Compend of the practice of medicine : based on the fourth revision of the quiz-compend.

  • Hughes, Daniel E., 1851-1902
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Compend of the practice of medicine : based on the fourth revision of the quiz-compend. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    Diag'nosis. Not difficult. The fever, early spreading eruption, with burning, swelling, tension and tingling, and albuminous urine, separate it from the other eruptive fevers and erythema. Prog'nosis. Usually favorable. Unfavorable if it attack drunk- ards ; if it becomes gangrenous ; if thrombosis of sinuses occur, or if it extends to the larynx. The convalescence, even from the mildest attack, is slow, the patient continuing weak and anaemic for a long time. Treatment. Mildest cases only require a laxative, nourishing diet, and locally vaseline or bismuth oleat., to modify the heat and burning. Prof. Da Costa strongly urges the use oi freepurgatiori before the use of the remedies usually administered. According to Reynolds, aco?iitum will cut short an attack. He administers Ti:\, %-], every fifteen minutes for the first two hours ; then in hourly doses, until the surface is moist and the temperature lowered. The author corroborates this plan, from a personal experience. In severe cases, tinct. ferri chlor., gtt. xx-xxx, every third hour, well diluted. Also qici7iina in gr, ij, every third hour. Ext. bella- donnce, gr. %, added, with benefit. The diet from the onset should be of the most nourishing character, and administered at regular intervals. Dr. Waugh strongly lauds extractum pilocarpifiuidwn in erysipelas. Prof. Da Costa reports excellent results in cases with rapid spread- ing \.^Vi^Q.x\.Q.^, from the use oi pilocarpijicE hydrochloras, gr. yi, hypo- dermically or ext. pilocarpifluidum, gtt. xx-xl, every two hours. Or good results are obtained in a fair number of cases from potassii iodidum. Cerebral symptoms, stimulants, opium and chloral. Extension to throat, argenti nitras, brushed over parts. If symp- toms of oedema of the glottis develop, tracheotomy is indicated. Locally, soothing applications are indicated, to wit: Vaseline, ung. zinci oxidi, ol. oHvce cum glycerince, bismuth oleat. or U7igt. hydrar- gyrum. In phlegmonous variety, argenti nitras, ^j, spts. cetheris 7iitrosi, 3ij, brushed over and beyond the affected part, with the internal use of large doses of quinina, ferrum and stimulajits.