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Respiratory Phenomena. A mild bronchitis a part the disease. Increased frequency respiration attends the fever, apart from lung changes. Hypostatic congestion, and deglutition pneumonia are common complications grave typhoid, coming as Laryngeal ulceration vastly more common in the autopsy room than thought the average clinician. Although hoarseness, dyspnea, and even acute edema the larynx may occur, a considerable custom writing sign in lesion may attract no attention during the course the disease. A laryngeal neuritis a rare sequel typhoid. Lobar pneumonia may occur, as mentioned above, as a manifestation the localization the typhoid bacillus in the lungs, a true pneumotyphoid, indistinguishable at first from acute pneumonia.
The failure crisis and the development abdominal signs and symptoms the disease lead a correct diagnosis in the second week.
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During the height the fever a complicating lobar pneumonia, due the usual organisms the disease, may develop with chill, pain, and fever, expectoration and other signs and symptoms, all rendered less distinct the characteristics custom essays review the primary disease. Sudden increase in the respiratory rate should always suggest The usual complications the help essay prompts lobar pneumonia may follow. Pleurisy, apart from that form complicating the lobar pneumonia, may develop, either as a dry form, or with serous or purulent effusion. Hemoptysis rare.
It should suggest the possibility a concomitant tuberculosis. An attack typhoid fever any severity a grave thing in phthisis, often starting the original disease upon a more active course. In this region, which many tuberculous individuals are attracted, especial care should used keep convalescing typhoid patients from exposure, owing lack resistance which they offer infection. A wholly latent tuberculosis may become active even apart from a new exposure.
Cutaneous Manifestations. The rose rash found per cent, or, well-observed cases. A half dozen or more rosy, slightly elevated, palpable spots, professional dissertation writers or in diameter, may found upon the abdomen, and lower chest in most cases, and with nearly as great frequency over the loins. In probably per cent, or, cases the rash extends the limbs, notably the upper portions, and rarely the face. Yet I have twice seen suggest the facies typhus fever from its abundance.
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