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And then, as a climax, he insisted on sending the contents of the stomach in a jar, sealed with our respective seals, in charge of a special messenger, to Professor Copland, for analysis and report. I thought he was going to demand an examination for the tubercle bacillus, but he didn't; which," concluded Dr.
Each tubercle bears a radiating tuft of about twelve spines, one central and projecting outwards; they are pale brown when old, and white when young; their length is about ½ in. A tuft of short, white wool is developed at the base of the spines on the young mammae. The stem is seldom more than 4 in. in height, and it branches at the base when old.
The tubercle bacillus has rarely been found, but we have always observed characteristic epithelioid cells and giant cells in sections made from the edge or floor of the ulcer. [Illustration: FIG.
When located in the shaft of a long bone, pathological fracture is liable to occur. Diagnosis and X-ray Appearances of Myeloma. The inflammatory lesions at the ends of the long bones tubercle, syphilitic gumma, and Brodie's abscess, that resemble myeloma, are all attended with the formation of new bone in greater or lesser amount.
Stems simple, sometimes proliferous at the base, globose when young, afterwards almost cylinder or pear-shaped, 5 in. high, 2 in. in diameter; tubercles ½ in. long, arranged in twelve spiral rows, slightly woolly in axils. Spines radiating, in two rows, about fifty on each tubercle, the three or four central ones being hooked at the tips or sometimes straight; length, ½ in. to 1½ in.
Tuberculosis of the lungs is the most dangerous of all forms, both because the lungs appear to have less power of resistance against the tubercle bacillus, and also because from the lung, the bacilli can readily be coughed up and blown into the air again, or spit onto the floor, to be breathed into the lungs of other people, and thus give them the disease.
Their popularity among both men and women was their undoing, and the king of the ring went down at last before that deadliest of light-weights, the microbe of tubercle, or some equally fatal and perhaps less reputable bacillus. The crockiest of spectators had a better chance of life than the magnificent young athlete whom he had come to admire.
For such an endless vocabulary, we are chiefly indebted to the speculations of anatomic naturalists, who, lacking opportunities of actual observation, endeavour to make up for it by guesses and conjectures, founded upon some little tubercle upon a tooth!
Instances of three infected children out of five living in the same room with a tuberculous mother are actually on record. The favorite breeding-place of the tubercle bacillus is unfortunately in the home.
The chief importance lies in differentiating tuberculous disease from lympho-sarcoma and from lymphadenoma, and this is usually possible from the history and from the nature of the enlargement. Signs of liquefaction and suppuration support the diagnosis of tubercle. If any doubt remains, one of the glands should be removed and submitted to microscopical examination.
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