The student's guide to medical diagnosis / by Samuel Fenwick.

  • Samuel Fenwick
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: The student's guide to medical diagnosis / by Samuel Fenwick. Source: Wellcome Collection.

    304/382 (page 276)
    SECTION II. No Eruption has appeared in the Early Stage of the Fever, and, if present, it is usually small in amount; the Febrile Symptoms have been continuous from their commence- ment. Under this head you may have—typhus, typhoid, relapsing fever, cerebro-spinal fever, influenza, mumps, and rheumatic fever. (454-) 443. a. The patient lies on his back in a state of half-consciousness, or low muttering delirium ; the eyes are injected, the cheeks are uniformly flushed and of a dusky colour, the lips are covered with sordes, the tongue dry and brown. There are thirst and absence of appetite, but the bowels are not usually purged. The pulse is rapid and feeble, skin hot, respiration increased in frequency. An eruption generally appears on the body and limbs from the fifth to the seventh day, the spots of which are dark- coloured and persistent; they are at first slightly elevated, but after a few days become flat, and do not disappear, although they are made paler by pressure. The disease is typhus. The period of incubation is from five to eleven days. The attack of typhus is generally sudden, and begins with chilliness, lassitude, noise of the ears, giddiness, pains of the head and limbs, quick pulse, and hot skin. In other cases it is preceded for a few days by feeble- ness, headache, and want of appetite. The loss of muscular power is early and marked. The tongue is at first large and pale, afterwards covered with a Yellow brown fur. Delirium usually presents itself from the fourth to the eighth day; the urine is fre- quently albuminous ; a peculiar odour can be often de- tected in cases of typhus. As the disease advances, the stupor increases, the pupils are contracted, the