adenoma of limgs, 774 Adrenal glands, tuberculosis of, pathology of, 241 Adventitious sounds in tuberculosis, 290 Agglutinins in tuberculosis, 170 Albuminuria in bronchiectasis, 692 , bronchitis and, 642, 663, 672 Albuminuria in bronchopneumonia, 739 in glanders, 73 in gonorrhoea, 115 in hav fever, 618 in infectious jaundice, 529 in miliary fever, 533 in rabies, 62 in syphilb, 457, 483 in tetanus, 80 in tuberculosis, 267, 305, 311, 323 prognosis of, 355 Alcoholism, chronic bronchitis and, 662 Alimentary canal, syphilis of, 475 system in tuberculosis, 263 Alopecia in syphilis, 467 Alveolar abscess in tuberculosis, 319 Amenorrhoea in tuberculosis, prognosis of, 355 treatment of, 412 Amyloid degeneration in abscess of lungs, 772 in actinomycosis of pleura, 845 in acute purulent pleuritb, 838 in syphilis, 451, 48& in tuoerculosis, 324 liver in syphilis, 482 sjjleen in syphilis, 478 Ansemia in gonorrhceal arthritis, 105 respiration in, 580 in syphilis. 457 in tuberculosis, 322 prognosis of, 360 treatment of, 410 Aneurism of aorta, bronchostenosis and, 699 diagnosis of, from asthma, 719 from chronic bronchitis, 665 from tumor of lung, 779 respiration in, mechanism of, 571 tuberculosis and, 322 diagnosis of, from sarcoma of medi- astinum, 900 syphilis and, 483, 485 Angina erjrthematosa syphilitica, 457 Ludwi^'s, 595 pectoris, diagnosis of, from oedema of lungs, 728 Angioneurotic oedema of larynx, 634 of pharynx, 596 Anglcof Louis in tuberculosis, 283 (921) 922 INDEX Anorexia in bronchopneumonia, 739 in gangrene of lung, 767 in glanders, 72 in miliary fever, 533 in syphilis, 457 in tuDerculosis, 265, 305 treatment of, 411 Anthracaemia, 42. jSee Anthrax. Anthracosis, 753. Anthrax, 42 in animals, 43 bacilli in, distribution of, 48 bacteriology of, 45 bronchitis m, 639 cyanosis in, 49 definition of, 42 diagnosis of, 50 from tuberculosis, 350 diarrhoea in, 49 etiology of, 44 external, etiology of, 45 symptoms of, 48 gastro-intestinal, etiology of, 45 heart in, 47 history of, 42 internal, symptoms of, 49 intestinal, morbid anatomy of, 47 symptoms of, 49 kidneys in, 47 lungs in, 47 morbid anatomy of, 47 oedema in, malignant, 49 pathogenesis of, 46 prognosis of, 50 pulmonar>% 47, 49 skin lesions i^, 47, 48 stomach in, 47 symptoms of, 48 treatment of, 50 prophylactic, 51 serum, 51 vomiting in, 49 Antibodies in tuberculosis, 170 Antiphthisin, 160 Antisyphilitic vaccination, 500 Antitetanic serum, 86 Antitoxin in hay fever, 614 in tuberculosis, 170 Antituberculins in tuberculosis, 170 Aorta, aneurism of. See Aneurism of aorta. Aortic insufficiency in svphilis, 486 Aphonia in acute catarrhal laryngitis, 624 in syphilis of trachea, 471 in tuberculosis, 269, 317, 631 AphthjB epizooticcp, 542 Aphthous fever, 542 ulcers in tuberculosis, 319 Apoplexy, pulmonary, 732 Appendicitis in tuberculosis, 320, 412 Arteries, syphilis of, 484 endarteritis, acute gummatous, 484 Arteries, syphilis of, endarteritis, oblit- erative, 484 nodular peri-arteritis, 484 Arteriosclerosis in tuberculosis, 354 Arteritis, syphilitic, 484 Arthritis deformans, diagnosis of, from gonorrhoea! arthritis, 106 relation of, to gonorrhoea! arth- ritis, 109 in tuberculosis, 326 treatment of, 412 gonococcal, 99, 102 blood in, 105 diagnosis of, 106 from acute rheumatism, 106 from arthritis deformans, 106 opsonic index in, 106 x-rays in, 106 etiolo^ of, 99 fever m, 105 history of, 99 joint involvement in, 103 onset of, 102 pathology of, 101 relation of, to arthritis defor- mans, 109 symptoms of, 102 treatment of, 107 results of, 109 surgical, 108 in Malta fever, 26 in syphilis, 460 Ascites in beriberi, 32 in congenital syphilis of liver, 480 respiration in, mechanism of, 571 Asphyxia in embolism of lungs, 733 in infarction of lungs, 733 mechanism of, 584 in thrombosis of lungs, 733 Asthma, 710 age in, 711 bronchitis and, 643 Charcot-Leyden crystals in, 718 climate in, 711 cough in, 715 Curschmann's spirals in, 717 definition of, 710 diagnosis of, 719 from aneurism of aorta, 719 from bronchitis, acute, 719 chronic, 664 fibrinous, 678 from dyspnoea, cardiac, 719 hysterical, 719 from emphysema, 719 from foreign body in bronchi, 719 from influenza, 719 from tumors of mediastinum, 719 dyspnoea in, 715 etiology of, 711 • INDEX 923 Asthma, gout in, 712 hemoptysis in, 718, 730 hay, 613, 718 kidne3rs in, 712 lungs in, 712 mucous membrane in, 711 pathology of, 712 physical signs in, 716 pregnancy and, 712 prognosis of, 719 pulse in, 716 renal, 672 respiration in, 716 mechanism of, 566 seasons in, 711 sputum in, 717 symptoms of, 715 theories of, 713 treatment of, 720 of paroxysm, 720 in intervals of, 722 tuberculosis and, 180, 318 prognosis of, 359 voice in, 716 Asymmetry of chest in tuberculosis, 283 Atelectasis, capillary bronchitb in, 652 in tuberculosis, 318 in tumors of lung, 778 Atelectatic bronchiectasis of Heller, 698 Atrophic cirrhosis in syphilis, 482 leprosy, 129 Auto-intoxications, chronic bronchitis and, 662 Autumnal catarrh, North American, 612 Axillary glands in pleuritis, 811 B Babinski's reflex in tuberculous menin- gitis, 308 Bacillen emulsion, 161 Bacillus anthracis, 42, 45 catarrhalis, 642 colon, acute purulent pleuritis and, 834 in foetid bronchitis, 680 diphtheriae in pleuritis, 834 influenzae in bronchopneumonia, 737 in pleuritis, 834 lepne, 121, 124 mallei, 71 mucosus capsulatus in pleuritis, 834 proteus fluorescens, 528 putidus splendens in foetid bronchitis, 680 tetani, 77 tuberculosis, 147 "aggressive" activity of, 163 biology of, 151 chemical composition of, 158 pathology of, 162 