A treatise on typhoid fever, pneumonia, and other diseases, including a large number of clinical cases : also, the treatment of some diseases of animals / by T.M. Sime.

  • Sime, T. M.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on typhoid fever, pneumonia, and other diseases, including a large number of clinical cases : also, the treatment of some diseases of animals / by T.M. Sime. Source: Wellcome Collection.

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    4 ITS NATURE, CAUSE, AND CURE. drink almost anything, and that frequently. On this at least the second week of his illness, the head or cerebral symptoms are apt to be very prominent, and these peculiarities in the patient's condition will con- tinue uninterrupted, unless abated by proper remedial agents. As the night approaches, his mind wanders; he is heard to talk incoherently; he tosses in the bed, can not find an easy position. Sleep is entirely ab- sent, although he desires it. In the morning, this being the third day of the second week of his illness, the pulse and temperature will be found to have fallen during the early hours. If the patient is now care- fully examined, a tenderness upon pressure will be found in the left iliac region, together with some tym- panitic distension of the bowels. When night comes on, all his symptoms increase, and force is requisite to keep him in bed. On the fourth day (Prof. Greorge B. Wood, LL. D., remarks on this stage of the disease, page 367, Practice of Medicine, 6th edition), other symptoms are now superadded. The tongue, previously moist or cLimmy, usually begins to become dry, and to assume a brownish color. Deglutition is sometimes painful or difficult. The abdomen is obviously dis- tended, so as frequently to present a convex outline from the ensiform cartilage to the pubes when the patient is on his back, and ]ipon concussion sounds hollow or tympanitic. If the surface be carefully ex- amined, red spots, like flea-bites, will show themselves, usually appearing at first in small numbers upon the abdomen, but afterwards increasing, and sometimes extending to the chest, and even to the limbs and face. At the same time a close inspection will often