Compend of the practice of medicine : based on the fourth revision of the quiz-compend.

  • Hughes, Daniel E., 1851-1902.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Compend of the practice of medicine : based on the fourth revision of the quiz-compend. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    or atmospheric changes. It is not contagious. One attack does not give immunity from another attack, but rather predisposes to it. Symptoms. The clinical history of this disease presents the greatest variations as regards intensity, from the most trifling indis- position in one, to an illness of the gravest kind, terminating in death, in another. The onset is sudden, with a ^//z7/followed hy fever, the temperature reaching ioi° to 103°, a quick, compressible pulse, and severe sJiooting pai?is in the eyes, frontal sinuses, joints and muscles. The chill and fever are rapidly followed by chilliness along the spijie, pain in the throat, hoarseness, deafness, coryza, sneezing, injected, watery eye, and a dry, irritative, laryngeal cough, sometimes becoming ^r^«r/!za/. The tongue is furred, there is anorexia, epigastric distress, nausea, vomiting, and oftentimes diarrhcea. In some epidemics the digestive symptoms are the most prominent, when dysentery may occur. The above symptoms are always associated with decided weakness and debility altogether out of proportion to the intensity of the fever and the catarrhal phenomena. Delirium is rare, but marked hebetude and cutaneous hypercssthesia are common. Duration. Four to seven days, with protracted convalescence. Relapses frequently occur. Complications. Lobar or catarrhal pneumonia frequently occur, which adds to the gravity of the attack. The cough may outlast the disease several weeks. Diagnosis. Isolated cases maybe mistaken for a bad cold. But when epidemic, the sudden onset, 7narked general catarrh and decided prostration, should prevent error. Prognosis. Recovery is the rule when it occurs in the healthy and vigorous. Grave when the very young, very old, or those suffer- ing from organic disease, such as Bright's disease, fatty heart, or emphysema, are attacked. Treatment. No specific. Support the system and treat indica- tions. All measures, of whatever kind, that tend to depress the gen- eral nervous system, or the functional activity of the respiration, and especially the heart-power, are to be avoided. The catarrh, pains and cough are at least ameliorated by the following :— \\. Pulvis ipecacuanhae et opii, g''-v I'otassii nitrat., gr- v. Every three hours.