classification of, 147 I Bacillus tuberculosis, cultures of, 152 duration of life of, 154 dififerentiation of, 151 efifects of, on tissues, 200 fats in, 159 inmiunity to, mechanism of, 165 involution forms of, 148 modes of entry and distribution of, 206 morphology of, 147 nuclein in, 158 nucleinic acid in, 159 number of, 171 pleomorphism of, 147 re-infection with, susceptibility to, 166 resistance of, 155 to antiseptics, 157 to cold, 156 to drying, 156 to gastric juice, 157 to heat, 155 to light, 157 mechanism of, 165 to putrefaction, 156 to water, 156 secretions during growth of, 159 spore formation of, 148 staining properties of, 147 transformations of, 152 tuberculin, 160 tuberculinic acid in, 159 varieties of, 148 avian type, 149 bovine type, 149 human type, 149 piscine type, 150 pseudotubercle bacilli, 150 reptilian type, 150 virulence of, 171 variations in, 152 wax in, 159 typhosus, pleuritis and, 834 veneris, 441 Bacteria of normal bronchi, 636 treatment of tuberculosis with, 421 Bacteriology of blood in tuberculosis, 259 of bronchopneumonia, 736 of glandular fever, 526 Bacteriolysins in tuberculosis, 170 Barrel chest in tuberculosis, 283 Bayle, calcareous phthisis of, 703 v. 6ehring*s bovovaccine, 161 tuberculase, 161 tulase, 161 Beraneck's tuberculin, 161 Beriberi, 29 acute pernicious, 34 ascites in, 32 circulation in, 36 complications of, 37 definition of, 29 diagnosis of, 37 924 INDEX Beriberi, diagnosis of, from I^ndry's paralysis, 38 from myelitis, 38 from peripheral neuritb, 38 from tabes, 38 diet and, 30, 40 etiology of, 30 geographi(»Bd distribution of, 29 history of, 29 hydropericardium in, 32 hydrothorax in^ 32 hypenpsthesia m, 35 in mfants, 37 liver in, 33 nerves in, 33 organisms in, 31 paralysis in, 35 patholog}^ of, 32 predisposition to, 29 prognosis of, 38 prophylaxis of, 39 reflexes in, 36 sequelte of, 37 symptoms of, 34 treatment of, 40 urine in, 36 varieties of, 34 Biot's respiration, 584 Black fever, 535 Bladder, tuberculosis of, 237, 322 Blood in echinococcus disease of pleura, 865 in gonorrha?al arthritis, 105 in pleuritis, acute fibrinous, 789 purulent, 835 serofibrinous, 810 pressure in pleuritis, 811 in tuberculosis, 261 in Rocky Mountain spotted fever, 538 in syphilis, 450 in tuberculosis, 256, 356 bacteriology of, 259 Bloodvessels in emphysema of lung, 758, 760 syphilis of, 483 aneurism and, 483, 485 tuberculosis of, 210, 228, 262 Blue disease, 535 Bone, gonococcal lesions of. 111 Bones, tuberculosis of, pathology of, 244 Boulimia in syphilis, 457 Bo vo vaccine, 161 Bradycardia in syphilis of heart, 486 Brain, abscess of, in abscess of lungs, 772 in bronchiectasis, 690, 693 in bronchopneumonia, 741 tuberculosis of, pathology of, 242 Breasts, chancre of, 455 tuberculosis of, pathology of, 240 Breath sounds in pleuritis, 805 Bronchi, calculi of, 703 Bronchi, dilatation of, 681. See Bron- chiectasis, in fibroid phthisis, 313 diseases of, 636 foreign bodies in, 704 bronchiectasis in, 706 cough m, 707, 708 cyanosis in, 707 (fiagnosis of, 708 from asthma, 708, 719 from fibrinous bron- chitis, 678 from laryngismus strid- ulus, 708 from whooping-cough, 708 dyspnoea in, 706, 708 gangrene of lungs and, 765 lungs in, 705 patholo^ of, 705 prognosis of, 708 sequelae of, 705 sputum in, 708 symptoms of, 706 treatment of, 709 leprosy of, 674 new-growths of, diagnosis of, from bronchiectasis, 694 normal, bacteria of, 636 obstruction of, 698. See Broncho- stenosis, stenosis of, 698. See Bronchostenosis syphilis of, 470. 674 bronchiectasis in, 675 bronchopneumonia in, 675 diagnosis of, 675 symptoms of, 674 treatment of, 675 tuberculosis of, 213, 673 diagnosis of, from syphilis, 675 wall of, diseases of, bronchostenosis and, 700 Bronchial asthma, mechanism of, 566 calculi, 703 Bronchiectasis, 681 abscess of brain in, 690 of kidney in, 690, 693 of liver m, 693 acute, 683 age in, 684 albuminuria in, 692 atelectatic, of Heller, 698 bronchopneumonia and, 683, 693 causes of, external to bronchi, 685 within bronchi, 684 in cirrhosis of lungs, 749 clubbing of fingers in, 692 collapse of lung and, 686 complications of, 693 congenital, 697 cough in, 690 diagnosis of, 693 from abscess of lungs, 772 INDEX 925 Bronchiectasis, diagnosis of, from chronic bronchitis, 693 from empyema, 693, 694 from gangrene of limg, 693 from new-growth of bronchi, 694 from tuberculosis, 349, 690, 693 diarrhcea in, 692 dyspnoea in, 691 expectoration in, 691 extent of, 688 fever in, 691 fibrosis of lungs in, 693 gangrene of lung and, 693, 765 dands in, 690 nsemoptysis in, 693 h)rpertrophic pulmonary osteo- arthropathy m, 690 influenza and, 682 lungs in, 685 morbid anatomy of, 686 osteomyelitis in, 690 pain in, 691 pathogenesis of, 684 perforation of pleura in, 690 physical signs of, 692 pleura in, 686 pneumokoniosis and, 754 pneumonia andj 689, 693 pneumothorax m, 690, 693 prognosis of, 694 pyaemia in, 693 respiration in, mechanism of, 567 secondary infections in, 690 sputum in, 691 stenosis of bronchi and, 685 stricture of bronchi and, 684 structure of walls of bronchi in, 688 suppurative hepatitis in, 690 symptoms of, 690 syphilis and, 684 of bronchi, 675 of trachea, 470, 675 treatment of, 694 surgical, 697 in tuberculosis, 317, 359, 684 ulcerative endocarditis in, 693 varieties of, 686 cylindrical, 687 fusiform, 687 , saccular, 687 whooping-cough and, 683 Bronchiolitis acuta fibrosa obliterans, 700 Bronchitis, 636 acute, chronic bronchitis and, 662 diagnosis of, from asthma, 719 from bronchopneumonia, 742 of larger tubes, 649 diagnosis of, 650 prognosis