. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. pulse is also irregular. There is no constant correspondence betweenthe pulse and temperature. It may be soft and weak, even slower than inhealth, and is often intermittent and arrhythmic. Abrupt changes in the force and frequency of the pulse arecommon. Change in the frequency from80 to 100 has been observed in the courseof a minute. The rhythm of the respi-ration may be disturbed and Cheyne-Stokes breathing may occur. A polymorphonuclear leueocytosisis present through
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. pulse is also irregular. There is no constant correspondence betweenthe pulse and temperature. It may be soft and weak, even slower than inhealth, and is often intermittent and arrhythmic. Abrupt changes in the force and frequency of the pulse arecommon. Change in the frequency from80 to 100 has been observed in the courseof a minute. The rhythm of the respi-ration may be disturbed and Cheyne-Stokes breathing may occur. A polymorphonuclear leueocytosisis present throughout the disease, dimin-ishing toward the end of the attack incases which recover. Lesions of the skin are common. Totheir prominence is due the old name ofsported fever. They vary greatly in dif-ferent epidemics. In many cases theyare absent altogether. They are oftenpolymorphous. Herpes is far more com-mon than any other eruption. It usuallyappears on the lips and nose, but may involve other parts of the face orbody and may vary from a crop of a few fine vesicles to an abundant erup-tion of large Fig. 249.—Petechial eruption; epidemic cere-brospinal meningitis.—Royer. CEREBROSPIXAL FEVP:R. 129 A petechial rash resembling flea-bites is frequently observed, and in someinstani-cs extensive hemorrhagic areas develop in the skin. These lesionsare disiributetl over the whole surface, but particularly about the kneesand elbows. In some cases the rash is abunihint and develops with greatrapidity. Patches of erythema, dusky mottlings, and rose spots disap-pearing on pressure, like the rash of enteric fever, have been the rarer cutaneous manifestations are urticaria, erythema nodosum,pemphigus, and gangrene. Tiie urine is, as a rule, increased. It may bemuch increased even with high temperature. The reaction is usually is frequently present. There is a special form of cerebrospinalfever ciiaracterized by symptoms of an acute nephritis and corre
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
