Notes on diseases in Turkey ; and Memoir on the remittent fever of the Levant.

  • United Kingdom. Army and Ordnance Medical Department.
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: Notes on diseases in Turkey ; and Memoir on the remittent fever of the Levant. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    accelerated; skin dry and hot, with ocitJasionai sweats break- ing! out over the upper part of the trunk ; great oppression and distress over the precordial region; feeling of sickness; tongue moistj and covered with a yellowish coating; great thirst; constipation ; scanty urine ; a feeling as if the limbs were bruised; sometimes a look full of deep anxiety and dis- tress, altogether peculiar; now and then a slight shiver, when the patient buries himself under the coVer with a sigh — sighing is a very frequent symptom. One feature, which I well recollect, and which is quite the reverse of typhus, is, that the subjective heat, as felt by the patient, appears greater than the objective heat discovered by the exploring hand; The patient constantly seeks the coolest part of the bed, and feels gratified if anything cold is placed in his hands. In typhus, on the contrary, the medical man feels the calor mordax, whilst the patient does not appear to do so. The greater affection of the sensorium in the latter disease is probably the reason of this phenomenon. However, I would caution the reader against taking this symptom as a criterion between the two diseases. Farther observations must deter- mine whether it is of any value. During the short intef- miasLon this feeling of heat greatly subsides. If medical aid is called in early enough, the progress of the disease may be stayed. Care must first be given to the predisposing cause^ such as checked perspiration, undigested food, by applying the appropriate means; then quina every second hour, and a draught of infusion of camomile and radix acori, with three or four grains of sal ammonia twice daily, and the bowels attended to by injections. Quina is borne far better than the above symptoms would lead to suppose. Removal from the spot where infection by ma- laria was received, when practicable, will greatly contribute towards recovery. Application of cold to the head, diluted C