of, 651 symptoms of, 649 Bronchitis, acute, of smaller tubes, 651 See Bronchitis, capillary, of albuminuria, 642, 672 asthma and, 643 bacteriolo^ of, 637 in cachectic states, 643 capillary, 651 in aged, 654 in atelectasis, 652 coma in, 653 cough in, 653 cyanosis in, 653 definition of, 651 delirium in, 653 diagnosis of, 653 from asthma, 654 from bronchopneumonia, 653, 742 from pneumonia, 654 etiology ot, 652 Graves' sign in, 653 hydrotherapy in, 656 lungs in, 652 onset of, 652 pathology of, 652 physical signs in, 653 prognosis of, 654 prophylaxis in, 655 pulse m, 653 respiration in, 653 spleen in, 652 symptoms of, 652 treatment of, 655 summary of, 659 chill in, 640 chronic, 661 acute bronchitis and, 662 adenoids and, 662 albuminuria in, 663 auto-intoxications and, 662 breathing in, 663 cardiac dropsy in, 663 catarrh, chronic, and, 662 serous, and, 664 climate in, 665 cough in, 662, 663 diagnosis of, 664 from aneurism of aorta, 665 from asthma^ 664 from bronchiectasis, 693 from cardiovascular dis- ease, 665 from emphysema, 665 from tuberculosis, 664 from tumors of medias- tinum, 665 digestion in, 663 dyspnoea in, 663 emaciation in, 663 etiology of, 661 nasal obstruction and, 662 night-sweats in, 663 onset of, 662 926 INDEX Bronchitis, chronic, pneumokoniosis and, 754 prognosis of, 665 sputum in, 663 symptoms of, 662 treatment of, 665 varieties of, 663 classification of, 638, 648 climate in, 641 clinical forms of, 648 cold m^ 640 cough m, 645 definition of, 636 diagnosis of, from tuberculosis, 306, 348 in diphtheria, 639 diplooacillus in, 640 dyspnoea in, 647 etiology of, 636 expectoration in, 646 fibrinous, 675 casts in, 676, 677 Charcot-Leyden crystals in, 676 cough in, 677 Curschmann*s spirals in, 676 diagnosis of, 678 from asthma, 678 from diphtheria, 679 from foreign body, 678 from pneumonia, 679 in diphtheria, 675 d>[spnoea in, 677 etiology of, 675 hemorrhage in, 677 history of, 675 onset m, 677 pathology of, 676 physicEU signs of, 677 in pneumonia, 676 prognosis of, 679 sputum in, 676, 677 symptoms of, 677 treatment of, 679 foetid, 679 bacillus coli communis in, 680 putidus splendens in, 680 bronchopneumonia in, 681 cough in, 680 diagnosis of, 681 from gangrene of lung, 768 etiology of, 679 ffangrene of lung in, 681 leptothrix pulmonalis in, 680 oidium albicans in, 680 patholo^ of, 680 sputum in, 680 symptoms of, 680 treatment of, 681 ulceration of limg in, 68 foreign bodies and, 642 from anthrax, 639 gangrenous, 679. Bronchitis in glanders, 639 hay fever in, 643 heart affections and, 642, 672 history of, 636 in influenza, 639, 669 laryngitis and, 642 in malarial fever, 639 in measles, 639, 669 mechanism of, 564 in mitral insufficiency, 670 stenosis, 671 non-specific, 639 pain m, 647 pathology of, 643 m pemphigus, 639 pharyngitis and, 642 physical signs in, 647 plastic, 675. See Bronchitis, fibrin- ous, pn^umococcus in, 639 pseudomembranous, 675. See Bron- chitis, fibrinous, purulent, 664 putrid, 679. Carcinoma of larynx, diagnosis of, from syphilis, 628 from tuberculosis, 632 of limgs, 774 of mediastinum, 901 of pleura, 858. See Pleura, carcino- ma of. of tonsil, diagnosis of, from chancre, 456 tuberculosis and, 181, 325 Cardiac dropsy in chronic bronchitis, 663 dyspnoea, diagnosis of, from asthma, 719 Cardiorespiratory murmurs in tubercu- losis. 291 Caries of teeth in tuberculosis, 263 Caseous bronchopneumonia, 312 pneumonia, 217, 311 Casts in fibrinous bronchitis, 676, 677 Catarrh, autumnal, 612. See also Hay fever, chronic, chronic bronchitis and, 662 dry, 663 postnasal, 587 serous, 664 suffocative, 651. See Bronchitis, capillary. Catarrhal jaundice, epidemic, 528 laryngitis, acute, 623 diagnosis of, from syphilis, 628 pharyngitis, chronic, 593. See Pharyngitis, chronic catarrhal. Cephalalgia in tuberculosis, 270, 271 Cerebral abscess in absrops of lung, 772 in arnte purulent pleuritis, 838 in bronchiectasis, 690, 693 Cerebrospinal meningitis, epidemic, diag- nosis of, from Rocky Mountain fever, 540 from tetanus, 83 Cervical adenitis, acute, 525 Chalicosis, 753 Chancre, 453 complications of, 454 course of, 455 diagnosis of, 456 extragenital, 455 928 INDEX Chancre, genital, 454 histolo^ of, 455 Huntenan, 453 prognosis of, 456 site of, 454 varieties of, 455 Chancroidal ulcer, diagnosis of, from chancre, 456 Charcot-Leyden crystab in asthma, 718 in fibrinous bronchitis, 676 Cheeks, chancre of, 455 Chest wall, perforation of, in actinomy- cosis of pleura, 845 Cheyne-Stokes respiration, 583 in tuberculosis, 305, 306 in tuberculous meningitis, 307 Chilblains in tuberculosis, 410 Chills in acute tonsillitis, 597 in tuberculosis, 256, 305 312 treatment of, 400 Chin, chancre of, 455 Chlorosis, diagnosis of, from tuberculosis, 348 in tuberculosis, 322 Chondritis, gonococcal, 111 Chondroma of lungs, 774 of mediastinum, 892 Chyliform pleural fluids, 854 Chylothorax, 854 diagnosis of, 814, 856 etiology of, 855 occurrence of, 856 prognosis of, 856 traumatic, 856 treatment of, 857 Chylous pleural fluids, 854 Circulatory disturbances of lungs, 723 system, syphilis of, 483 tuberculosis of, 226 Cirrhosis of liver, atrophic, in svphilis, 482 hypertrophic, in syphilis, 481 of lungs, 746. See Lungs, cirrhosis of. Clergyman's sore throat, 593 Climate in tuberculosis, 391 Coal-miners' disease, 753 Coin sound in pneumothorax, 882 CoUes' law in syphilis, 452 Colon bacillus, pleuritis and, 834 Coma in capillary bronchitis, 653 in milk sickness, 547 in tuberculous meningitis, 308 Condylomata, treatment of, 518 Congenital bronchiectasis, 697 syphilis, 