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Updated: June 18, 2025
With few exceptions, tuberculous disease in the interior of a bone does not reveal its presence until by extension it reaches one or other of the surfaces of the bone. In the shaft of a long bone its eruption on the periosteal surface is usually followed by the formation of a cold abscess in the overlying soft parts. Diffuse Tuberculous Osteomyelitis of Right Tibia.
Next to lupus, glandular disease is of all tuberculous lesions the least dangerous to life; but while it is the rule to recover from tuberculous disease of glands with or without an operation, it is unfortunately quite common for such persons to become the subjects of tuberculosis in other parts of the body at any subsequent period of life. Treatment.
Wasting of muscles is a constant accompaniment of tuberculous joint disease. It is to be attributed partly to want of use, but chiefly to reflex interference with the trophic innervation of the muscles. It is specially well seen in the extensor and adductor muscles of the thigh in disease of the knee, and in the deltoid in disease of the shoulder.
Cows are exceedingly liable to tuberculous disease of the udder. It is therefore very difficult to get milk guaranteed free from the tubercle bacillus, and recent examinations of that coming into Manchester and Liverpool showed that from 18 to 29 per cent. contained this deadly germ.
The ray treatment includes the use of luminous, Röntgen, or radium rays, and possesses the advantage of being comparatively painless and of being followed by the least amount of scarring and deformity. Encouraging results have also been obtained by the application of carbon dioxide snow. #Multiple subcutaneous tuberculous nodules# are met with chiefly in children.
It usually occurs in connection with tuberculous conditions, such as bone or joint disease, psoas abscess, or empyema, which have opened externally, and have thereby become infected with pyogenic organisms. It is gradual in its development, and is of a mild type throughout. [Illustration: FIG.
In cases in which a constricting bandage is inapplicable, for example, in cold abscesses, tuberculous glands or tendon sheaths, Klapp's suction bell is employed. The cup is applied for five minutes at a time and then taken off for three minutes, and this is repeated over a period of about three-quarters of an hour.
Percy offered to bunk in the stable, and let me have the shack. But I wouldn't hear of that. In the first place, I felt pretty sure Percy was what they call a "lunger" out here, and I didn't relish the idea of sleeping in a tuberculous bed. I asked for a blanket and told him that I was going to sleep out under the wagon, as I'd often done with Dinky-Dunk.
The bones of the arm and forearm are clearly seen, and between them, is a light area due to granulation-tissue, or to fluid, probably of tuberculous nature, which is translucent to the rays. The picture confirms the prior diagnosis of tuberculous disease, and shows that the joint will have to be opened and treated for the disease.
In relation to the bones also there may be reactive changes, resulting in the formation of spicules of new bone on the periosteal surfaces and at the attachment of the capsular and other ligaments; these are only met with where pyogenic infection has been superadded. Terminations and Sequelæ. A natural process of cure may occur at any stage, the tuberculous tissue being replaced by scar tissue.
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