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.

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    Cardiac and vascidar murmurs. Not uncommonly adcma of tlie Icg.s. Occasionally enlargement of thyroid and protrusion of eyeballs. I'jiEATiMEKT.—Good Hviiig. Purc air. Sea lathing. Chalylcates. Aloetic aperients.—fSec Anamia. CHOL^MIA.—From XoXi?, bile ; alfj.a, blood.—Tlie'morbid Ktafe in \yhicli bile exists in the blood, owing to it.s re-absorption after having been formed by the liver.—Sec Jaundice. CHOLERA.— From XoXds, the bowels : /jeu, to flow; or, accord- ing to some authors, from XoX?;, bile, and pii^. Synon. Ejiickmic, JUalif/iiant, Asiatic, or Algide {Ah/en, to be cold) CJtolcra.—An epidemic disease ; conveyed from i5lace to place by human inter- course not directly contagious in a high degree ; probably spread by contamination of drinking water by cliolcrnic discharges. Symptoms. Sometimes preceded by simple diai-rhcea : more fre- quently comes on suddenly without warning ; often in night abf.ut 2 or 3 A.M._ _ Presents three stages :—(l) Diarrhcoa and vomiting. (2) In addition, contracted pupil, spasms, cramps, coldness of body, and intermitting pulse. (3) Suppression of urine ; collapse. In detail these .symptoms are copious vomiting, and purging in most cases, at first painless and without eflbrt ; stools consist of an abundance of water, with flocculi of coagulated albumen (imparting lice-water appearance), a trace of biliary'inalter. and a large amoiuit of salts_ (especially chloride of soilinui). (2) \ery sljort'ly, severe cramps in lower extremities and abdomen, rendering muscles as hard a.s w^ood, or drawing them into knot-like masses. (3) Perhaps albu- minuria, followed by suppression of urine. Urgent thirst. Diminished circulation and impeded respiration: hence, intense prostration, icy coldness of surface and tongue and breath. Lividity or blueness of ]ips and skin generally. Unnatural and whispering voice. Shrinking of whole body. Pinched features : muddy looking complexion : sinlc^ ing of eye, with contracted and immobile pupil, and flattening of coi-nca :—the whole so peculiar that the expression is spoken of as the fades cJioIcriiira. Not withstanding coldness of surface, complaint is made of opjircssion : patient often likes to lie uncovered. There soon follows a gradual lessening of breathing; a thread-like pulse ; a clear intellect; and a complete arrest of circulation.—Patients wlio survive eighteen hours frequently show signs of amendment: occasionallv get well rapidly ; pulse rising, and rice-water cvacnnfions being Vc- jdaced by stools conlaining bile. P.ul often, improvement onlv'tran- sient : stools, though less frequent, are free from bile ; suppression of urine continues; and death is preceded by lieadache, drowsiness, tonic or clonic spasms, vomiting, stertor, and coma. In more favourable rases, a mild febrile exacerbation fullows and subsides gradnallv in a few days or Ihi.s eonscenlive fever is of a more severe fvpe.'and a low typhoid condition follows. Tin:AT.MKXT. Prnphi/lariic . — Sanitary laws to be strictly obeved. Avoidance of all doubtlnl food and impure water; of too long absti- nence from food ; of pm-gative medicines : of over-fatimie ; of intern-
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