489 early, 491 late, 493 of liver, 480 pulmonary, 472 Congestion of lungs, 723. See Lungs, congestion of. Coniothecum syphiliticum, 441 Conjunctivffi, chancre of, 456 ConjunctivsB in hay fever, 618 Conjunctivitis, gonococcal, 90, 117 treatment of, 91 neonatorum, 91 Constipation in acute tonsillitifl, 697 in bronchitis, 647, 649 in febricula, 524 in dandular fever, 526 in Malta fever, 25 in milk sickness, 547 in psittacosis, 542 in Rocky Mountain spotted fever, 537 in tuberculosis, 266 treatment of, 411 Consumption, galloping, 312 Convulsions in embolism of lungs, 733 in infarction of lungs, 733 in milk sickness, 547 in rabies, 61 in thrombosis of limgs, 733 in tuberculous meningitis, 307 Coryza in congenital syphilis, 491 in tuberculosis, treatment of, 408 Cough in abscess of limgs, 770 in asthma, 715 in bronchiectasis, 690 in bronchitis, 645 acute, 649 capillary, 653 chronic, 663 foetid, 680 in bronchopneumonia, 738 ,n bronchostenosis, 701 ,n chronic catarrhal pharyngitis, 593 in cirrhosis of lungs, 749 n congestion of lungs, 724 in embolism of lungs, 733 in emphysema of lungs, 760 n fibroid phthisis, 313 n gangrene of lungs, 767 n hay lever, 618 n hydrothorax, 848 .n hypertrophv of faucial tonsOs, 601 in infarction o\ lungs, 733 in oedema of larynx, 634 of lungs, 727 in pleuritis. 787, 800 in pneumokoniosis, 755 in sarcoma of mediastinum, 896 in thrombosis of lungs, 733 in traumatic hiemothorax, 852 in tuberculosis, 272, 305, 306 caiise of, 272 diagnosis of, 329 emetic, 273 treatment of, 401 frequency of, 272 of larynx, 631 morning, treatment of, 401 nervous, 273 night, treatment of, 401 paroxysmal, 273 INDEX 929 Cough in tuberculosis, paroxysmal, treat- ment of, 401 prognosis of, 355 treatment of, 400 varieties of, 272 in tuberculous bronchopneumonia, acute, 312 in timtiors of lungs, 776 winter, 649 Coughing, mechanism of, 575 Curschnmnn's spirals in asthma, 717 in fibrinous bronchitis, 676 Cutaneous lesions in syphilis, 462 Cyanosis in anthrax, 49 in bronchopneumonia, 738, 739 in capillary bronchitis, 653 in cirrhosis of lungs, 749 in congestion of lungs, 724, 725 in oedema of lungs, 728 in pneumothorax, 876 in tuberculosis, 262, 305, 306, 354 in tuberculous pneumonia, acute, 311 Cylindrical bronchiectasis, 687 Cyrtometry in tuberculosis, 285 C^sts, echmococcus, of pleura, 863 of mediastinum, dermoid, 902 echinococcus, 915 sim[)le, 902 Cytodiagnosis in tuberculosis, 341 Cytology in tuberculous meningitis, 309 Cytorrhyctes luis, 441 Dacryo-adenitib, gonorrhoeal, 118 Deaf-mutism, syphuitic, 490 Deafness in hypertrophy of pharyngeal tonsil, 590 syphilitic, 490 Deliriimd in bronchitis, 650, 653 in milk sickness, 547 in rabies, 62 in tuberculosis, 305, 307 | Dementia pnecox in tuberculosis, 270 Dengue, diagnosis of, from infectious i jaundice, 530 | Dental caries in tuberculosis, 319 J Deny's tuberculin, 160 Dermoid cysts of mediastinum, 902 Diabetes insipidus, syphilis and, 483 I mellitus, gangrene of lung and, 765, ! 767 in tuberculosis, 325, 359, 412 Diaphragm, perforation of, in pleuritis, • 837 ^ I phenomena in pleuritis, 808 { in pneumothorax, 874 Diaphragmatic hernia, diagnosis of, from pneumothorax, 887 pleurisy, 843 i Diarrhoea in anthrax, 49 I VOL. III. — 59 Diarrhoea in bronchiectasis, 692 in con^nital syphilis, 493 in febricula, 524 in foot and mouth disease, 545 in gangrene of lung, 767 in p;landular fever, 526 in mfectious jaundice, 529 in psittacosis, 542 in tuberculosis, 266, 308, 312 Diazo reaction in tuberculosis, 311, 355 Diet in tuberculosis, 384 Digestive disturbances in tuberculosis, treatment of, 410 tract, tuberculosis of, pathology of, 229 Dilatation of bronchi, 681. disease of lung, pneumothorax and, 871 Ecthyma, pustular, diagnosis of, from chancre, 456 sj'philitica, 492 ElepHantiasis grsDCorum, 121. See Lep- rosy. Embolism of lung, 732. See Lung, em- bolism of. inpleuritis, 812, 838 in tuberculosis, 322 Emphysema of lungs, 756. See Lungs, emphysema of. diagnosis of, from asthma, 719 from bronchitis, 665 mechanism of, 566 pneumokoniosis and, 754 of mediastinum, 916 of skin in tubercidosis, 263 in tuberculosis, 317, 359 Empyema, 832. See Pleuritis, acute purulent, in oronchiectasis, 693 diagnosis of, from abscess of lungs, 772 diagnosis of, from acute serofibrinous pleuritis, 814 encysted, 843 interlobar, 844 diagnosis of, 844 from tumors of lung, 844 symptoms of, 844 treatment of, 844 necessitatis, pneumothorax and, 871 pulsating, 835 m tuberculosis, 319 pathology of, 222 prognosis of, 359 treatment of, 409, 841 Enchondroma of lungs, 774 Endarteritb, acute gummatous, 484 Endarteritis obliterative, 484 Endocarditis in bronchopneumonia, 741 gonococcal, 96, 97, 98 pleuritis and, 794 post^norrhoeica, 96 syphilitic, 486 in tuberculosis, 321 Endocardium, tuberculosis of, pathology of, 227 Endothelioma of lungs, 774 of mediastinum, 901 Ephemeral fever, 522. See Febricula. Epididymis, tuberculosis of, 238, 322 Epiglottis in oedema of larj'nx, 634 Epilepsy, parasyphilitic, 489 Epistaxis in empnysema of lungs, 760 in ^nders, 72 in infectious jaimdice, 529 in miliary fever, 533 in Rocky Mountain fever, 537 Erythema in congenital s>'philis, 491 in febricula. 