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The bronchitis influenza at times becomes much more severe, with distressing cough, and eventually abundant sputum, often thin, but more characteristically greenish-yellow, and perhaps nummular.

The severe types are those in which bronchopneumonia develops, and the complications ordinarily attending this disease are feared, empyema, gangrene lung, bronchial adenopathy, pay for someone to write my essay and pericarditis. The bronchiectasis developing years after an attack grippe, a chronic bronchitis intervening, should more widely recognized.

The influenza bacillus commonly associated with a mixed infection in these cases, and a dirty, offensive, and abundant expectoration occurs. I have had the dilated bronchi drained in essay writing services for cheap two desperate cases, but buy a college paper both were shortly fatal. In this region, great numbers tuberculous patients, often doing excellently, succumb either some complication phd thesis search influenza or because a rapid development purchase research paper the original disease as a result its invasion.

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The heart greatly exhausted and depressed in many individuals attacked influenza, and anginal attacks may occur. Endocardial and pericardial changes are less frequent than functional disturbances, such as intermittent heart, bradycardia, palpitation, etc. The extension the catarrhal inflammation the sinuses and the middle ear notoriously frequent, and antrum and mastoid operations are distinctly more frequently called for during epidemics grippe. Deafness and vertigo often follow the ear complications and meningitis and brain abscess occasionally develop.

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Neurasthenia, toxic peripheral neuritis, melancholia and insomnia are frequent sequela?. The neuralgias often mentioned should recognized as such only after the exclusion sinus involvement Many other complications have been noted in this write my papers manysided disease. Dii osis. During an epidemic the patient commonly recognizes the disease before the physician called. The great number affected and the vastly greater severity the symptoms, especially the nervous ones, distinguish the influenzal outbreak from the common colds winter. The finding the bacillus Pfeiffer help writing a essay in the bronchial or nasal secretions decisive, for not found in false influenza, or catarrhal fever, seen often with or after epidemics influenza vera, more especially with the minor endemic outbreaks than with the great pandemics.

No causal organism From typhoid fever should distinguish the febrile and gastrointestinal types grippe the more sudden onset, much shorter course, absence eruption and enlarged spleen, help writing a personal statement academic paper writers the finding the Pfeiffer bacillus and the absence the Widal need help in writing essays reaction. Cerebrospinal meningitis may simulated and especially if an influenzal meningitis develops. The diagnosis must made in the laboratory in obscure cases.

Dengue has already been considered. Prognosis. Few cases die influenza, excepting feeble infants and the aged. Many die phd online from bronchopneumonia and other complications. The adults dying are among those suffering from chronic disease, which weakens the resistance the attack, notably chronic nephritis, chronic bronchitis, myocardial disease, arteriosclerosis, and pulmonary tuberculosis. The evil influence upon the latter disease must not forgotten.

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