Epidemic Meningitis, Or Cerebro-spinal MeningitisLindsay and Blakiston, 1867 - 178 páginas |
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Términos y frases comunes
adds affection appearance arachnoid attack blood brain Burdon-Sanderson cerebral cerebro-spinal meningitis character characteristic coma commencement condition congestion CONJUNCTIVA cornea corpuscles Danielson and Mann death delirium demic described desire for food dilated disease Dublin dura mater duration effusion epidemic meningitis eruption European epidemics extreme exudation fatal fibrin Fish frequently Gallup Gillkrest greater number Hale head Hirsch inflammation inflammatory ingitis instances Jackson Jenks Jour Klebs lesions less Lionnet lymph medulla oblongata membranes mentioned Miner morbid muscles muscular natural nausea nausea and vomiting nearly Niemeyer North observed occurred opisthotonos opium pain paralysis patients peculiar petechial phenomena physicians pia mater present proportion pulse pupil purulent rarely recent epidemic referred regarded remarks reports says serum similar skin sometimes speaks spine spotted fever stage statement stomach strabismus Strong symptom temperature tion tongue Tourdes tuberculous meningitis typhoid fever typhus and typhoid typhus fever Upham URINARY ORGANS ventricles Vieusseux vomiting writers Wunderlich
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Página 136 - We were in the habit of giving one grain of opium every hour, in very severe, and every two hours in moderately severe cases, and in no instance was produced either narcotism, or even an approach to that condition. Under the influence of the medicine the pain and spasm subsided, the skin grew warmer, and the pulse fuller, and the entire condition of the patient more hopeful.
Página 95 - A pandemic disease. Occurs in places remote from one another, and without intercommunication. Attacks all classes of society. Is never primarily developed by squalor and deficient ventilation. Is not contagious More males than females attacked. More young persons than adults. Generally occurs in winter. Eruptions are wanting in at least half of the cases; they occur within the first day or two. The eruptions are very various, including erythema, roseola, urticaria, herpes, etc. Ecchymoses are common....
Página 131 - ... by Gordon. Nutritious diet, hot aromatic. infusions, claret, port, madeira, or even brandy, and other stimulants have been generally regarded in America in former epidemics as essentials in the treatment. Recent experience, however, has led to the rule that alcohol, as Dr. Stille says, should not be included in " the ordinary and systematic treatment of epidemic meningitis, but as a cordial to be held in reserve against those signs of failure in the power of the nervous system, which call for...
Página 44 - ... very deep brown, or purple, or even black. The spots are of various ! sizes and shapes, some small and round, others large and irregular ; some appear like large spots of very black purpura, only more mottled and more irregular in color and shape ; others are more confined, and raised above the level of the skin, consisting of an effusion into its substance...
Página 108 - The inflammatory element and the septic element are both necessary to constitute the disease ; either may be in excess and overshadow the other. According to the relative predominance of one or the other, the disease assumes more of a typhoid or more of an inflammatory type ; and it is this diversity in its physiognomy which has led to such opposite doctrines in regard to its nature and its nosological affinities.
Página 33 - A pain resembling the sensation felt from the stinging of a bee, seizes the extremity of a finger or toe; from thence it darts to the foot or hand, or some other part of the limbs, sometimes in the muscles, carrying a numbness or prickling sensation in its progress. After traversing the extremities, generally on one side only, it seizes the head, and flies with the rapidity and sensation of electricity over the whole body, occasioning blindness...
Página 15 - Vieusseux described epidemic meningitis in 1805 as a disease new to himself and his colleagues ; a petechial eruption and engorgement of the brain marked the course of this "malignant non-contagious fever." Mathey in one of the fatal cases found a gelatinous exudation on the convex surface of the brain, and a yellow puriform matter upon its posterior aspect, upon the optic commissure, the inferior surface of the cerebellum, and the medulla oblongata. Prussia, Holland, Rhenish Germany, Bavaria, or...
Página 136 - The tolerance of the drug he states to be remarkable — the doses he himself used were a grain of opium every hour, in very severe, and every two hours, in moderately severe cases. Under this treatment " the pain and spasm subsided, the skin grew warmer and the pulse fuller, and the entire condition of the patient more hopeful.
Página 41 - ... partial and local, and sometimes general. It frequently affects the flexors of the upper and lower extremities, without affecting other muscles. A novel development of this muscular rigidity is given in a case related by Dr. Gordon, in the Dublin Medical Press and Circular for May, 1867, in which " the patient lay on her abdomen, and refused to allow herself to be moved on her back or on either side. Her spine presented a most wonderful uniform curve concave backward; her head was also curved...
Página 95 - Pulee very often not above the natural standard; often preternaturally frequent or infrequent. Is subject to sudden and great variations. '• The temperature is lower than that recorded in any other typhoid or inflammatory disease.