524 gonorrnoeal, 118 in miliary fever, 534 multiforme, diagnosis of, from leprosy, 133 nodosum, gonorrhoeal, 118 in tuberculosis, 262, 307, 324 Exophthalmic goitre, diagnosis of, from tuoerculosis, 349 Expectoration, albuminous, in thoracen- tesis, 830 in bronchitis, 646 in tuberculosis, 273, 402 Exudates, distinction of, from transu- dates, 814, 848 Eye, syphilis of, treatment of, 518 tuberculosis of, 319 Eyelids, chancre of, 455 Fallopian tubes, tuberculosis of , 239, 322 Farcy, 69 acute, symptoms of, 73 chronic, symptoms of, 74 Fascise, tuberculosis of, pathology of, 245 Fauces, tuberculosis of, 319 Faucial tonsils, hypertrophy of, 600 Febricula, 522 constipation in, 524 definition of, 522 diagnosis of, 525 diarrhoea in, 524 erythema in, 524 etiolo^ of, 522 fever in, 524 herpes in, 524 history of, 522 onset of, 524 pathological anatomy of, 524 pharynx in, 524 INDEX 931 Febricula, prognosis of, 525 symptoms of, 524 treatment of, 525 Fever in abscess of lungs, 771 in acute catarrhal laryngitis, 624* tonsillitis, 597 in bronchiectasis, 691 in bronchitis, acute, 650 capillary, 653 fibrinous, 677 foetid, 680 in bronchopneumonia, 739, 740 in cirrhosis of limgs, 749 in congestion of lungs, 724 in febncula, 524 in fibroid phthisis, 313 in foot and mouth disease, 544 in gangrene of lung, 767 in glandular fever, 526 in oedema of larynx, 634 in psittacosis, 542 in Kocky Mountain spotted fever, 538 in syphilis, 458, 628 in tuberculosis, 248, 305, 306, 307 diagnosis of, 328 of larynx, 631 prognosis of, 353 treatment of, 397 in tumors of lungs, 776 Fibrinous bronchitis, 675. See Bron- chitis, fibrinous, pleurisy, 784 Fibroid phthisis, 313 cough in, 313 dilatation of bronchi in, 313 dyspnoea in, 313 fever in, 313 haemoptysis in, 313 heart m, 313 types of, 314 pneumonia, 746. See Lungs, cir- rhosis of. Fibroma of lungs, 774 of mediastinum, 891 Fibrosis of lungs in bronchiectasis, 693 Fibrous myocarditis, syphilitic, 486 tracheitis in syphilis, 470 Fingers, chancre of, 455 clubbing of, in bronchiectasis, 692 in tuberculosis, 263, 294 Fistula-in-ano in tuberculosis, 320 prognosis of, 360 treatment of, 412 Flatulence in tuberculosis, 410 Foetid bronchitis, 679. See Bronchitis, foetid. Follicular pharyngitis, chronic, 594. See Pharyngitis, chronic follicular. Foot and mouth disease, 542 definition of, 542 diagnosis of, 545 from stomatitis, 545 diarrhoea in, 545 Foot and mouth disease, eruption in, 544 etiology of, 543 glands in, 545 history of, 543 pathological anatomy of, 543 symptoms of, 544 in cattle, 545 treatment of, 545 painful, 110 Foreign bodies in bronchi, 704 diagnosis of, from fibrinous bronchitis, 678 gangrene of lung and, 765 bronchitis and, 642 obstruction from, mechanism of, 563 in respiratory tract, mechanism of removal of, 575 Fracture of rib, pneumothorax and, 871 Funnel chest in tuberculosis, 283 Fusiform bronchiectasis, 687 Gall-bladder, tuberculosis of, 233 Clall-ducts, tuberculosis of, 233 Gangrene of lung, 765. See Lung, gan- grene of. in traumatic hsemothorax, 852 of skin in glanders, 73 in Rocky Mountain fever, 539 Gangrenous bronchitis, 679. See Bron- chitis, foetid. Gastralgia in tuberculosis, 265 Gastric fever, 523 ulcer in tuberculosis, 319 Gastritis, diffuse svphilitic, 475 Gastro-enteritis, diagnosis of, from milk sickness, 548 Gastro-intestinal anthrax, etiology of, 45 complications of tuberculosis, 410 disease, tuberculosis and, 180 Genito-urinary system in tuberculosis, 235, 266 Gingivitis in tuberculosis, 319 Glanders, 69 acute, 72 albuminuria in, 73 bacteriology of, 71 bronchitis in, 639 chronic, 73 definition of, 69 diagnosis of, 74 from smallpox, 75 from syphilis, 75 from tuoerculosis, 75 serum, 75 epistaxis in, 72 etiology of, 70 gangrene of skin in, 73 history of, 69 932 INDEX Glanders in horse, 70 morbid anatomy of, 72 phlebitis in, 72 pneumonia in, 73 prognosis of, 75 spleen in, 72 symptoms of, 72 treatment of, 75 ulcers of lar>'nx in, 73 of mouth in, 73 of pharynx in, 73 Glands, axillary, in pleuritis, 811 in bronchiectasis. 690 in foot and moutn disease, 545 in glandular fever, 527 lymph, tuberculosis of, 224, 324 mammary, tuberculosis of, 324 parotid, tuberculosis of, 319 prostate, tuberculosis of, 322 salivary, syphilis of, 475 tuberculosis of, 232, 319, 324 suprarenal, tuberculosis of, 322 thyroid, tuberculosis of, 324 Glandiuar fever, 525 bacteriology of, 526 definition of, 525 diagnosis of, 527 from scarlet fever, 527, 528 from tuberculosis, 527 etiolo^ of, 526 fever m, 526 glands in, 527 history of , 525 nephritis in, 527 onset of, 526 patholo^ of, 526 prognosis of, 528 symptoms of, 526 gastro-intestinal, 526 tonsus in, 526 treatment of, 528 Glans penis, chancre of, 454 Goitre, exophthalmic, diagnosis of, from tuberculosis, 349 intrathoracic, 909 Goitres, substernal, respiration in, 571 Gonococcal adenitis, 112 arthritis, 99 blood in, 105 diagnosis of, 106 from acute rheumatism, 106 from arthritis deformans, 106 opsonic index in, 106 x-rays in, 106 etiologj*" of, 99 history of, 99 joint involvement in, 103 onset of, 102 pathologj- of, 101 relation of, to arthritis defor- mans, 109 symptoms of, 102 Gonococcal arthritis, treatment of, 107, 108,109 bone lesions, 111 conjunctivitis, 90, 91, 117 in adult, 90 neonatorum, 91 heel, 110 lesions of heart and vessels, 96 myositis. 