Identifier: diseasesofchildr00grah (find matches)
Title: Diseases of children
Year: 1916 (1910s)
Authors: Graham, Edwin Eldon, b. 1864
Subjects: Children Disease
Publisher: Philadelphia and New York, Lea & Febiger
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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es apparent, and the organ itself is apt to be painful. The heart sounds are soft and weak and there is a hemicmurmur. Edema and ascites are evident as the disease progresses,and hemorrhage may occur in the stomach, intestines, or kidneys. Blood Picture.—Hemoglobin is markedly reduced to 50 per cent, or below. The red cell count rarely falls lower than 3,000,000. Poikilo- 484 DISEASES OF THE BLOOD cjtosis and the presence of normoblasts may be noted. There is a lymphocytosis, but an actual leukopenia. Diagnosis.—The enlarged spleen is suggestive of leukemia, but this is ruled out by the blood findings, which show a leukopenia. Splenicanemia, because of its rarity, should be considered only after careful study of the case excludes a chronic suppuration, syphilis, or tuberculosis. Prognosis.—The prognosis, in cases not properly treated, is grave, and the disease runs a more rapid course in children than in adults. The treatment is radical, and for this reason cjuite a few cases are lost.
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Fig. 33.—Bantis disease in a child aged seven years. Treatment.—Splenectomy is, at present, the only treatment that gives results. This is often a dangerous undertaking owing to the severe grade of anemia which is present, but should not be deferred,and transfusion, preferably direct, should precede the operation. LYMPHATIC ANEMIA (PSEUDOLEUKEMIA: HODGKINS DISEASE). Primarily, this is a disease of the lymph structures, but it is discussed with blood diseases to distinguish it from true lymphatic leukemia.It is characterized by persistent enlargement of the hmph glands and spleen, and the formation of lymph nodules in the spleen, liver, and kidneys. As the disease progresses, a secondary anemia is induced. Etiology.—It is a disease of early life, although few cases occur before the tenth year. It is more common in boys than in girls. The exact cause is unknown, but SA^hilis, malaria and rachitis are regarded as predisposing factors.

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