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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    of 44^ C. — 11 ra*^ Falir.; the other with a post-inorlcm tempera- ture of 4^-f C. = 109-94^ Eahr.). Flsc/icr {' Centralblatt/ i86y, J). 2-^9 ; a rise to 42*9° C. = 109*22° Ealir.). On the otlier haud, the latter has observed two cases of injuries of the cervical portion of the spinal cord with a diminution of tempe- rature in one case to 34° C. ( = 93*2° Eahr.), in the rectum, in the other to 30-2° C. ( = 86-36° Fahr.) in the axilla. [See also JBbiz on alcohol in paralytic fever in the ' Practitioner/ July, 1870, and a paper on the temperature of shock in surgical cases by W. W. AFagstafTe, F.E.C.S., ^St. Thomas's Hospital Heports/ vol. i, new series, p. 466, where {inter alia), a case is given of fracture and dislocation of sixth cervical vertebra, which died after forty-eight hours, when temperatures of 92*3° Fahr. on admission, and 8175° Fahr. (forty-five hours after injury) were recorded. See also a paper by Dr. Frederic Churchill in the same volume on shock and visceral lesions. Compare also remarks on injuries of the nervous system at pages 145, &c.—Trans.] XXXI.—Neuroses. Uncomplicated neuroses, whether evincing their presence in psychical, sensitive, or motorial functions, do not, as a rule, exhibit any alteration of temperature at all, whether they are recently de- veloped or long existing, or extremely chronic, or, at all events, the alterations of temperature are very inconsiderable. The following exceptions must be made : {a) Sometimes intermittent neuroses are developed under ma- larious influences, and in their attacks there may be an elevation of temperature. {b) The hysterical neuroses, in which elevations of temperature even to excessive heights may occur, like every other possible symp- tom, to all appearance without any motive at all. (c) Those affections which we may designate as vaso-motor neu- roses, which are by no means thoroughly understood as yet! In these cases also there may be alterations of temperature. In psychical neuroses, indeed, there is generally no particular alteration of temperature to be observed, unless it is produced by intercurrent corporeal affections. Yet a rather subnormal tempe- rature may be constantly observed in many insane persons (Geistcs-