83rmptoms of, 730 in syphilis of lung, 474 in thrombosis of lungs, 733 in traumatic haemothorax, 852 treatment of, 731 in tuberculosis, 275, 306, 311, 312 amount of blood in, 277 causes of, 284 diagnosis of, 329 effect of, 279 frequency of, 275 patholo^ of, 276 prognosis of, 355 site of, 276 treatment of, 403 in tumors of lungs, 776 Haemoserothorax, 849. See Pleuritis, hemorrhagic. Hsemothorax, 850 traiunatic, 850 absorption in, 851 coagulation in, 851 complications of, 852 diagnosis of, 853 etimogy of, 850 examination of pleural fluid in, 851 fever in, 852 luemopneumothorax in, 852 haemoptysis in, 852 onset of hemorrhage in, 850 pathology of, 850 physical signs of, 852 pleuritis in, 851 pneumonia in, 852 prognosis of, 853 pulmonary abscess in, 852 ^ngrene in, 852 relation of, to tuberculosis, 852 sequelae of, 852 sputum in, 852 symptoms of, 852 treatment of, 853 Hahn's tuberculoplasmin, 160 Hairan syphilis, 467 in tuberculosis, 263 Hay asthma, 613, 718 Hay fever, 605 albuminuria in, 618 bacterial theory of, 606 bronchitis and, 643 conjunctivae in, 618 cough in, 618 epidemiology of, 605 etiology of, 605 history of, 605 mucous membranes in, 605, 618 nasal passages in, 618 pollen antitoxin in, 614 theory of, 606,611 toxin and, 610, 612 predisposition to, 605, 616 serum therapy in, 620 sputum in, 618 symptoms of, 618 treatment of, 615, 619 Head tetanus, 82 Heart in anthrax, 47 in cirrhosis of lungs, 749 dilatation of, in syphilis, 486 diseases of, bronchitis and, 642, 670 cause of, 672 tuberculosis and, 181 in emphysema of lun^, 758, 760 enlargement of, respiration in, 571 in fibroid phthisis, 313 hypertrophy of, bronchostenosis and, /700 in pleuritis, displacement of, 806, 807,808 S)rphilis of, 485 in tuberculosis, 261, 320 Hebraeorum ,121. See Leprosy. Heel, gonorrhoeal, 110 Helicomonaden, 441 Heller, atelectatic bronchiectasis of, 698 Hemidrosis in tuberculosis, 256 Hemiplegia in gangrene of lung, 768 in tuberciuous meningitis, 307 Hemorrhage in abscess of lungs, 772 in acute catarrhal laryngitis, 624 in bronchopneumonia, 741 in fibrinous bronchitis, 677 in gangrene of lung, 767 mediastinal, 916 in miliary fever, 533 pulmonary, respiration in, 567 in Rocky Mountain fever, 539 in syphilis of trachea, 470 Hemorrhagic exanthemata in congenital syphilis, 492 infarct, respiration in, 567 pleural fluids, 849 pleurisy, 849. Hemorrhoids in emphysema of lungs, 760 Henoch's purpura in tuberculosis, 324 Hepatic tumor in syphilis, 481 Hepatitis in congenital syphilis, 480 suppurative, in bronchiectasis, 690 Hernia of abdominal viscera, 915 934 IXDEX Herpes in febricula, 524 labialis in tuberculosis, 263, 307, 311 zoster in tuberculosis, 271, 324 Hippocratic digits in tuberculosis, 263, 294 Hirechfelder's oxytuberculin, 160 Hodgkin's disease, bronchostenosis and, 700 diagnosis of, from tuberculosis, 349 Hdgy^'s treatment of rabies, 67 Himterian chancre, 453 Hutchinsonian teeth, 490 Hydrocephalic cry in tuberculous menin- gitis, 307 Hydrocephalus, paraeryrphilitic, 489 Hydropericardium in beriberi, 32 Hydrophobia, 52. See Rabies. Hydropneumothorax, 868 pathological anatomy of, 874 Hydrotherapy in tuberculosis, 422 Hydrothorax, 847 in beriberi, 32 diagnosis of, from oedema of lungs, 728 from pleuritis, 814 dyspncea in, 848 renal disease and, 848 symptoms of, 848 treatment of, 848 Hjrperaesthesia in beriberi, 35 in tuberculosis, 263, 308, 408 Hyperkeratosis, gonorrhoea!, 119 Hypernephroma of lunj^s, 774 Hyperplasia of mediastinal lymph nodes, 917 Hypertrophic cirrhosis in syphilis, 481 pulmonary osteo - arthropathy in bronchiectasis, 690 in tuberculosis, 294 Hypertrophy of heart, bronchostenosis and, 700 in tuberculosis, 261 of lymphoid tissues in nasopharynx, 688 of thymus, respiration in, 571 of tonsils, 600 pharyngeal, 588 Hysteria, diagnosis of, from rabies, 64 from tetanus, 83 parasyphilitic, 489 m tuberculosis, 269 Hysterical dyspnoea, diagnosis of, from asthma, 719 Icterus gravis, diagnosis of, from infec- tious jaundice, 530 Idiocy, congenital, 490 Impetigo syphilitica, 492 Infarction of lungs, 732. See Lung, in- farction of. Infarction of lungs, pleuritis and, 794 Infectious jaundice, 528. See Jaundice, infectious. Inflammation of mediastinum, 910. See Mediastinitis. Inflammations in syphilis, 450 Inflammatory diseases of larj'nx, 623 Influenza bacillus, pleuritis and, 834 bronchiectasis and, 682 bronchitis in, 639, 669 diagnosis of, from asthma, 719 from psittacosis, 542 tuberculosis and, 179, 408 Insanity in tuberculosis, prognosis of, 359 Insomnia in tuberculosis, 271, 412 Interlobar empyema, 844 Interstitial pneumonia, 746. See Cirrho- sis of lungs, in syphilis of lun^, 472 Intestinal antnrax, morbid anatomy of, 47 symptoms of, 49 Intestines, syphilis of, 477 tuberculosis of, 230, 319, 411 Intrapleural tension in acute serofibrin- ous pleuritis, 798 Intratnoracic goitre, 909 lodism in treatment of syphilis, 517 Iritis, gonorrhoeal, 117 in syphilis, 462, 469 Ischiorectal abscess in tuberculosis, 320 Jaundice, epidemic catarrhal, 528 infectious, 528 definition of, 528 diagnosis of, 530 from acute yellow atrophy of liver, 530 from dengue, 530 from icterus gravis, 530 from relapsing fever, 530 from typhoid fever, 530 from yellow fever, 530 etiology of, 528 hirmoptysis in, 529 history of, 528 liver in, 529 onset of, 529 patholog;ical anatomy of, 529 relapse m, 530 symptoms of, 529 treatment of, 530 urine in, 529 vomiting in, 529 in syphilis, congenital, 492 Joints in gonorrhoeal arthritis, 103 tuberculosis of, patholog>' of, 244 I June cold, 611 IXDEX 935 Kaolinosis, 753 Keratitis, syphilitic, 490, 493 Kemig's sign in tuberculous meningitis, 308 Kidney, abscess of, in bronchiectasis, 690, 693 in anthrax, 47 in asthma, 712 in bronchiectasis, 690 in emphysema of lungs, 758 in Rocky Mountain fever, 537 tuberculosis of, 235, 322 Kleb's tuberculocidin, 160 Knee-jerk in tuberculosis, 270 Koch and Schutz's tauraman, 161 Koch's bacillen emvdsion, 161 Krypta syphilitica, 441 Kypnoscoliosis, respiration in, 571 LANDMANN'stuberculoI, 160 J^ndry's paralysis, diagnosis of, from beriberi, 38 Laryngeal signs and symptoms referable to other diseases, 