. The principles and practice of medicine, designed for the use of practitioners and students of medicine. hey are general, butas a rule they are limited, as pointed out by Simon, either to the lowerabdominal areas, to the inner surfaces of the thighs, and to the lateralthoracic region, or to the axillae. Occasionally they are found over the 60 SPECIFIC INFECTIOUS DISEASES. extensor surf aces,.particularly in the neighborhood of the knees and rashes, usually purpuric, are often associated with an erythematousor erysipelatous blush. The scarlatinal rash may come out as early as the


. The principles and practice of medicine, designed for the use of practitioners and students of medicine. hey are general, butas a rule they are limited, as pointed out by Simon, either to the lowerabdominal areas, to the inner surfaces of the thighs, and to the lateralthoracic region, or to the axillae. Occasionally they are found over the 60 SPECIFIC INFECTIOUS DISEASES. extensor surf aces,.particularly in the neighborhood of the knees and rashes, usually purpuric, are often associated with an erythematousor erysipelatous blush. The scarlatinal rash may come out as early as thesecond day and be as diffuse and vivid as in a true scarlatina. The measlyrash may also be diffuse and identical in character with that of is only occasionally seen. It was present once in my Montrealcases. Apparently these initial rashes are more abundant in some epidemics 2 3 4 5 6 7 10 11 12 13 14 15 16 17 18 104° F.—40-0 102-2 F—sg-o 100-4 F.—38-0 1-6° F.—37 0 ^?????H ??^{??????????MWglBHBBWBiWMMiMMBBlMMBM BBilSBBniBPiSSai^KBBBBBlllBIHB. Initial Fever Eruption. Suppurative Fever. Chart VI.—True small-pox (Striimpell). than in others; thus they were certainly more numerous in the Montrealepidemics between 1870 and 1875 than they were in the more extensiveepidemic in 1885. They occur in from 10 to 16 per cent of cases. In thecases under my care in the small-pox department at the Montreal GeneralHospital the percentage was 13.* As will be subsequently mentioned theseinitial rashes have considerable diagnostic value. (c) Eruption.—(1) In the discrete form, usually on the fourth day,small red spots appear on the forehead, particularly at the junction withthe hair, and on the wrists. Within the first twenty-four hours from theirappearance they occur on other parts of the face and on the extremities,and a few are seen on the trunk. As the rash comes out the temperaturefalls, the general symptoms subside, and the patient feels comfortable. Onthe fift


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190