The faeces of children and adults : their examination and diagnostic significance with indications for treatment / by P.J. Cammidge.

  • Cammidge, P. J. (Percy John), 1872-
Date:
1914
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Licence: In copyright

Credit: The faeces of children and adults : their examination and diagnostic significance with indications for treatment / by P.J. Cammidge. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    placed in warm water. When a catarrh involves the whole intes- tinal tract, including both the large and small intestine, diarrhoea is almost invariably present, and the more extensive and serious the inflammation the more severe is the diarrhoea. If there are more than six motions in the twenty-four hours, ulceration is probably present. Movements of the bowels are generally more frequent in the early morning, probably owing to fermentative changes that take place in the feeces during the night. DIPHTHERITIC (CROUPOUS) ENTERITIS. Since the term diphtheritic has now become associated with the diphtheria bacillus, it is better to term this condition croupous enteritis for, rare under any conditions, it is exceedingly un- common to find that it is due to the activities of B. diphtherice. A case of true diphtheritic enteritis has recently been reported by Cargin. Croupous enteritis is most commonly met with m cases of pneumonia, general septicaemia, scariatina, small-pox, tuberculosis or carcinoma associated with cachexia, and may result from the effect of certain poisons such as perchlonde of mercury, especially in persons who are run down. Diarrhoea^ is always present, and is usually associated with tenesmus. The stools are fluid, but occasionally formed faeces are passed. They consist chiefly of pus, blood, and mucus, mixed with more or less altered food residues when food has been taken. Sometimes the stools consist ahnost entirely of pus, and a careful search may show macroscopic particles of tissue derived from the bowel wall. A microscopical examination of such matenal may reveal its structure, but it is usually so altered and necrosed as to be un- recognizable. In tuberculous, carcinomatous, and other cachectic cases where the condition is chronic, it is often associated ^Mth some'amyloid change in the intestinal walls resulting m the passage of grey or ahiiost white motions of an extremely thm and fluid character, in which the microscope reveals numerous _ pus cells and much mucus. The name blenorrhoea mtestmahs is often given to this condition. , It should be noted that according to recent researches made by Delano, diphtheria baciUi are passed in the fences m many cases of diphtheria, while Conradi and Dicrast have shown that the> are excreted in the urine. Disinfection of the excreta is therefore an important means of combating the spread of the disease. COLITIS. . In recent years colitis has attracted so much attention, and is so frequently looked upon as a distinct disease, that it will De