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Histological examination the tissue or the finding the bacilli generally suffices for the diagnosis. In case doubt as syphilis the laboratory procedures must invoked. The course likely extremely prolonged. I have known a tuberculous ulceration upon the frenum the tongue persist without much change for more than five years. The esophagus and stomach are not often affected. The dysphagia associated with laryngeal tuberculosis rather from the pharyngeal involvement often present than from affection the esophagus.
Blumer believes that the acidity the gastric secretions preserves the stomach from infection in most cases. Pyloric ulceration most common. It may almost devoid symptoms. Acute Inteitinal Tuberculosis Brown states that this the most frequent complication chronic pulmonary tuberculosis. It often latent that the frequency coursework buy an english research paper writers much greater if judged post mortem statistics than would indicated, clinical records. Intestinal tuberculosis may primary in children, being the initial step in tabes mesenterica.
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Constipation may exist hemorrhage rarely occurs, but death may result from Irregular fever suggestive tuberculosis in case doubt. The secondary tuberculous infection the intestine generally seen in the large bowel or lower part the small one, and commonly comes from the swallowed sputum. The more or less annular ulcerations are characteristic. The mesenteric glands are often extensively involved. Colicky pains and diarrhea are common features. Perforation the bowel may take place, or complete or partial obstruction, either from cicatricial contraction at the site a large ulcer, or from partial distortion with such gluing together adjacent loops bowel as prevent the passage feces, in part mechanically and in part dynamically. I have seen complete and lasting recovery after operation in such a case, but less complete recovery with death in a few months in several others.
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