. Médecine interne ; un travail pour le médecin sur le diagnostic et le traitement, avec un bureau complet index. ochondria. Con-vulsions, chorée, attaques vertigineuses, oftenattributed au parasite, sont rarement directlycaused par elle. La cessation de tout groupe ofsymptoms sur son retrait est important.L'autosuggestion doit être examiné. Sur theother part sont parfois des symptômes incommodants tointestinal ou irritation due sans aucun doute à des substances toxiques, évolué par le ver actingupon, le système nerveux et le sang-hiemoly.sis. Le Bothriocephalusmay être la cause d'une anémie sévère ayant la ch

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. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. ochondria. Con-vulsions, chorea, vertiginous attacks, oftenattributed to the parasite, are rarely directlycaused by it. The cessation of any group ofsymptoms upon its removal is important.Autosuggestion is to be considered. On theother hand troublesome symptoms are sometimes undoubtedly due tointestinal irritation or to toxic substances, evolved by the worm, actingupon the nervous system and the blood—hiemoly.sis. The Bothriocephalusmay be the cause of a severe anaemia having the characters of perniciousanaemia, which sometimes proves fatal, but which in some instances hasterminated in prompt recovery after the removal of the worm. Diagnosis.—The presence of the segments in the stools or in the gar-ments of the patient is positive. The ova and oncospheres may be foundin great numbers upon microscopic examination of the stools. Tapewormtreatment should never be inaugurated until the direct diagnosis has beenmade by the discoverv of the segments or ova in the stools. Various sub- 17. Fig. 296.—Tffinia lata. 1, ovum; 2, mature segment; 3, head. 258 MEDICAL DIAGNOSIS. stances found in the faeces, such as shreds of mucus, bits of aponeurosis ortendon, or seeds are brought to the physician by the patient who suspectsthat he has tapeworm. The differential diagnosis between the ova may beuncertain, but the difference between T. solium and T. saginata is at onceapparent upon examining the ripe segments between glass slides. Therare species must be submitted to an expert. The prognosis is favorable. There are several efficient taeniacides. ii. Visceral Cestodes. (a) Cysticercus Cellulosae.—Infection of human beings by cysticercitakes place by the introduction of the ripe ova (oncospheres) of T. soliuminto the stomach. This occurs by drinking contaminated water, eatingsalads or other raw vegetables washed with such water, or in uncleanlypersons by their accid

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• bookcentury1900
• bookdecade1920
• booksubjectmedicine
• bookyear192