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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    First Week, dates from onset of the fever, when are present increas- ing temperature, freque7it pulse, coated tongue, 7iausea, diarrhoea, headache, and upon the seventh day a few reddish spots reseniblijig fiea bites appear upon the abdomen, chest or back. Secottd Weeky the foregoing symptoms are exaggerated ; fever con- tinuous, frequent and coinpressible pulse, tympanitic, tender abdome7i, gurgling in the right iliac fosses, 7iocturnal delirium, severe and con- stant headache, often stupor, a short cough, with distinct bronchial rales on auscultation, irregular muscular contractions {subsultus te7idinu77i), sordes upon the teeth and lips, the diarrhoea continuing. During this stage deafness develops, often increasing until complete, continu- ing into convalescence. Disturbances of visio7i are frequent in pro- nounced cases. Third Week. Fever changes from continuous to remittent; the evening excerbations continue as high as the preceding week, and all the symptoms remain about the same until near the end of the week, when a marked amelioration begins. Fourth Week. The fever decidedly remits; almost normal in morning, the pulse becoming less frequent and more full, the tongue gradually becoming clean, the abdomen lessens in size, the diarrhoea ceases, the patient passing into a slow convalescence, greatly ema- ciated, which condition may continue for several weeks. Analysis of Symptoms. The te77iperature record of typhoid fever is a characteristic 07ie. The fever on the morning of the first day may be stated at 98.5° F., evening 100.5° J second morning 99.5°, evening 101,5°; third morning 106.5°, evening 102.5° I fourth morning 101.5°, evening 1035°; fifth evening 104.5°. From that time until end of the second week, the evening temperature ranges between 103° and 105°, the morning temperature being a degree or more lower. Diarrhoea is the principal intestinal symptom; if absent, the lesion is slight. The stools are at first dark, but early in the second week they become fluid, offensive, ochre-yellow in color, resembling pea soup, and may be .streaked with blood. They number from tJiree to Hfteen in the twenty-four hours. Constipation occurs more frequently than is supposed. I have seen fifty cases with constipation within the past five years. Eruption is almost constant. Consists oi ixovsx five to twenty small, rose-colored spots on the abdo?7ten, chest or back, sometimes on the