A treatise on the practice of medicine, for the use of students and practitioners . ncreases, so that the patient can hardly be roused, and is indif-ferent to all about him. If liquids are placed in the mouth, they areslowly swallowed. The patient lies on his back, his eyes partly closed,mouth open and black with accumulated sordes, his face is sunken,dusky, with a faint, reddish tinge in the center, the lips, now and thenmoving with an unintelligible muttering, are dry and cracked, and hisstrength is so far exhausted that he can not keep his position, but sinkstoward the foot of the bed. The
A treatise on the practice of medicine, for the use of students and practitioners . ncreases, so that the patient can hardly be roused, and is indif-ferent to all about him. If liquids are placed in the mouth, they areslowly swallowed. The patient lies on his back, his eyes partly closed,mouth open and black with accumulated sordes, his face is sunken,dusky, with a faint, reddish tinge in the center, the lips, now and thenmoving with an unintelligible muttering, are dry and cracked, and hisstrength is so far exhausted that he can not keep his position, but sinkstoward the foot of the bed. The faeces and urine may be passed invol-untarily, or the urine may be retained and dribble away, the bladderbecoming enormously distended. The pulse continues frequent, from90 to 120, or higher, but its force declines. The impulse of the heartis feeble, and hence a tendency to stasis in the lungs and brain ex-ists. The pulse is compressible, and its tension so low that it has adouble beat (dicrotic pulse). The fever of typhoid, although called con- TYPHOID FEVER. tinuous, is not so. it has a distinctly remittent type,week there Fig. 45.—Temperature in Typhoid Fever. For the firstis a gradual as-cension, and, although thereis a morning remission andan evening exacerbation, eachexacerbation is a little higherthan the preceding, until themaximum is reached. Duringthe second week the fever iscontinuous ; during the thirdit begins to be remittent, and,during the fourth, intermittent,the daily exacerbations lessen-ing regularly until the normalis reached. The fever at itsmaximum is continuous, be-cause the daily remissions cor-respond to the morning andevening variations of the dailytemperature in health. Withthe remissions at the end ofthe third week, there are evi-dences of a change for the bet-ter in favorable cases. Dur-ing the third week, however,chiefly occur the complicationswhich exercise so unfavorablean influence over the progressof the disease, but these are re-served for s
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
