Essentials of diagnosis : arranged in the form of questions and answers / prepared especially for students of medicine by Solomon Solis-Cohen and Augustus A. Eshner.

  • Solis-Cohen, Solomon, 1857-1948.
Date:
1900
Catalogue details

Licence: Public Domain Mark

Credit: Essentials of diagnosis : arranged in the form of questions and answers / prepared especially for students of medicine by Solomon Solis-Cohen and Augustus A. Eshner. 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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    With what diseases may influenza be confounded ? The diagnosis of influenza may ])e extremely easy or ex- tremely difficult. According to its type, it may be mistaken for simple catarrhal inflammation of the mucous membrane of the eye, ear, nose, throat, bronchi, stomach or intestines ; for measles; for cerebro-spinal meningitis; for acute articular rheumatism ; for dengue ; for ordinary types of pleurisy or pneumonia; for malarial fever; for acute tuberculosis; for typhoid fever. Upon what does the discrimination depend? In times of prevalence of epidemic influenza, or of.the analo- gous epizooty, the knowledge of that fact will cause one to be on the lookout for the disease, and he may, perhaps, even call other affections by its name. Characteristics upon which stress should be placed are the sudden onset, the great depression, the cutaneous hyperesthesia, the lumbar and muscular pains and -the excessive respiratory distress. These serve to distin- guish it from indigestion, gastro-intestinal catarrh, bronchitis, coryza and colds. In contradistinction from typhoid fever or typhus fever, the common occurrence of some form of catarrhal symptoms, the irregularity of the temperature, the shorter dura- tion and the absence of the characteristic symptoms to be de- scribed, are additional discriminating points. From ordinary pneumonia influenza differs in evolution, course and temper- ature, in the marked depression, in the irregular distribution of the pulmonary lesions, and in the presence in the expectorated matters of distinctive bacilli. The differential diagnosis from the other diseases mentioned will be successively developed. Typhoid Fever—Enteric Fever. What is typhoid fever ? Typhoid or enteric fever is an acute, infectious disease, depen- dent upon a specific microorganism, and presenting inflam- mation, swelling, softening and ulceration of the intestinal lymphatic structures, enlargement and softening of the mesen- teric glands, tumefaction of the spleen, and changes in the parenchyma of other organs. Rarely the intestines escape.