The Rectum; Its Diseases And Developmental Defects: Its Diseases And ...

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The Rectum; Its Diseases And Developmental Defects: Its Diseases And ...
Charles B Charles Bent Ball
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Tuberculosis. 9. Syphilis. 10. Actinomycosis.
1. Catarrhal inflammation. Under this heading are included all those acute inflammations of the rectum attended by swelling of the mucous membrane with increased mucous, purulent, or sanious discharge, and as can readily be understood this condition may be due to many diverse causes ; some, no doubt, are originated by toxic substances in the intestinal contents, while others are due to some of the many infective agencies capable of producing similar
... inflammation elsewhere. When very acute it presents many symptoms in common with amoebic dysen- tery, and the clinical difference is rather one of degree than kind. I shall, therefore, confine the term to those cases in which the inflammatory process is limited to the rectum, and in which the abdominal pain and constitutional symptoms of typical dysentery are absent. As such we not infrequently meet with cases, especially in children. The symptoms are great tenesmus, with the frequent passage of small quantities of bloody mucus, at first mixed with faeces, and then alone ; at the same time there is vesical irritation, and general sense of heat and weight about the pelvis, resulting from the inflammation of the mucous and 64 INFECTIVE DISEASES submucous tissue ; oedema is present, and occasionally, in consequence, a partial prolapse takes place, resembling the chemosis met with in acute inflammation of the conjunctiva (ectropion recti, Eoser).

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