Part 4

9. SYPHILITIC DACTYLITIS, FROM BUMSTEAD . . . . . . . . . . . . 292

10. THE SAME AS FIG. 9 . . . . . . . . . . . . . . . . . . . . . 292

11. SERRATIONS OF NORMAL INCISOR TEETH . . . . . . . . . . . . . 297

12. NOTCHING OF SYPHILITIC INCISOR TEETH . . . . . . . . . . . . 297

13. OÏDIUM ALBICANS FROM THE MOUTH IN A CASE OF THRUSH . . . . . 331

14. CHRONIC INTUMESCENCE OF THE TONGUE (HARRIS) . . . . . . . . 351

15. HYPERTROPHY OF TONGUE (HARRIS), BEFORE OPERATION AND AFTER . 352

16. GLOSSITIS (LISTON) . . . . . . . . . . . . . . . . . . . . . 361

17. INCISION FOR A CUSPID TOOTH (WHITE) . . . . . . . . . . . . 378

18. INCISION FOR A MOLAR TOOTH (WHITE) . . . . . . . . . . . . . 378

19. FUSIFORM DILATATION OF OESOPHAGUS (LUSCHKA) . . . . . . . . 433

20. and 21. FAUCHER'S TUBE FOR WASHING OUT THE STOMACH . . . . . 605

22. ROSENTHAL'S METHOD OF WASHING OUT THE STOMACH . . . . . . . 606

23. ANTERIOR VIEW OF A STRANGLUATED INTESTINE AND STRICTURE . . 842

24. POSTERIOR VIEW OF A STRANGULATED INTESTINE AND STRICTURE . . 842

25. APPEARANCE OF THE NATURAL RELATIONS OF THE DIVERTICULUM TO THE INTESTINE . . . . . . . . . . . . . . . . . . . . . . . 843

26. SIMPLE INVAGINATION OF THE ILEUM . . . . . . . . . . . . . . 844

27. SIMPLE INVAGINATION, WITH OCCLUSION OF BOWEL, FROM INFLAMMATORY CHANGES . . . . . . . . . . . . . . . . . . . . 844

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GENERAL DISEASES (CONTINUED).

FROM DERANGEMENTS OF THE NORMAL PROCESSES OF NUTRITION.

RHEUMATISM. | PURPURA. | GOUT. | DIABETES MELLITUS. | RACHITIS. | SCROFULA. | SCURVY. | HEREDITARY SYPHILIS.

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RHEUMATISM.

BY R. P. HOWARD, M.D.

Acute Articular Rheumatism.

SYNONYMS AND DEFINITION.--Acute Rheumatism, Acute Rheumatic Polyarthritis, Rheumarthritis, Rheumatic Fever, Polyarthritis Synovialis Acuta (Heuter).

Acute articular rheumatism is a general non-contagious, febrile affection, attended with multiple inflammations, pre-eminently of the large joints and very frequently of the heart, but also of many other organs; these inflammations observing no order in their invasion, succession, or localization, but when affecting the articulations tending to be temporary, erratic, and non-suppurating; when involving the internal organs proving more abiding, and often producing suppuration in serous membranes. It is probably connected with a diathesis--the arthritic--which may be inherited or acquired. It may present such modifications of its ordinary characters as to justify being called (2d) subacute articular rheumatism, and it may sometimes pass into the (3d) chronic form.