A treatise on febrile diseases: intermitting, remitting, and continued fevers ; eruptive fevers ; inflammations ; hemorrhagies ; and the profluvia ; in which an attempt is made to present ... whatever ... it is requisite for the physician to know, respecting the symptoms, causes, and cure of those diseases ; with experimental essays, on certain febrile symptoms, on the nature of inflammation, and on the manner on [sic] which opium and tobacco act on the living animal body (Volume 1).

  • Philip, Alexander Philip Wilson, 1770-1847.
Date:
1809
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on febrile diseases: intermitting, remitting, and continued fevers ; eruptive fevers ; inflammations ; hemorrhagies ; and the profluvia ; in which an attempt is made to present ... whatever ... it is requisite for the physician to know, respecting the symptoms, causes, and cure of those diseases ; with experimental essays, on certain febrile symptoms, on the nature of inflammation, and on the manner on [sic] which opium and tobacco act on the living animal body (Volume 1). Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

    73/514
    « substance. To the above we may add, a sodden or parboiled - « appearance of the tongue, which indicates much danger. A spontaneous, or what has been termed colliquative, diarrhoea frc- cuently precedes death. And the uncommon fetidness ot the stools sometimes gives reason to suspect that some part of the intestines is sphacelated, which is always a fatal accident.* A black matter like coffee grounds, discharged either upwards or downward*, denotes much danger; this symptom is generally the consequence of hemorrhagy from the stomach or bowels. In the remittents of warm climates the vitiated bile sometimes produces a similar appearance, and sometimes in the stools it assumes that of tar or molasses. Whatever be the matter eva- cuated, vomiting, although not attended with hiccup, is dangerous, ;f it does not abate towards the end of the paroxysm, especially 'if attended with much anxiety, and if the discharge docs not bring re lie ft The urine or sweat being offensive, the former of a dark colour, and depositing a brown or blackish sediment; the latter, which is a more rare occurrence, tinging the patient's linen with a brown colour; both of which appearances proceed from an admixture of blood; and the eyes being suffused with blood ; are among the most alarming symptoms.]; The sphincters are relaxed be- fore death, so that the urine and faxes are frequently passed involuntarily. It may be observed upon the whole, that much danger is indi- cated by the various symptoms denoting great debility in the natural functions. These will be enumerated more at length when we consider the symptoms of typhus, to which fever they properly belong. In the last stage of the paroxysm, a free and thin sweat uni- versally diffused, not occasioning much loss of strength, tends to form a favourable, the opposite of these, an unfavourable, prog- nosis. I shall conclude this part of the progr.o-jis with the following observations from Dr. Rollo's account of the diseases of St. Lucia. A comatose disposition, (he observes) remarkable dejection, coldness of the skin, partial cold sweats, hiccup, involuntary « stools, subsultus tendinum, loss of speech, Sec. were certain « signs of danger. When flies become numerous about the patient's bed in any period of the disease (he adds) and adhere to his lips and eyes without his being sensible of their attach- * If there is much bile in the primr. via, the stools may be unusually ietid without indicaUng sphacelus. 3 uu~u<iy or^^enunr0 ^ ™ ^ rca^ntodread»tfammationof the stomach ai&a^anUdTbS -mcrrhagiesatove alluded to,„;