The physiology of death from traumatic fever : a study in abdominal surgery / by John D. Malcolm.

  • Malcolm, John D.
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: The physiology of death from traumatic fever : a study in abdominal surgery / by John D. Malcolm. Source: Wellcome Collection.

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    neai’ the Nodus Cursorius of Nothnagel.”* The conclusion has been deduced that by the stimula- tion of a particular nerve area in the situation named, “the thermogenic function of the muscles is abnormally increased, and therewith their cata- bolic or oxidative metabolism; and this without encroaching upon the motor tract, without ex- citing the motor function, and without any action that can fairly be called vaso-motor coming into play.”t With the jDroduction of heat a mechan- ism for its elimination is intimately associated; and there is reason for believing that the heat- eliminating function is also under the control of the thermal nervous system.| These conclusions, deduced from the results of experimental inquiry, are so completely in accord with those derived from clinical observation as to justify us in regarding the vascular conditions and the thermal conditions which are found during a traumatic fever as independent effects of one cause. The Local Vascular Changes in an Inflamed Part. Before proceeding to analyse the clinical sym- ptoms of a traumatic fever it is necessary to take * Macalister, “ Gulstonian Lecture,” ‘Brit. Med. Journ.,’ 1887, vol. i, p. 670. t Loc. cit. t Loc. cit.