Twentieth century practice; an international encyclopedia of modern medical science by leading authorities of Europe and America . 8, and 9. The original photographswere taken by one of my pupils, Mr. John Prescott, during the lastepidemic in Dublin. The three patients were all members of thesame family. All the patients happily recovered. Stage of Desiccation.—Even before the eleventh day the pustules CLINICAL HISTORY AND SYMPTOMATOLOGY. 415 in many instances burst, either from overdistention or by accident,and in otlier instances a thick, viscid, yellowish matter^—in appear-ance and consiste
Twentieth century practice; an international encyclopedia of modern medical science by leading authorities of Europe and America . 8, and 9. The original photographswere taken by one of my pupils, Mr. John Prescott, during the lastepidemic in Dublin. The three patients were all members of thesame family. All the patients happily recovered. Stage of Desiccation.—Even before the eleventh day the pustules CLINICAL HISTORY AND SYMPTOMATOLOGY. 415 in many instances burst, either from overdistention or by accident,and in otlier instances a thick, viscid, yellowish matter^—in appear-ance and consistence not unlike honey—oozes from the as yet unbrokensurface. This sticky exudation exhales the overpowering smell justreferred to. Together with the other contents of the pustules, thefoul exudation speedily dries up, first in the centre, as represented inFig. 7. Brownish scabs are in this way formed, which are at firstadherent but afterwards fall off in from three to six days, leavingelevations or projections of a violet-red hue, like a cold skin. Itshould be mentioned that the pustules clo not pass through their sev-. FiG. 8.—Confluent Smallpox. Commencing desiccation. eral stages simultaneously, and further that in some cases they dryup through absorption of their contents without bursting. On the trunk and extremities, where desiccation begins later thanon the face, the pustules frequently burst and their i)urulent contentssoaking into the bedclothes and body linen, undergo rapid decom-position upon the skin and in the clothing, causing an overwhelmingstench about the eleventh or twelfth day of the disease. This occursin the confluent, not in the discrete, form. With the drying up ofthe pustules, the redness, swelling, and tenderness of the skin subside,the eyes reopen, the nostrils are cleared, and the features of the pa-tient become once more recognizable. The separation of the crustsmay take place very slowly in severe and confluent cases, extendingover many weeks
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Keywords: ., bookcentury1800, bookdecade189, booksubjectmedicine, bookyear1895
