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Empyema is treated very thoroughly, liver abscess, ascites, which he warns must be emptied slowly, ileus especially when it reaches stercoraceous vomiting, and the various difficulties of urination, he divides them into dysuria, ischuria, and stranguria, are all discussed in quite modern fashion. He gives seven causes for difficulty of urination.
In most cases the joint affection makes its appearance a few days after the commencement of a pneumonia, but in a number of instances, especially among children, the lung is not specially involved, and the condition is an indication of a generalised pneumococcal infection, which may manifest itself by endocarditis, empyema, meningitis, or peritonitis, and frequently has a fatal termination.
Until he died, it was run the greater part of the time by an Eskimo boy whom we had brought down from the North Labrador, and who was convalescing from empyema. The installation was efficiently done by a volunteer student from the Pratt Institute, Mr. Hause.
True empyema is not often seen; but, at all times, the adhesions between the costal and visceral pleura are extensive, and there is much effusion in the chest.
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