Differential Diagnosis ..

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On January 6th the temperature rose again, and though the boy was still eating, sleeping, and feehng finely, the signs were as in the accompanying diagram (Fig. 83). The front of the chest and the axilla showed nothing of importance. The boy's temperature was 101.6° F. in the morning, 99-4° F- in ^^^ afternoon. January 7th it was 102.2" F. in the morning, 100° F. in the afternoon. Between this date and the twenty-second of January two other unsuccessful taps were made.
The boy continued in exce
...llent condition despite his daily fever. The sputum was repeatedly examined, with negative results.
At this time he was moved to New York city and put in charge of 404 DIFFERENTIAL DIAGNOSIS Dr. Evan Evans. A second sc-ray, made at this time showed the appear- ances sketched in Fig. 84. January 22d pus was finally found under the scapula by a puncture made through the axilla. The boy made an excellent recovery.
Diagnosis. — Interlobar postpneumonic empyema.
Case 220 A girl of six entered the hospital November 18, 1907.


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