The principles of diagnosis / by Marshall Hall.

  • Hall, Marshall, 1790-1857.
Date:
1834
Catalogue details

Licence: Public Domain Mark

Credit: The principles of diagnosis / by Marshall Hall. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

    321/668 (page 89)
    ing; the surface of the face is generally affected with an appearance of oily, clammy, and swarthy perspiration, especially near the nose. The tongue is almost invariably loaded :—sometimes only slightly, whilst its edges are clean and red ; —in severe cases, a load has formed over the tongue, and has, almost at once, peeled off, leav- ing the surface morbidly red, smooth, and ten- der;—at other times it is more loaded, swollen, and cedematous, formed into deep sulci or plaits, and marked by pressure against the contiguous teeth,'—the inside of the cheeks being also im- pressed in the same manner ; the papillee of the tongue are numerous and enlarged; the gums are reo and swollen, and occasionally bleed; the teeth and the mouth are in general foul, and the breath loaded and foetid; in a fourth instance, the tongue may, however, be clean, but lobulated, whilst the internal mouth and breath are little affected. There is a tendency to perspiration, on slight exertion, or any surprise, and, sometimes, in the night or early in the morning ; the skin is, in general, cool, rather moist, and clammy ; in some protracted cases, it has become dry and harsh. The hands and feet are apt to be very cold, and the nails occasionally assume a lilac hue. The patient is usually affected with great tremor, observed sometimes in a quivering of the lip, or dimpling of the chin, but more usually on holding out the hand, or in carrying a cup of tea, for in- stance, to the mouth, on attempting to stand erect