An index of diseases and their treatment / by Thomas Hawkes Tanner.

  • Thomas Hawkes Tanner
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: An index of diseases and their treatment / by Thomas Hawkes Tanner. Source: Wellcome Collection.

    81/540 page 43
    apt to pass into coma. In a few days more, inlciise prostratiuii. When disease ends favourably, improvement very gradual: no critical sweat or diarrluca. Mcniiujitk confined to hase :—Diagnosis difficult. Sometinios coii- vnlsions or doliriiini at commcucement; fever; s(juinling, contracted pupils ; optic ischemia or neuritis ; frequent pulse ; clenching of teeth ; when round medulla, retraction of head. Coma. In other cases, pain in temples ; vomiting, constipation ; wry-neck ; loss of appetite ; a desire for repose. After a few days, vacant look ; dejec- tion ; intelligence clear; pulse and skin natural. Headache un- relieved. Coma, sometimes usherod in by severe convulsions, ending n death. Inflammation of dura muter :—rrcqucnily the residt of violence: of disease of cranial bones, particularly of peti'ous portion of temporal or of ethmoid. Chronic affections of ear and nose in children, regarded as trifling, may end fatally by rapid extension of morbid action to dura mater. Tre.vt.mext. See Acute Encciilialills. 2. Cerebritis.—From CcreLrum, the brain ; terminal -itis.—Partial or general inlianimation of brain substance without meningitis. Ot rare occurrence. Symptoms. Persistent deep-seated pain in head ; general malaise and vomiting; impairment of vision and hearing; contusion of ideas with failure of memory ; convulsive paroxysms, ending in pai'alysis or coma. Mental disturbance varies considerably according to part of brain affected. After three or four days there may be a copions elTusion of serum : symptoms of compression. Honietimes, inflaunna- tion ends in abscess ; suppuration occurring without exciting any suspicion. 'J'i:e.vtmext. See Acute Encepltalilis. 3. Acute Encephalitis..—From 'E7K(f(/laXo?, tliat which is in the head; terminal -itls. Hynon. dIenhiijo-cercJiritis; Phrcnilis.—The inflammation gives rise to more or loss complicated phenomena during life, according to degree and extent to which brain and its membranes arc involved. Post-nioi'tem appearances : meningeal congestion, with elfusod lymph or scrum or luis; vascularity, varying from bloody points, or a scarli't tinge, to a dusky redness of brain substance at ulTectcd p.art; with occasionally softening, or suppuration. Sv.\ii'roNr.-i. Earliest indications, fever; vomiting; aculc headache ; sharp and hard ami irregular pulse ; constipation ; impatience oHiglit and sound ; watchfidncss ; a look of oppression or sullenncss; suflusion of eyes ; hyper;cmia of optic discs ; confusion of thought or even delirium. These symptoms most marked when nieningilis predominate-^.— After from twelve hours to two days, second stage oi' the comjilaint sets in—period of collapse. _ Stat(i of stupor ; articulatifni dillicult or indistinct; vision and hearing dull; pu|>il—from having been con- tracted to ;i I'in's ])oint—bcc(]nies dilaleil ; optic neurilis ; ))erlKips squinting, and paralysis of muscles of eyelids; frequent twitcliings of
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