The failure relief administration the salicylates a further argument against the rheumatic nature the affection.

Marked edema, sloughing the uvula, persistence the throat manifestations and relapse are mentioned Osier as occasional features. Diagnosis.

The only confusion arises in the differentiation acute articular rheumatism when complicated with a purpuric eruption, commonly upon the legs. The predominance the articular need help write my paper features and relative insignificance the eruptive ones are DISEASES OF THE CIRCULATORY SYSTEM Inflammation the i ericardiiim commonly considered under the following classification acute fibrinous pericarditis pericarditis with effusion chronic adhesive pericarditis.

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Etiology. A decreasing number cases pericarditis are classed as the primary or idiopathic type. More and more these are found due some obscure infection or tuberculosis.

Traumatic pericarditis not uncommon as the result the perforation the sac a needle, knife, bullet or rib from without, or the passage a sharp body through the esophagus from within. The great majority the cases pericarditis are secondary some infectious disease, and there are few with which may not associated. It may arise direct extension an inflammatory process, the most common one being pleuro-pneumonia. Any septic or malignant process in close proximity the heart may the cause, and septic endocarditis or myocarditis may originate the trouble from within.

The infecting organisms are probably carried lymph vessels or blood vessels, even in certain the cases charged direct contiguity. Most cases secondary pericarditis are found in association with certain diseases well-recognized infectious character. In the order their importance far as may judge these diseases are probably rheumatic fever, which accorded first place all authorities chorea septic processes, notably puerperal fever and pyemia pneumonia, when the question direct extension ruled out, the location the lung troubles far from the heart tuberculosis, and finally a apa paraphrasing citation group acute infectious diseases not mentioned, which scarlet fever the most important. The frequency pericarditis as a terminal event in chronic nephritis, gout and many other the diseases which produce a chronic cachectic state well recognized.

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The lowered resistance in these diseases the great dissertation only phd factor in the production infections the serous cavities at the end life.

The exudate found sterile in many cases, but a considerable number these prove tuberculous.

In the absence this cause assumed that the toxins the disease cause the inflammation, paraphrasing websites as those the gonococcus are believed cause a gonococcic rheumatism, when no organism can isolated. In the frankly infectious cases the streptococcus, staphylococcus and pneumococcus are most frequently found, but the colon bacillus, gonococcus and other organisms are Pathology. In the fibrinous form, the pericardium covered at least in part custom written research paper a thin layer fibrin, with much injection the serosa beneath, and occasional hemorrhages. A little cloudy exudate showing leukocytes found in write my paper college the cavity. In the more severe process the pericardial surface becomes opaque and the attached fibrinous exudate more yellow and thick, and finally presents the shaggy condition described as cor villosum. The prolongations may even become attached the parietal surface the pericardium. The myocardium cloudy in the ordinary cases, and more seriously degenerated in the severer ones.

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