Golden Rules of Pediatrics Aphorisms Observations And Precepts On the Science
Golden Rules of Pediatrics Aphorisms Observations And Precepts On the Science
John Zahorsky
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Examine for the Klebs-Loffler bacillus. Do not mistake a tonsillitis in which the follicular exudate is composed of numerous spots closely packed together for the solid pseudomembrane of diphtheria. Disseminated white spots may appear on both ton- sils, but one patch of exudate may appear large and not be readily removable. If, after a few hours, this patch increases in size, and the nodes at the angle of the jaw are swollen, it is safe to regard the disease 96 GOLDEN RULES OF PEDIATRICS. as di...phtheria. It may be a staphylococcic infection. Only a culture can differentiate some of these cases. A superficial ulcer usually associated with other ulcers of the mouth may be Vincent's angina; on microscopical examination the fusiform bacillus and a spirillum are discovered in the exudate. A scarlet inflammation of the throat with or with- out a pseudomembrane should always recall the possibility of scarlet fever. Examine the roof of the mouth for the scarlet punctiform eruption; inspect the body for rash.
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