Cholera : its causes, symptoms, pathology and treatment / by Roberts Bartholow.

  • Bartholow, Roberts, 1831-1904.
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: Cholera : its causes, symptoms, pathology and treatment / by Roberts Bartholow. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    vital resources. The pulse at the wrist, at first un- equal in tension and fluctuating in force, declines in strength and volume until at length only a faint vibratory trembling can be felt, or it ceases alto- gether. The sounds of the heart are barely audible, and the apex beat makes no impression on the chest- wall. The countenance is bluish or cyanosed, re- tracted and shrunken; the lips drawn back, exposing the teeth; the eyes deeply sunken in the orbits and surrounded by dark circles; the vision is dim, the pupils contracted; conjunctivae injected; the voice is a mere husky whisper, and a pause is needed between every word to gather the strength required to utter the sound—vox cholerioa—the hearing is dull and theie is singing in the ears, the external ear is of a bluish, or brownish-purple tint; the breath is cold, and the movement of respiration is slow, shallow and sighing; the surface of the body is cold, the skin shrunken, and sodden like the hands of a washer- woman ; the face, neck and extremities, both upper and lower, are more or less deeply cyanotic, the toes and fingers incurved, retracted, and rigid with cramp —such is the complex of symptoms of the algid stage as ordinarily witnessed. The coldness of the surface is represented, of course, in the lower range of the thermometer, but not wholly so. The surface is cold to the touch, when the actual body heat, as shown by the thermom-