The Kansas City Medical Index-Lancet, Vol. 22

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Excerpt from The Kansas City Medical Index-Lancet, Vol. 22: January to December, 1901 Errors in diagnosis are frequently made in the cases presenting decided de parture from the type of frank pneumonia, and doubtless the majority of these errors arise from carelessness on the part of the physician, especially in the cases of terminal pneumonia and pneumonia of the aged and in alcoholics. The slightest relative increase of the respiration rate should demand patient and if necessary, repeated investigation, and a close adherence to this rule would greatly diminish the number of mistakes. While children may exhibit meningeal symptoms in pneumonia, the statistical evidence would at least de mand an examination of the lungs, while the absence of Kernig's Sign and the result of lumbar puncture would negative the idea of meningitis. As for pleuritic exudates, which in children may give the auscultatory signs ~of consolidation, the history, and absence of palpation fremitus and displace ment of heart, etc., could be supplemented by aspiration as a corroborative measure. Careful scrutiny of the clinical course, and a resort to the Widal blood test on the one hand, and bacteriologic examination of the sputum on the other, will enable one to exclude pneumo-typhus, and tuberculo-pneumonic phthisis from the diagnosis. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.