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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    to expel it, or tenesmus, which is almost constant; the stools for the first day or two contain more or less fecal matter, but they soon change to a grayish, tough, transparefit inucus, containing more or less blood and pus; during the tormina, nausea and vomiting may occur; the urine is scanty and high colored; the number of stools range from five to twenty or more in the twenty-four hours. The duration is about one week, the patient being much emaciated and enfeebled. The croupous or epidejnic form sets in suddenly, the stools being more frequent, containing more blood and pus, with patches of mem- brane, even casts of the bowel, together with more or less gangrenous mucotcs membrane ; nausea, vojniting, and great prostration, cold skin, feeble ptdse, and e7naciation with anxious expression, the odor surrounding the patient being fetid. The duration of the grave symptoms is three or four days, when collapse and death occur, or slow convalescence begins, continuing for weeks. Coniplications. Peritonitis; hepatic abscesses ; phlebitis of the intestinal veins ; intestinal perforation. Diagnosis. Enteritis lacks the tenesmus and characteristic stools. Peritonitis, when idiopathic, shows higher temperature, greater ten- derness and constipation. Prognosis. Catarrhal form favorable. Croupous form, the prog- nosis always grave, for if recovery does occur the bowel may be crippled, from loss of structure, or from narrowing of its calibre, the result of cicatrices. Treatment. Emaciation being rapid, the diet must be of the most nourishing yet bland character, to which stimulus should be added if much prostration occur. The most common treatment is opium, combined with one or more astringents, to wit:— R. Ext. opii, gr. ss Plumbi acetat., gr- ij- M. Every two hours; or— R. Pulv. opii, gr. ss PlumV^i acetat., gr- ij Pulv. ipecac, g-j- M. Every two hours;