in typhlitis and perityphlitis,
819


Pumpkin-seeds, use of, in tape-worm,
942


Puncture, exploratory, in abscess of liver,
1021

    in hydatids of liver,
1107

    of colon, in enteralgia,
665

    of gall-bladder as a means of diagnosis of occlusion of biliary passages,
1092

        for relief of biliary calculi,
1081

            of impacted calculus,
1094

    of intestine in acute peritonitis,
1152

    of right lobe, value of, in diagnosis of abscess of liver,
1020
,
1021


Pupil, dilatation of, in acute yellow atrophy of liver,
1027


Purgatives, abuse of, influence on causation of acute intestinal catarrh,
672

    use of, in constipation,
651
,
656

        in entero-colitis and cholera infantum,
757

        in hepatic colic,
1082

        in impaction of feces,
918

        in chronic intestinal catarrh,
714
,
715

        in intestinal ulcer,
829

        in acute yellow atrophy of liver,
1030

        in acute peritonitis,
1151

        in chronic interstitial pancreatitis,
1122

        in seat-worms,
951

        in trichinosis,
962

    uselessness of, in intestinal obstruction,
862
,
863


P
URPURA
,
186

        Definition,
186
,
187

        Etiology,
190

            Heredity, influence on causation,
190

            Hereditary predisposition to,
191

            Specific nature,
191

        Pathology,
191

        Forms,
187

        Symptoms,
187

    
Purpura Simplex
,
187

        Mode of onset,
187

        Eruption, character,
187

            duration,
187

        General condition,
187

    
Purpura Hæmorrhagica
(
Morbus Maculosus Werlhofii
),
188

        Mode of onset,
188

        Eruption, character and seat,
188

        Epistaxis, occurrence of,
188

        Hæmatemesis, occurrence of,
188

        Hæmaturia, occurrence of,
188

        General condition,
188

        Duration,
189

        Temperature,
189

    
Purpura Rheumatica
(
Peliosis Rheumatica
),
189

        Mode of onset,
189

        Joints, condition of,
189

        Pains in joints,
189

        Eruption, character and seat,
189

            duration,
189

        Cardiac murmurs,
189

    
Sub-varieties
,
189

            In children,
190

            Purpura urticaria,
190

            Purpura papulosa,
190

        Complications,
190

            Gangrene of intestines,
190

        Diagnosis,
192

            From scurvy,
192

            From hæmophilia,
192

            From effusions and ecchymoses of acute exanthemata,
192

            From erythema nodosum,
192

            From erythema multiforme,
192

        Prognosis,
193

        Treatment,
193

            Of mild cases,
193

            Diet,
193

            Necessity of quiet,
193

            Of complications,
194

            Of purpura rheumatica, local,
194

            Use of sulphuric acid,
193

                of acetate of lead,
193

                of ergotin,
193

                of turpentine,
193

                of iron,
194

            Transfusion of blood,
194


Purpura hæmorrhagica, complicating gastric cancer,
560

        in children,
190

    papulosa,
190

    urticaria,
190


Purulent form of local peritonitis,
1159

    infiltration, in phlegmonous form of acute oesophagitis,
413


Pus, characters of, in acute peritonitis,
1136

    evacuation of, in abscess of liver,
1021

    mode of escape, in phlegmonous form of acute oesophagitis,
413

    of acute pancreatitis, character of,
1118

    of hepatic abscesses,
1007


Pustular syphilides in hereditary syphilis,
279

        diagnosis of,
279
,
280