38 I 1 m KCULOSIS AS A Disi \H OF THE HAS 



examination. Only when bearing a certificate fmm a 

 physician, stating the absolute freedom from specific diseases 



itulnTculosis OF syphilis >ll<>uKl they l>e allowed to perform 

 ritual circumci-ion. 



As another reliable measure against th- i"il>ility of inocu- 

 lating the child, \vhrn the parents insist upon the orthodox 

 method of circumcision, is the suction by the aid of a i^lass 

 tube, as practised in Franc, and (! nuany. 



Tuberculo- 

 sis of the 

 Throat. 



Tuberculo- 

 sis of the 

 Bones. 



CHAPTER X 



WHAT < hm i; FORMS OF TUBERCULOSIS Exwr, \\i> WH\T \i;i 

 THI n; PRINCIPAL SYMPTOMS? 



In the foregoing chapters we have treated of the bacillus of 

 tuberculosis, its mode of entrance into the system, and of the 

 symptoms of the most frequent form of the disease that i 

 say, consumption or pulmonary tuberculosis. Now we will 

 consider some of its other forms or manifestations. 



More closely related to pulmonary consumption than any 

 other form of tuberculosis is laryngeal tuberculosis, also call eel 

 tuberculosis of the larynx, or tuberculosis of the throat. This 

 disease is not nearly so frequent as pulmonary tubcivul< 

 but sometimes occurs with it. Besides all the symptoms which 

 tuberculosis of the throat has in common with tul>en-ulosi< of 

 the lungs, such as fever, nightsweats, emaciation or loss of fle>h. 

 difficulty in breathing, cough, etc., there are in this disease 

 additional symptoms, such as more or less pronounced 

 hoarseness and intense pain during the act of swallowing. 

 which makes eating bread, meat, and other solid food exceed- 

 ingly difficult. The internal appearance of the throat shows 

 little tubercular growths and ulcers in the region of the vocal 

 cords and neighboring tissue. 



Tuberculosis of the bones, which not infrequently leads to 

 a total necrosis that is, a softening and final decay of the 

 bones is not a rare disease. If the seat of the disease is the 

 spinal column, the decay of one or more vertebra* may result 

 in the deformity commonly known as hunchback. If through 

 this breaking down there should result a compression of the 

 spinal marrow, paralysis of arms or legs, and other di>turb- 

 ances, such as difficulty in retaining the urine and the stool- 

 may be observed. 



