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It largely dependent upon the congestive and ulcerative conditions within the ileum.

The stools, not generally over in hours, are thin, yellowish, foul, alkaline, and commonly contain the specific organism the disease after the first ten days or Masses milk curd, small sloughs from the intestinal mucous membrane, blood in microscopic quantities, or in greater abundance, are often seen. Vomiting sufficiently custom essays for sale rare in typhoid raise help to write an essay a presumption against the diagnosis, yet occasionally occurs. Hematemesis Tenderness and Pain. The former the more frequent the two, and especially noted in the right iliac fossa, but often only when especially sought for. If low down, particularly upon the left side, iliac thrombosis shoidd suspected.

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Pain also often present in this event.

The complaint pain should always suggest an overdistended bladder, common in this disease, and, if sudden, the possibility intestinal perforation.

Pleurisy, pneumonia, and cholecystitis are other common causes pain and tenderness in the abdomen.

The spleen, while enlarged in most cases rarely tender.

Hemorrhage. This occurs per cent, or more all cases, varying college essay helper much in frequency in different epidemics.

About per cent, those cases affected are fatal.

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The bleeding the ulcer at the time the separation the slough commonly noted in the third or fourth week, and varies from a mere streak hemorrhage such severity as cause death before the blood has time escape from the bowel.

The streak blood upon a formed stool presumably from a mere oozing about the inflamed Peyer's patch, and. may seen in the second week.

I have known book review writers several write my report for me best custom writing services hemorrhages occur in a patient the street a month after was and about, possibly from a single unhealed ulcer, which failed give any other evidence its presence. In the cases hemorrhagic type the intestinal hemorrhage may the same purpuric origin as the petechise research paper order online where to buy resume paper and the bleeding from buy essay online cheap the gums. A considerable hemorrhage generally accompanied a sharp fall in temperature, this being often noted before the blood has time escape from the anus. Symptoms faintness and collapse are often present. If the blood long retained tarry in appearance when passed. sites write my essay students to buy research papers The possibility perforation coincident with the hemorrhage should borne in mind. Intestinal Perforation. Intestinal perforation the cause death per cent, all cases, unless prompt surgical intervention lessens this rate. It has been less amenable amelioration modern medical treatment typhoid than the other causes death.

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