Practice of medicine : a manual for students and practitioners . se until thepatient is forced to his bed, which is usually reckoned as thefirst day of the disease. Often during the first week of the disease the temperature(Fig. 8) shows the so-called siep-ladder rise, being a degree ormore higher in the evening than the previous evening, and adegree higher in the morning than the previous morning,reaching by the fifth to the seventh day 103° to 104° pulse is quickened, 100 to 110, of full volume but lowtension, sometimes becoming dicrotic. With the high feverthere may be delirium. By th


Practice of medicine : a manual for students and practitioners . se until thepatient is forced to his bed, which is usually reckoned as thefirst day of the disease. Often during the first week of the disease the temperature(Fig. 8) shows the so-called siep-ladder rise, being a degree ormore higher in the evening than the previous evening, and adegree higher in the morning than the previous morning,reaching by the fifth to the seventh day 103° to 104° pulse is quickened, 100 to 110, of full volume but lowtension, sometimes becoming dicrotic. With the high feverthere may be delirium. By the latter part of the first weekthe spleen is noticeably enlarged and the rose-colored lenticularspots are first seen on the skin, as a rule, in the region of thediaphragm. The tongue is coated white, with clean, bright-red margins and tip. There are usually meteorism and diar-rhoea, sometimes constipation. After the discharge of thenormal contents of the intestine the stools assume the pea-soup, ochre-colored appearance, sometimes colored with 94 blood. Blood may be found with the microscope in almostall cases. The urine is diminished in quantity, the urea TYPHOID FEVER. 95 Fig. 9. f ?


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Keywords: ., boo, bookcentury1800, bookdecade1890, booksubjectclinicalmedicine