. Essentials of diagnosis. Arranged in the form of questions and answers prepared especially for students of medicine . d aroundthe trichinae encapsulated in the muscles. In the first stage, the appetite is im-paired ; the tongue is coated, the breathis foul; there are malaise, nausea, a badtaste, diarrhea, abdominal pain and slightfever. In the second stage, there is edema, ap-parent in the face and sometimes extendingdownwards ; there are also pains in themuscles, which are swollen ; defects of theocular muscles and of accommodation some-times appear ; the senses and various func-tions may b
. Essentials of diagnosis. Arranged in the form of questions and answers prepared especially for students of medicine . d aroundthe trichinae encapsulated in the muscles. In the first stage, the appetite is im-paired ; the tongue is coated, the breathis foul; there are malaise, nausea, a badtaste, diarrhea, abdominal pain and slightfever. In the second stage, there is edema, ap-parent in the face and sometimes extendingdownwards ; there are also pains in themuscles, which are swollen ; defects of theocular muscles and of accommodation some-times appear ; the senses and various func-tions may be affected ; sleep is disturbedand there is moderate fever. The musclesare sensitive to touch, which may detectthe minute nodules. Death may result fromexhaustion, pneumonia or ulceration of the bowel. In favora-ble cases, the symptoms giadually subside and the patient entersupon the third stage of the disease. Active symptoms are nowin abeyance, but there may be some stiffness of the muscles,while nodules in the muscles may be detectable. Ultimately, however, the patient may be restored to a fairdegree of Trichina, a, Male ; 6,Female ; c, Muscle-Tri-china. (V. Jaksch) ACUTE RHEUMATISM—RHEUMATIC FEVER. 87 Acute Rheumatism—Rheumatic Fever. What are the symptoms of acute rheumatism ? Acute rheumatism or rheumatic fever usually follows ex-posure to cold. An almost identical condition is sometimesobserved in the course of puerperal fever and as a sequel ofscarlatina. It is thought to be dependent upon the presenceof lactic acid in the blood. One of the larger joints becomespainful, enlarged, hot and reddened. It is evidently inflamed ;sometimes the presence of fluid can be detected. Soon, anotherjoint, probably the corresponding joint on the opposite side, orthe next contiguous joint, becomes similarly involved ; and inthis way the process may extend, until most or all of the largejoints are in turn attacked. On account of the pain, the patientis immovably helpless. Fr
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectdiagnos, bookyear1892
