The tongue as an indication in disease : being the Lumleian Lectures delivered at the Royal College of Physicians in March 1888 / by W. Howship Dickinson.

  • William Howship Dickinson
Date:
1888
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Licence: Public Domain Mark

Credit: The tongue as an indication in disease : being the Lumleian Lectures delivered at the Royal College of Physicians in March 1888 / by W. Howship Dickinson. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    7G THE TONGUE The frequency of the red, smooth, or raw-beef tongue in connection with dysentery, especially where abscess of the liver is also present, and with other affections of the alimen- tary canal, cannot but attract especial notice, and has been attributed to reflex nervous influence. This cannot be abso- lutely negatived, yet we may hesitate to introduce such an explanation in the presence of other circumstances, which certainly go far to account for the state of tongue The chief of these are the prostration common in the disorder mentioned, presumably impairing the epithelial growth together with the want of saliva, which contributes to the' same deficiency, and the irritation of the unprotected surface by the contents of the mouth. The prognosis with this tongue is bad: of the thirty cases in which it was recorded, sixteen ended fatally. The mmd commonly remains clear, though the patient may be weak unto death. 10 and 11. Bake, Smooth, Dby, Bed (Membbane ob None Evident.) Pneumonia . g Broncho-pneumonia (also after recovery) . ! . l Phthisis or general tuberculosis, or of peritoneum .' 4 Hepatic ascites and dry diet ... 2 Attack of gall-stones .... j Lardaceous disease, ascites, &c 2 Dysentery and abscess of liver .... 2 Surfeit ~ Diabetes, advanced .... 5 Typhoid ' ' ' 2 Pyremia - Lumbar abscess, discharging Pus in urine (abdominal tumour) ... 1 Tubercular pyelitis, pus in urine 1 Empyema, discharging ... 1 (Total ....I! 30)' Pabticulabs Relating to the above Cases. Pyrexia (temp. 102° to 104°) H Hyperpyrexia (temp, over 104°) .... 2 No observations as to temperature 1
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