A text-book of medicine for students and practitioners / by Adolf Strümpell ; With editorial notes by Frederick C. Shattuck.
- Adolph Strümpell
- Date:
- 1901
Licence: Public Domain Mark
Credit: A text-book of medicine for students and practitioners / by Adolf Strümpell ; With editorial notes by Frederick C. Shattuck. 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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![organic diseases, including cirrhosis of the liver, contracted kidney, heart-disease, cerebral disease, and neuritis. (&) Delirium tremens: Usually a sudden onset, as in connection with some acute disease or after a surgical injury. Disordered intellect. Great restlessness, hallucination (vermin, etc.), excitement, and loss of sleep. Treatment: Bathing and douching. Injections of strychnine. The use of chloral and other narcotics should be cautious. Physical restraint should be avoided if possible. The patient may often be allowed to go about the room as he likes, if only he be watched. Alcohol should be given if collapse be threatened. [(c) Alcoholic insanity: Marked mental confusion with loss of memory of recent events, failure to appreciate time or place, occasional hallucinations. In some cases marked depression or excitement, in other cases more systematized delusions, of persecution, marital infidelity, etc. In more severe cases pronounced mental failure. Conditions of physical weakness often associated (neuritis? vide supra, polyneuritic psychoses, page 894). Treatment: Abstinence from alco- hol, strychnine, forced feeding, free elimination.—^K.] 18. Chloroform.—Unconsciousness. Loss of sensibility and reflexes. Slow pulse. Pupils dilated. Failure of respiration, and finally of the heart. Danger of heart failure, especially in persons with weak hearts. Treatment: Artificial res- piration. Injections of strychnine. Stimulants. Counter-irritation. 19. Iodoform.—(Repeatedly seen from the use of iodoform on wounds.) First of all, nervous symptoms: headache, vertigo, sleeplessness. Peculiar psychoses, maniacal attacks, delusions of persecution, refusal of food. In severe cases con- vulsions, deep coma. Very small, rapid pulse. Treatment: Symptomatic, by stimulants, baths, etc. Alkalies and atropine are recommended, but their action is doubtful. 20. Carbonic-oxide Gas (Illuminating Gas).—At first, vertigo, headache, throbbing in the temples, ringing in the ears, and spots before the eyes. The patient gradually becomes unconscious. Skin pale and cyanotic. Respiration in- termittent. Subnormal temperature. The urine may contain albumen and sugar. The carbonic oxide may be demonstrated in the blood by means of the spectro- scope. Its color is clear cherry-red (CO-hsemoglobine). Subsequently paralysis, disturbances of sensation and of speech. Treatment: Fresh air, artificial respi- ration, stimulants, transfusion. 21. Sulphuretted Hydrogen.—Headache, vomiting, diarrhoea. In severe cases, unconsciousness, dyspnoea, cyanosis, convulsions, and death. The blood is thin, fluid, and black (sulph-h^moglobine). Treatment: Artificial respiration, fresh air, and the cautious inhalation of chlorine gas. 22. Bisulphide of Carbon.—(Workers in rubber factories.) Vomiting. Se- vere nervous symptoms. Incontinence of urine, atrophic paralyses, anaesthesia, mental disturbances, especially loss of memory, spasmodic conditions, etc. The red blood-corpuscles are destroyed; the black blood contains many flakes of pig- ment. Treatment: Symptomatic. 23. Hydrocyanic Acid (Potassic Cyanide; Bitter Almonds).—Characteristic odor of bitter almonds. In severe cases death may occur in a few minutes. If the course be more protracted, convulsive and extremely slow respiration, the expiratory act being much prolonged; the eyeballs protrude, and the pupils are somewhat enlarged and do not react to light. Cardiac weakness, cyanosis, uncon- sciousness. Twitching of the muscles. Trismus. Treatment: Merely symptom- atic. Emetics, artificial respiration, cool douches, stimulants. Atropine may be tried; also, hydrated ferric oxide and chlorine water. 24. Nitrobenzine (Nitrobenzole, Oil of Mirbane).—Strong odor of bitter al- monds. At first, dizziness. The skin soon assumes a bluish hue, rapidly increasing to the deepest cyanosis. Increasing anxiety, sense of suffocation, and gradual](https://iiif.wellcomecollection.org/image/b21206296_1240.jp2/full/800%2C/0/default.jpg)
