BODY SYSTEMS 



1521 



B. Symptoms pointing to Ihe respiratory system : — 



I. Nose: — 



(a) Acute rhino -pharyngitis : — 



Examine secretion microscopically and culturally: — 



1. Spirochaetes — SpirochcBtal rhino-pharyngitis. 



2. Micrococcus catarrhalis and similar organisms 

 / — Common cold. 



3. Influenza bacillus or filterable virus present — 



Influenza. 



4. Influenza baccillus, or filterable virus with 



Streptococci — Streptococcal complications of 

 influenza, 

 {h) Nose partially blocked : — 



Examine swabs microscopically and culturally for the 

 Klebs-Loeffier bacillus — Diphtheria, 

 (c) Larynx: — 



More or less stridor. Examine swabs of throat for 

 Klebs-Loeffler bacillus — Diphtheria, 

 {d) Bronchi: — 



Signsof bronchitis, with or without blood in the sputum. 

 Examine fresh sputum microscopically, and if 

 necessary by the dark ground illumination: — 



1. Eggs — Paragonimiasis. 



2. Spirochsetes — Bronchospirochcetosis. 



3. Fungi — Bronchomycosis. 



4. Acid-fast organisms: — 



(a) Tubercle bacilli — Tuberculosis. 



(b) Nocardia — Pulmonary Nocardiasis, 

 (e) Lungs and pleura : — 



Physical signs of inflammation of the lungs or pleura, 

 or both : — • 



1. Expectoration chocolate - coloured — Liver 



abscess. 



2. Expectoration bloody or rusty. Examine 



microscopically for the same points as under 

 bronchi and for the pneumococcus — Pneu- 

 monia. 



3. Expectoration not chocolate-coloured nor 



bloody — Diseases of lungs and pleura other 

 than above. 



C. Symptoms pointing to the circulatory system : — 



1. Marked collapse after exposure to great heat (especially 



associated with high atmospheric humidity) or to the 

 sun's rays. There may or may not have been initial 

 fever — Heat syncope. 



2. Disturbed action of the heart, with severe constitu- 



tional symptoms and petechial eruption — Infective 

 endocarditis. 



96 



