Clinical tuberculosis . ion ofthe temperature of the patient in Avhom early tuberculosis issuspected unless the chart be taken for a period of two or threeweeks. This point is well illustrated by the chart in Fig. only time that this patient showed a rise in temperaturewas when he was suffering from pleurisy, the lesion being a sub-pleural one. (See page 377.) Another important variation to be noted is the premenstrualrise. This elevation of temperature varies greatly. In some in-stances it will be extremely regular, the temiDerature runningfrom ° to 99° in the afternoon for the two
Clinical tuberculosis . ion ofthe temperature of the patient in Avhom early tuberculosis issuspected unless the chart be taken for a period of two or threeweeks. This point is well illustrated by the chart in Fig. only time that this patient showed a rise in temperaturewas when he was suffering from pleurisy, the lesion being a sub-pleural one. (See page 377.) Another important variation to be noted is the premenstrualrise. This elevation of temperature varies greatly. In some in-stances it will be extremely regular, the temiDerature runningfrom ° to 99° in the afternoon for the two weeks prior tomenstruation and from or G° to normal for tlie two weeks fol-lowing menstruation. In others the elevation of temperature willappear only a week or a few days before the menstrual still others it \\i]\ appear during the period and continue fora short time; but this is the exception. The cause of this mostcommon rise in the temperature curve prior to menstruation TEMPERATURE IN DIAGNOSIS 379. > rt « C « rt 3 U [i ^ in ^ ° s E 6 S S P rt rt ^ be- r, tC Q .- 5 tn ni I^ S ^tc-- ^ ^ S ^ E «j= S ».4^ — SI — M °o o tc*^ £ Za re fU flj -^ ?- Pll 4; *-? j= £.E ^ ^ re rt 5 3S0 DIAUXOSIS OF EARLY rULlIOXAKY TIBERCULOSIS where the daily inaxiiniuii auidunts to little more than oiie-lialf of one degree Fahirnlicit, we mnst look for in a disturbedequilibrium between heat production and heat elimination. Thiswe have in an increased metabolism and the stimulation of thevasoconstrictors caused by the ovarian secretion produced duringthis time, as discussed more fully on page 195. More marked rises in temperature which occur immediatelyl^receding or during tlie period, and which continue throughmenstruation, may be associated with inflammat(n-y conditionsin the genital organs. This premenstrual curve, as far as Ihave been able to determine, appears the same in normal womenas it does in the tuberculous, although I have had only a
Size: 1043px × 2396px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, bookpublisherstlou, bookyear1922