622 Laryngismus stridulus, 635 Laryngitis, acute catarrhal, 623 aphonia in, 624 diagnosis of, 624 from laryngeal diph- theria, 624 from syphilis, 628 djrspncea in, 624 etiology of, 623 hemorrhages in, 624 mucous membranes in, 623 oedema in, 624 pathology of, 623 prognosis of, 624 symptoms of, 624 treatment of, 624 bronchitis and, 642 chronic, 625 opdematous, 633 syphilitic, acquired, 626 cicatrization in, 627 cough in, 628 diagnosis of, 628 from acute catarrhal laryngitis, 628 from carcinoma, 628 from tuberculosis, 628 dysphagia in, 628 dvspncea in, 627 etiology of, 626 fever m, 628 gummata in, 627 mucous membranes in, 626 perichondritis in, 627 ' Larvngitis, sypliilitic, acquired, prognosis I ^ of, 629 I stenosis in, 628 symptoms of, 626 treatment of, 629 voice in, 627, 628 congenital, 629, 630 tuberculous, 630 aphonia in, 631 cough in, 631 diagnosis of, 632 from carcinoma, 632 from syphilis, 628, 632 epiglottis in, 631 etiology of, 630 mucous membranes in, 631 I pathology of, 630 ' prognosis of, 359, 632 j symptoms of, 631 j treatment of, 632 ' vocal cords in, 631 Larynx, carcinoma of, diagnosis of, from syphilis, 628 from tuberculosis, 632 diseases of, 622, 623 obstruction of, mechanism of, 559 cedema of, 633 in acute catarrhal laryngitis, 624 spasmodic contraction of, 635 stenosis of, in syphilitic larvngitis, 628 svphilis of, 626, 629 tuberculosis of, 212, 317, 630 ulcers of, in glanders, 73 Latent pulmonary tuberculosis, 314 Leontiasis, 121. Lepra, 121. See Leprosy. Leprosy, 121 altered sensation in, 130 - atrophic, 129 bacillus of, 124 of bronchi, 674 cause of death in, 131 definition of, 121 diagnosis of, 131 from erythema multiforme, 133 from lupus vulgaris, 133 from morphoea, 133 from Raynaud's disease, 133 from sarcoma, 133 from syphilis, 133 from syringomyelia, 133 disseminate, 129 effete, 130 erythematous eruptions in, 128 etiology of, 122 fever of, 129 history of, 121 macules of, 127 nerves in, 126 pathology of, 123 prognosis of, 133 936 INDEX Leproey, sequels^ of, 131 skin, 126 symptoms of, 126 treatment of, 134 tubercular, 129 Leptothrix buccalis, 602 pulmonalis in foetid bronchitis, 680 Leuksemia, bronchostenosis and, 700 Leukocytes in bronchopneumonia, 737 in gonorrhoea! arthritis, 105 in tetanus, 80 in tuberculosis, 258, 305 Lipoma of lungs, 774 of mediastinum, 892 of pleura, 858 Lips, chancre of, 455 in syphilis, congenital, 491 tuberculosis of, 319 Lithiasis, bronchopulmonary, 703 Lithosis, 753 Little's disease, 489 Liver, abscess of, in bronchiectasis, 693 amyloid, in syphilis, 482 atrophy of, acute yellow, diagnosis of^from infectious jaundice, 530 in beriberi, 33 in bronchiectasis, 690 in capillary bronchitis, 652 cirrhosis of, atrophic, in syphilis, 482 hypertrophic, in syphilis, 481 in emphysema of lungs, 758, 760 in glanders, 72 in ^ndular fever, 527 in mfectious jaundice, 529 in pneumothorax, 875 in Rocky Mountain fever, 537 syphilis of, 478 in adult, 481 amyloid liver in, 482 atrophic cirrhosis in, 482 botryoid liver in, 480 ffummata of, 479 hepatic tumor in, 481 hypertrophic cirrhosis in, incidence of, 479 pathology of, 459 symptoms of, 481 congenital, 480, 493 ascites in, 480 enlargement of spleen in, 480 hepatitis in, 480 jaundice in, 480 symptoms of, 480 tuberculosis ol, 232, 320 Lockjaw, 76. See Tetanus. Ludwig's angina, 595 Lues venerea, 436. See Syphilis. j Lumbar puncture in tuberculous menin- I gitis, 308 I Lungs, abscess of, 769 amyloid disease in, 772 Lungs, abscess of, in bronchopneumonia, 741 cerebral abscess in, 772 complications of, 772 cough in, 770 diagnosis of, 772 from bronchiectasis, 772 from empyema, 772 from gangrene, 772 from pleural effusion, 772 dyspnoea m, 770 etiology of, 769 gangrene in, 772 hemorrhage in, 772 pathology of, 770 pericaraftis in, 772 pleurisy in, 772 prognosis of, 772 pyopneumothorax in, 772 sputum in, 771 symptoms of, 770 in traumatic htpmothorax, 852 treatment of, 773 in tuberculosis, 317 actinomycosis of, diagnosis of, from tuberculosis, 350 adenoma of, 774 in anthrax, 47 in asthma, 712 atelectasis of, in tuberculosis, 318 in bronchiectasis, 685, 689 in bronchopneumonia, 737 in capillary bronchitis, 652 carcinoma of, 774 chondroma of, 774 circulatory disturbances of, 723 cirrhosis of, 746 bronchiectasis in, 749 C(^mplications of, 750 cough in, 749 cyanosis in, 749 diagnosis of, 750 from pleurisy, 750 from syphilis, 751 from tuoerculosis, 751 from tumors, 751 dyspnoea in, 749 etiolo^ of, 746 fever in, 749 heart in, 749 morbid anatomy of, 748 physical signs of, 749 pleura in, 748 prognosis of, 751 sputum in, 749 symptoms of, 749 treatment of, 752 tuberculosis in, 750 collapse of, in bronchiectasis, 686 congestion of, 723 active, 723. 724, 725 cough in, 724 cyanosis in, 724, 725 INDEX 037 Lungs, congestion of, diagnosis of, 725 from bronchopneumonia, 725, 743 from infarction, 725 from pneumonia, 725 dyspnoea in, 724, 725 etiolo^ of, 723 fever m, 724 haemoptysis in, 724 hypostatic, 724, 725, 72G mechanical, 723 onset of, 724 passive, 723, 724. 