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, 1856-1929.
- Date:
- 1897
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.
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![similar, but there is a different history, general pallor and weakness, and the symptoms are aggravated hy the erect position. Prognosis. The prognosis is usually favorable. If the case proves obstinate it generally terminates as a meningitis or a myelitis. Treatment. Eest, cups or leeches along the spine, followed by the application of ice, and active purgation by means of salines ; ergot or belladonna with potassium bromide is given to diminish the amount of blood in the cord. In the passive form active depletion should he avoided. Digitalis and tonics may be administered and an occasional laxative given. Spinal Meningitis. What is spinal meningitis ? Spinal meningitis, also called lepto-mmingitis, is an inflammation of the arachnoid and pia mater, caused by exposure, lying on dam]) ground, severe blows and injuries, rheumatism, phlebitis, or tte extension of inflammation from the surrounding parts. What are its pathology and symptoms ? The pathology is similar to that of inflammation generally. There is at first hyperaemia, followed by swelling, with a grayish exudation of lymph on the meninges of the cord, particularly the pia mater. It is usually a diffuse meningitis ; the lymph often becomes organized, pressing upon different nerves and agglutinating the membranes together. Sometimes it may be a purulent inflammation. Symptoms. There is pain and tenderness along the spine, increased by motion or pressure, and aggravated by the application of heat. The patient therefore lies absolutely still on his side or abdomen! There is marked girdle-pain around the waist; marked hyperesthesia, the situation depending upon the seat of the inflammation; spasms in the muscles supplied by the part of the cord affected, usually clonic in character, coming and going. On close examination, quiverings may be detected in the fibrillai of the muscles. The reflexes are usually](https://iiif.wellcomecollection.org/image/b28093562_0337.jp2/full/800%2C/0/default.jpg)
