File:Virginia medical semi-monthly (1898) (14598378327).jpg

Identifier: virginiamedicals3189unse (find matches)
Title: Virginia medical semi-monthly
Year: 1899 (1890s)
Authors:
Subjects: Medicine
Publisher: Richmond, Va. : (L. B. Edwards)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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ess in ileo caecalregion. The pulse, respiration and tempera-ture are here shown (by Chart). From thatday (February 14th) until she died, the distinctremissions of remittent fever are noted in con-junction with typhoid fever symptoms. Theheighth of fever being, with one or more ex-ceptions, at 3 P.M.; the remission greatest ator about 9 A. M. This condition lasted untilMarch 4th, when character of temperaturechanged and gradually and fluctuatingly re-turned to normal on March 14th. This seemedthe end of the typhoid malarial fever, and pa-tient seemed to be very slowly recovering; onlytwice or so did she have any fever or disturb-ing symptoms, which lasted but a few hours,and soon subsided under a mild physic. On April 11th, twenty-eight days after sup-posed convalescence had started, patient com-plained of fatigue, was irritable, restless, hadvague pains, little fever, and desired to remainin bed. This continued until April 18th, when emesisset in, complained of head bitterly, parotid
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1898.) THE VIRGINIA MEDICAL SEMI-MONTHLY. 443 gland enlarged in left side, coated tongue (darkand dry), dyspnoea, pain in stomach, tympan-ites, slight constipation, anuria and dysuria,temperature, respiration and pulse rapidlyarose. She rapidly passed into a condition ofgreat prostration, face pale and lips cyanotic,symptoms of cerebrospinal meningitis devel-oped, post-pharyngeal enlargement becamemanifest, the case daily becoming more gravein spite of all treatment. April 25th, signs of breaking down of parotidsubstance; we lanced it, and gave child con-siderable relief, the temperature, respirationand pulse falling, and never did become sohigh except just previous to death. By April 27th, her head had greatly enlarged,had opisthotonus, and profound exhaustion. May 3d, right hip became affected. May ~th, left hip. May \)th, right knee joint. May loth, blebs appeared on feet and exten-sor side of forearms, and all tissues, lungs,heart, spleen, liver, mesenteric glands, kidneysand blad

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