A practical text-book on infectious diseases / by R.W. Marsden ; with a chapter on puerperal septic disease by A. Knyvett Gordon.
- Date:
- 1908
Licence: In copyright
Credit: A practical text-book on infectious diseases / by R.W. Marsden ; with a chapter on puerperal septic disease by A. Knyvett Gordon. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![administered, but not being specific their influence is variable, and beneficial results are not always to be relied on. Rheumatic Arthritis, Endocarditis, and Peri- carditis, are to be treated on the usual principles for these affections, e.g., Sodium Salicylate, rest, counter-irritation, etc. Septic arthritis requires rest and fomentations, with early resort to incision and drainage so soon as the presence of pus is diagnosed. At the same time a support- ing diet is necessary, and the importance of hy- drotherapy, free ventilation, local treatment of ears, throat, etc., must not be forgotten. Pleural effusion in septic cases generally be- comes purulent sooner or later. If the patient is very ill at the time of its detection aspiration should be performed, and the effect of this method may also be tried in patients less seriously ill when the fluid is only slightly opalescent, as recovery from such conditions without incision and drainage has occasionally followed. Diphtheria must be treated by the early injec- tion of antitoxin. With indications of the onset of nephritis a brisk purge is advisable, and the patient should be placed between blankets, and drink warm bland fluids freely, e.g., imperial drink made by dissolving two drachms of acid tartrate of potash in two pints of boiling water, and adding the juice of a lemon with enough sugar to suit the taste. At the same time the diet is to be restricted to milk. [Several observers have recommended the administration of urotropin from an early period of the attack of Scarlet Fever as a proply- lactic measure against nephritis.] If diuresis does not follow the above treatment. c](https://iiif.wellcomecollection.org/image/b21963605_0045.jp2/full/800%2C/0/default.jpg)
