A manual of medical diagnosis : being an analysis of the signs and symptoms of disease / by A.W. Barclay.

  • Barclay, A. W. (Andrew Whyte), 1817-1884.
Date:
1870
Catalogue details

Licence: Public Domain Mark

Credit: A manual of medical diagnosis : being an analysis of the signs and symptoms of disease / by A.W. Barclay. Source: Wellcome Collection.

    69/708 (page 35)
    Excessive perspiration of any kind is frequently attended with an eruption of miliary sudamina. r). Colliquative sweats are constant attendants on the later stages of phthisis and on profuse suppuration, such as lumbar abscess. 0. Rigor, as indicated by the cutis anserina, is the common precursor of fever; its recurrence at intervals, if not from the presence of ague, or its sudden supervention during any existing illness, is indicative of the formation of pus. fc. The crackling feeling of emphysema, and the doughy cha- racter and pitting under pressure of anasarca, are each very characteristic. (See also changes of colour.) a. 2. Temperature. a. The temperature rises quickly in smallpox before the erup- tion, after which it sinks to a certain extent till the period of suppuration, when it again rises. The diurnal variations are considerable. j3. In measles the rise of temperature before the appearance of the eruption, is very rapid and very great. The subse- quent fall also takes place rapidly, and the diurnal varia- tions are slight. y. In scarlatina the rise is slower and the elevation less, but it is continued long after the eruption appears, with very distinct diurnal variations. d. In typhus the temperature rises slowly, and remains ele- vated during the whole attack, with slight diurnal varia- tions ; it then falls rapidly. £. In enteric fever the range of temperature is very analogous till towards the termination of the attack. This period is marked by very large oscillations before the temperature finally falls to the standard of health. £. The diurnal range in ague is very wide, and the oscilla- tions are regular in their recurrence; in pyaemia and sup- puration their extent is equal, but very irregular. i]. An extreme rise and a sudden fall below the normal standard, towards the end of an acute attack, are each of evil omen, elevation usually pointing to suppuration or blood-poison- ing, depression to exhaustion and failure of vital powers. b. The pulse. a. ^When frequent, the pulse is observed to be remarkably full in acute rheumatism, and generally firm in all acute inflam- matory diseases. ft. It is hard and wiry in abdominal inflammations especially