An essay on the cerebral affections occurring most commonly in infancy and childhood : including notices of their history, causes, diagnosis, prognosis, and treatment ; being the Council prize essay, awarded at the annual meeting of the Provincial Medical and Surgical Association, held at Bath, on Wednesday and Thursday, August 16th and 17th, 1848 / by Valentine Duke.

  • Duke, Valentine.
Date:
1849
Catalogue details

Licence: Public Domain Mark

Credit: An essay on the cerebral affections occurring most commonly in infancy and childhood : including notices of their history, causes, diagnosis, prognosis, and treatment ; being the Council prize essay, awarded at the annual meeting of the Provincial Medical and Surgical Association, held at Bath, on Wednesday and Thursday, August 16th and 17th, 1848 / by Valentine Duke. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    66/100 (page 62)
    that the one disease often leads to the other. In fact, the line of demarcation between them is fre- quently ill-defined, and a disease comparatively common in its occurrence, and not usually followed by serious consequences, becomes gradually trans- formed into a most dangerous and fatal malady. I would again warn those who may have charge of cases of remittent fever, to watch, closely and anxiously, every change ; the less frequent the re- missions, the greater dan2;er would there seem to be of the invasion of hydrocephalus. Our diag- nosis may be assisted by observing, in the former, those remissions occurring Avith regularity. The countenance, too, though expressive of suffering, is different from that in hydrocephalus ; the lips are retracted or drawn, so as to show the teeth or gums ; the countenance is pale, or sallow and sunk. The child seems to dread motion, lies on the back, with the knees bent or drawn up, and is pained by pressure on the abdomen. Here, neither the brow is knit, nor the pupil of the eye is affected. (Maunsell and Evanson.) The heat of the skin is much greater in remittent fever ; the pulse, also, is quicker, and the thirst more intense ; vomiting, too, is more constant. The tongue is more loaded, and sometimes is red and pointed ; the evacuations are very different in remittent fever, and procured with greater ease, diarrhoea rather than constipation being present. The lips are gene-