On the temperature in diseases : a manual of medical thermometry.

  • Carl Reinhold August Wunderlich
Date:
1871
Catalogue details

Licence: Public Domain Mark

Credit: On the temperature in diseases : a manual of medical thermometry. Source: Wellcome Collection.

Provider: This material has been provided by the Gerstein Science Information Centre at the University of Toronto, through the Medical Heritage Library. The original may be consulted at the Gerstein Science Information Centre, University of Toronto.

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    vescence in the parenchymatous form, but never occur at this stage in catarrhal tonsilHtis. If, on the opposite, defervescence takes the form, of Ijsis, which especially happens in cases with moderate tem- peratures, slight elevations of temperature may be met with for several days, and recovery is retarded.-^ Consult Thomas (1864, in the ' Archiv der Heilkunde,' v, 170) and Treihmann ('liber Angina Tonsill/ Diss., 1H65), who both made their observations on cases in my wards. XYI.—Parotitis. {Mum^s, and Inflammations of the Parotid Gland.) Parotitis affords us an immense variety of varying carves of tem- perature, and indeed we cannot expect that it should be otherwise, when we consider under what various circumstances the inflammatory affections of the salivary glands and their surroundings occur; not only as a primary epidemic affection {M?cmjjs) in w4iich the fever is generally very slight; as a catarrhal affection ; as an inflammation induced by contiguity; as a complication of the most varied infec- tious constitutional diseases; as a metastatic form in pysemia; as a terminal disorder in severe febrile and wasting diseases, &c., &c. Many of these forms, and particularly such as are accompanied by fever, do not occur sufficiently often to render it possible to lay down rules for the course of the temperature in particular cases, especially as such cases are almost always complicated, and therefore ' In addition to the croupous and diphtheritic affections of the tonsils, which properly belong to diphtheria and croup, I thiuli. the following forms of tonsillar affections are frequently met with : 1. Catarrhal (as described above), most common in xantho-tubcrcular, or epithelio-rheumatic patients, generally young persons or children of either sex commonly affects both tonsils. 2. Gouty, attacking one tonsil usually. 3. Erysipelatous, attacking one or both tonsils, and tending to spread (most common in middle-aged or old people). 4. Consecutive, following the exanthemata (scarlatina being of course excluded from this classification). 5. Syphilitic, attacking both tonsils. 6. Tubercular, analogous to tubercular pneumonia. 7. Catamenial (see note, page 102)—[TraisS.] - I have often seen a maximum of dO^ C. (104' P.), and sometimes a littlr more, in the fastigium.—[Teans.]