Epidemic Meningitis, Or Cerebro-spinal Meningitis

Lindsay and Blakiston, 1867 - 178 páginas

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Página 1 - Provost and Professor of the Theory and Practice of Medicine and of Clinical Medicine in the University of Pennsylvania.
Página 66 - ... 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 130 - 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 31 - 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 117 - Ecchymoses are common. Headache acute, agonizing, tensive. Delirium often absent; often hysterical, sometimes vivacious, sometimes maniacal. Generally begins on the first or second day. Pulse 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.
Página 39 - ... 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 70 - its duration is between a few hours and several months;" and Tourdes most expressively says : " the disease is distinguished by the slowness of its cure and the rapidity of its fatal issue." The writer of this paper has treated not a few cases, but none of them have been fatal. The initial symptoms were, in nearly all cases, very severe, and the treatment was very active; and we have only seen five cases in which the convalescence was protracted, and four of these were cases in which we...
Página 117 - Its rate is pretty constantly between 90 ami 120. The temperature is always more or less elevated, and it does not fall until the close of the disease. " The skin is hot, burning, and pungent to the feel." The mouse-like odor of typhus is characteristic. The tongue is generally dry, hard, and brown; and the teeth and gums fuliginous. Vomiting is rare, and not urgent. Pains are dull, heavy, and apparently muscular.
Página 37 - During the first two years, the extensor muscles of the head and neck were, in almost every case, affected with true spasm. * * * This symptom, however, disappeared with the petechial spots, and during the last two years was rarely observed.
Página 24 - ... Sometimes the patient complains of headache, malaise, and chilliness for several days before the more active development of the disease. It is an initial symptom, and the patient speaks also of giddiness, or dizziness, and there is a general prostration of the nervous system. Tourdes says : " Vertigo was among the earliest symptoms. Sometimes it confused the mind and rendered walking impossible. In two cases the patients were seized with a giddiness, which compelled them to whirl round, when...

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