Principles and Practice of Medicine

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Book may have numerous typos, missing text, images, or index. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. 1863. Excerpt: ... blood may be discharged from the nostrils, mouth, throat, bowels, or even from ftie kidneys; petechial spots appear on the skin, and the patient is at last destroyed with local manifestations of the morbid state in different parts and organs. 7. Violent nervous symptoms, occurring early in scarlet fever, augur great danger to the patient. 8. The character of the nervous symptoms is all-important, as the probable termination of the disease can be foretold more surely by a just appreciation of these phenomena than by any other means. Excessive jactitation or irritability, delirium, coma, and the hydrocephalic crisis, are all unfavorable symptoms, but not in the same degree as are those connected with the locomotive apparatus. MM. liilliet and Barthez state that they have seen recoveries take place in cases in which the intelligence of the patient had been very much disordered, while of those who, during the first fifteen days of scarlatina, were taken with convulsions, convulsive movements, contractions--in a word, any symptoms affecting the locomotive apparatus--all, without exception, died. Exceptions to this rule have occurred in my own practice. 9. An extremely frequent or very violent pulse is an unfavorable sign; so, also, intense heat or unnatural coolness of the skin; deficiency or sudden disappearance of the eruption, or a livid or purple hue of it; slow and imperfect capillary circulation, as ascertained by pressure; the appearance of petechiae, ecchymosis, or haemorrhages; violent vomiting and colliquative diarrhoea; great violence of the throataffection, whether from tumefaction, great abundance of pseudo-membranous exudation, or disposition to ulceration and sloughing, or sever coryza and otorrhoea. 10. A disposition to a typhoid state, indicated by dullness of the ...