Tuberculin Treatment

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Eemove dead material if present in bulk — aspira- tion, incision, etc. (p. 186).
5. Give tuberculin according to directions (pp. 170- 181).
6. Maintain local hypersemia with heat, hypertonics, etc. (pp. 184-186), caution as to caseous glands and infants (p. 180).
7. Continue treatment up to cure if successful. If unsuccessful, in the case of a sinus, investigate second- ary infection and use a second Taccine.
BONES Tuberculosis of bones, a chronic osteomyelitis or occasionally a periostitis, is
... best exempUfled in the common disease of children called tubercular dactylitis, where the smaU bones of the hand or foot are attacked, and in Pott's disease where the process starts in the bodies of the vertebrae or the intervertebral discs of the spinal column.
Tubercular dactylitis , often part of a more general- ised surgical tuberculosis, may attack many toes or fingers or arise in foot and hand at the same time. The parts being superficial sinuses are early present, and the prognosis, especially as to duration of disease, is depen- dent on the amount of bone destruction that has oc- curred before the patient comes under treatment.


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