The continued cough seen in some cases with exacerbations upon the slightest exposure has been called a habit cough.
It probable that in most cases the well-recog nized enlargement the tracheobronchial glands, occasionally demonstrable physical examination, constitutes the basis this variety cough.
Relapse rarely seen in whooping-cough, buy custom papers though second attacks may occur in later years. Complications. The most serious these bronchopneumonia, which the common cause death when this disease fatal. write my paper please I have seen asthma great severity as a sequel in the adult.
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Chronic bronchitis, perhaps with emphysema, lobar pneumonia, pleurisy, and nephritis may noted. Tuberculosis frequent enough demand anxious supervision any patient not recovering normally. The enlargement the bronchial glands mentioned as the cause persistent cough constant and important a feature whoopingcough that deserves closer attention than commonly given A leukocytosis, or, with notable increase in the lymphocytes present. The false diagnosis lymphoid leukemia occasionally made because the latter feature. Other complications are mechanical in nature, from the great increase in the blood pressure in the venous system during the paroxysms, from the increase air-pressure in the respiratory tract, or the intra-abdominal pressure. From the first cause may have the ecchymoses alluded slight hemorrhages from the ear, nose, or bowel and even meningeal or cerebral hemorrhage, with custom research paper writers convulsions, aphasia, hemiplegia, or sudden death in the rarest instances.
Dilatation the heart, especially the right side, common. If valvular leakage should occur much more likely relative than organic, as endocarditis a rare sequence. Irregularity the pulse often noted, especially just after the paroxysm. From the second cause may arise interstitial emphysema, when actual rupture an alveolar wall or small bronchus occurs, with extension the mediastinum or the subcutaneous tissues the neck. I have known extend the fingers. Acute proofread my essay emphysema, usually transient, not infrequent, and pneumothorax may occur.
The violent abdominal strain may cause hernia, prolapse the bowel, and uterine prolapse.
Abortion feared in case a pregnant woman suffers from a severe attack. It impossible sure the diagnosis whooping-cough until the whoop appears. A cough gradually increasing in severity, worse at night, with congested eyes, suffused face, and vomiting may assumed pertussis even in the absence the diagnostic feature, and if there a history exposure the disease, the presumption becomes need help on writing a essay almost a certainty. The imitative cough seen in school children should help writing a essay for college mentioned, and the hard ringing cough, less distinctly paroxysmal, and without whoop, vomiting or expectoration, associated with enlarged tracheobronchial glands. The bacteriological diagnosis not yet upon a satisfactory basis. Prognosis.