Essentials of practice of medicine : arranged in the form of questions and answers, prepared especially for students of medicine / by Henry Morris ; with a very complete appendix on the examination of urine by Lawrence Wolff.
- Morris, Henry, 1855-1929
- Date:
- 1894
Licence: Public Domain Mark
Credit: Essentials of practice of medicine : arranged in the form of questions and answers, prepared especially for students of medicine / by Henry Morris ; with a very complete appendix on the examination of urine by Lawrence Wolff. Source: Wellcome Collection.
Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)
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![four hours, and preceded by vomiting, high fever, and very rapid pulse, Should the patient not be seen until later, the course, des- quamation and the marked sequela?, would aid the diagnosis. (1) From roseola it is diagnosed by the fever, the sore throat, and the eruption, which does not come and go as in the latter disease, (2) From dengue, by being contagious and occurring in epidemics, by rarely affecting adults, by the absence of pain in the joints, and by the eruption, which does not come and go as in the latter. What is the prognosis ? The prognosis differs in different epidemics and in different indi- viduals. Excluding the epidemics of malignant scarlet fever, in which the mortality ranges from 50 to 60 per cent., it would probably average ] 3 to ] 9 per cent. Unfavorable signs are convulsions, a temperature over 105°, and an irregular eruption. Should convulsions occur late in the disease, they are usually referable to uraemia, and give a better prognosis than when they occur early. Should this disease occur after surgical operations, or in pregnant or puerperal women, the prognosis is bad. Prognosis of Complications. When deafness occurs it is usually permanent. The prognosis of kidney complications is unusually favorable, con- sidering the nature of the disease and the gravity of the symptoms. By far the larger majority recover under appropriate treatment. The prognosis of heart complications is as bad regarding the ultimate result as when they follow acute rheumatism. How should this disease be treated ? (1) Prophylactic Treatment. Isolation must be complete and entire, not only of the patient, but of all who come in contact with him. There should be only one nurse, and she must change her clothing before coming in contact with others. Only the necessary furniture should be allowed in the room, which should not be carpeted. The patient must not be allowed to come in contact with others until desquamation has entirely ceased. Disinfection.— The body of the patient, and of all who come in contact with him, must be scrupulously disinfected. The desqua-](https://iiif.wellcomecollection.org/image/b21142476_0071.jp2/full/800%2C/0/default.jpg)
