Tuberculin treatment / by Clive Riviere and Egbert Morland.

Date:
1912
Catalogue details

Licence: In copyright

Credit: Tuberculin treatment / by Clive Riviere and Egbert Morland. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    doctor should arrange to see the case himself during this phase on some occasions at least. In addition the “ rebound ” to positive phase and its accompani- ments must be looked for and recorded. 3. The Rate and Extent of Progress.—These can only be gauged over comparatively long periods of time, and must be estimated by accurate records taken at the beginning of treatment and at convenient intervals. General progress is best estimated by increase of weight and a corresponding accession of nervous energy. Local improvement is measured Avith the eye and touch, generally assisted by the probe, tape measure, and other instruments. The means whereby we obtain the information above outlined as necessary for the control of treatment are mainly the following— Temperature.—This is best taken in the rectum, for reasons given on page 83. A chart should be kept, and for this purpose the three months’ chart illustrated at the end of the book is to be recommended. On it should be recorded, in addition to the temperature, the weekly weight, and each injection of tubercuhn. The temperature should be taken at first every four hours, and later morning and evening (6 p.m.) and, in addition, at any time when unusual symptoms suggest the pre- sence of fever. The pulse record is of Httle value in children. Weight.—Cases should be weighed at the same hour and in the same clothes once weekly and the result recorded on the temperature chart. Changes of weight are of especial value when the original home conditions are maintained during treatment.