725, 726 physical signs in, 724 prognosis of, 725 sputum in, 724 symptoms of, 724 treatment of, 725 diseases of, 723 echinococcus cysts of, diagnosis of, from pleuritis, 814 disease of, pneumothorax and, 871 embolism of, 732 asphyxia in, 733 convulsions in, 733 cough in, 733 diagnosis of, 728, 734. fibroma of, 774 fibrosis of, in bronchiectasis, 693 gangrene of, 765 in abscess of lungs, 772 aneurism and, 765 in bronchiectasis, 693, 765 in bronchitis, 681 in bronchopneumonia, 741 causes of, 765 complications of, 768 cough in, 767 diagnosis of, 768 from abscess, 772 from bronchiectasis, 693 from bronchitis, 768 from tuberculosis, 349, 768 diarrhoea in, 767 d3[spnoea in, 767 etiology of, 765 expectoration in, 767 fever ni, 767 foreij?n bodies and, 762 hemiplegia in, 768 hemorrhages in, 767 infectious diseases and, 765 monoplegia in, 768 new-growths of lungs and, 765 onset of, 766 pathology of, 766 physical signs of, 767 pleura in, 768 pneumonia and, 765 prognosis of, 768 pulmonary embolism and, 765 pyopneumothorax in, 768 sputum in, 767 symptoms of, 766 trauma and, 765 in traumatic ha^mothorax, 852 938 IXDEX Lungs, gangrene of, treatment of, 7(38 in tuberculosis, 317, 359 in tumors, 778 in glanders, 72 hemorrhage of, in bronchopneumonia, 741 hypernephroma of, 774 infarction of, 732 asphyxia in, 733 convulsions in, 733 cough in, 733 diagnosis of, 734 djrspnopa in, 733 etiology of, 732 expectoration in, 733 haemoptysis in, 733 morbid anatomy of, 732 physical signs in, 734 pleurisy and, 733, 794 pneumonia in, 733 pro^osis of, 734 respiration in, 733 sputum in, 733 ^ symptoms of, 733 treatment of, 734 innervation of, 557 lipoma of, 774 mechanism of, protective, 574 new-growths of, gangrene and, 705 cedema of, 726 cough in, 727 cyanosis in, 728 diagnosis of, 728 from angina pectoris, 728 from hydrothorax, 728 from pulmonarv embolism, 728 from uraemia, 728 djjspncea in, 727 etiology of, 726 expectoration in, 727 pathology of, 727 physical signs in, 728 m pleuritis, 812 prognosis of, 728 pulse in, 728 respiration in, 567 symptoms of, 727 treatment of, 728 in tuberculosis, prognosis of, 359 osteoma of, 774 parasitic disease of, diagnosis of, from tuberculosis, 349 perforation of, in pleuritis, 812, 836 in pneumothorax, 874 sarcoma of, 774 stones in sputum, diagnosis of, 335 suppuration of, gangrene and, 765 syncytioma of, 774 syphilis of, 471 acquired, 472 congenital, 472 Lungs, syphilis of, diagnosis of, from cir- rhosis, 751 from tuberculosis, 349 haemoptysis in, 474 symptoms of, 473 tuberculosis and, 475 thrombosis of, 732 asphyxia in, 733 convulsions in, 733 cough in, 733 diagnosis of, 734 dvspnoea in, 733 etiology of, 732 expectoration in, 733 hsemoptysis in, 733 morbid anatomy of, 732 physical signs of, 734 pleurisy in, 733 pneumonia in, 733 prognosis of, 734 respiration in, 733 sputum in, 733 symptoms of, 733 treatment of, 734 tuberculosis of. 779 from cirrhosis, 751 from interlolmr empvema 844 from pleuritis, 814 from tuberculosis, 350, 779 dysphagia in, 776 djrspnoea in, 775 etiolo^ of, 773 fever in, 776 gangrene in, 778 mpmoptysis in, 776 pain in, 776 pathology; of, 774 physical signs of, 777 pro^osis of, 779 respiration in, 567 sputum in, 776 symptoms of, 775 treatment of, 779 ulcers of, in foetid bronchitis, 681 Lupus, 246 in tuberculosis, 324 vulgaris, diagnosis of, from leprosy, 133 Lymph glands, tuberculosis of, 224 nodes, mediastinal, diseases of, 916 Lvmphatic glands in svphilis, 458 tuberculosis of, 223, 324 Lvmphoid tissues in nasopharvnx, hyper- trophy of, 588 Lyssophobia, 64 IXDEX 939 Macewan's sign in tuberculous menin- gitis, 309 M^ness, 52. See Rabies. Malarial fever, bronchitis in, 639 diagnosis of, from c^hilis, 459 from tuberculosis, 348 tuberculosis and, 180 Malignant pustule, 42, 47. See Anthrax. Mallein, 71 Malta fever, 17 arthritis in, 26 definition of, 17 diagnosis of, 26 distribution of, 18 etiolo^ of, 18 fever m, 26 history of, 17 inmiunity from, 25 incubation in, 25 infection by goat's milk, 23 . mesenteric glands in, 25 mortality in, 26 neuritis m, 26 orchitis in, 26 patholo^ of, 25 prognosis of, 27 sequelae of, 26 spleen in, 25 symptoms of, 25. treatment of, 27 Manmiary glands, tuberculosis of, 324 Mania, acute, dia^osis of, from rabies, 64 in tuberculosis, 270 Mara^iano's water extract of tubercle bacilli, 160 Measles, bronchitis m, 639, 669 diagnosis of, from miliary fever, 534 from syphilitic roseola, 464 tuberculosis and, 180 Mechanism of respiration, muscular, 551 nervous, 554 Mediastinal contents, abnormal, 915 hemorrhage, 916 lymph nodes, diseases of, 916 hyperplasia of, simple, 917 pigmentation of, 917 sclerosis of, 917 tuberculosis of, 918 diagnosis of, 920 etiology of, 918 physical signs in, 919 symptoms of, 919 treatment of, 920 Mediastinitis, 910 acute, 910 etiology of, 910 chronic, 913 course of, 914 diagnosis of, 914 etiology of, 913 physical signs in, 914 Mediastinitis, chronic, sjTnptomsof, 914 treatment of, 915 Mediastinum, abscess of, bronchostenosis and, 700 carcinoma of, 901 chondroma of, 892 cysts of, dermoid, 903 course of, 907 diagnosis of, 908 from aneurism, 908 from echlnococcus cyst, 909 x-rays in, 908 dyspnoea in, 907 etiology of, 903 age in, 906 haemoptvsis in, 907 onset of ,'906, 907 pain in, 907 physical signs in, 908 prognosis of, 909 s>'mptoins of, 906 treatment of, 909 echinococcus, 915 simple, 902 diseases of, 890 emphvsema of, 916 ({iagnosis of, from pneumoperi- cardium, 916 from pneumothorax, 916 endothelioma of, 901 fibroma of, 891 inflammation of, 910. See Medias- tinitis. lipoma of, 892 * myoma of, 892 sarcoma of, 893 cachexia in, 898 diagnosis of, 900 from aneurism, 900 from tumors of lung, 901 x-rays in, 900 dyspnoea in, 896 lymphosarcoma, 894 pain in, 896 physical signs of, 897 respiratory' sounds in, 898 spindle cefl, 894 sputum in, 896 symptoms of, 895 treatment of, 901 teratoma of, 903 tumors of, 890 bronchostenosis and, 699 diagnosis of, from asthma, 719 from chronic bronchitis, 665 primary, 891 respiration in, 571 secondary, 909 voice in, 897 Mediterranean fever, 17. See Malta fever. 