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The Cincinnati Medical News, Vol. 12

The Cincinnati Medical News, Vol. 12

139250972
1200 руб.
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Описание
Excerpt from The Cincinnati Medical News, Vol. 12: June, 1879; Vol. 8, New Series

Typhoid fever is usually ushered in with rigors, chilli ness, or diarrhea. Now and then it may be ushered in somewhat suddenly, but generally it comes on insidious ly, so much so sometimes that the patient has difficulty in stating just on what day his illness began. In num bers of cases there will be felt, for some days, only a feel ing of malaise, attended with a feeling of weariness in the limbs, and a disposition to be on the feet as little' as possible. The appetite is poor or fails altogether. In other cases the patient suffers from irregular chills and ?ushes of heat. The pulse is increased in frequency, the limbs ache, there is headache, redness or coating of the tongue. During the day there will be, perhaps, a ten dency to drowsiness, and at night to wakefulness, rest lessness, and dreaming. With the other symptoms there are usually associated, or very soon follow, and generally form the most striking phenomena of the early symptoms, vomiting and diarrhea, with abdominal pain and tender ness in the umbilical region. Now and then they are not present.

As has been intimated, feebleness is usually 'marked from the beginning of the disease, and not unfrequently the patient-is not able to leave the bed during the first week, but in other cases, while the symptoms gradually increase in severity, he may be able to be up more or less, and even walk around dressed. If it happen that the bowels were any ways constipated at first, their con dition will usually be changed before the end of the week. They will be found at this time very sensitive to anything tending to irritate them. If an emetic be given, it will sometimes produce severe diarrhea. So that care must be employed as to the character ofthe medicines administered - it being far more easy to set up a profuse diarrhea than it is to check it after it has been started.

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