. A practical treatise on medical diagnosis for students and physicians . ood driven from the surface leads to congestion of theviscera, particularly the spleen, liver, and stomach. Nausea and vomitingare not uncommon. The spleen is perceptibly enlarged, and frequently,also the liver. Although the surface temperature is depressed, the internal temperatureis rising, and may be two or three degrees above normal. By degreesthe severity of the chill abates and the patient asks to have the extral)ed-clothing remined. Keaction sets in ; the surface bloodvessels dilateand the skin becomes flushed. Th


. A practical treatise on medical diagnosis for students and physicians . ood driven from the surface leads to congestion of theviscera, particularly the spleen, liver, and stomach. Nausea and vomitingare not uncommon. The spleen is perceptibly enlarged, and frequently,also the liver. Although the surface temperature is depressed, the internal temperatureis rising, and may be two or three degrees above normal. By degreesthe severity of the chill abates and the patient asks to have the extral)ed-clothing remined. Keaction sets in ; the surface bloodvessels dilateand the skin becomes flushed. The temperature continues to rise, oftenreaching 103° to 106°, pulse and respiration increasing correspondinglyin frequency. The patient complains of a throbbing, dizzy headache, andvomiting may recur. The bowels remain constipated. The temperaturenow begins to fall, and the sweating stage succeeds. Perspiration appearsiirst upon the forehead, face, and neck, and gradually extends over therest of the body. The perspiration becomes more and more profuse, until Fig. Malarial plasmodia. (Reproduced from colored plate.) To the right, two normal red blood-cellswith central depression. In addition, several others with bluisli contained bodies and pigment-sprinkled cells, which show the endogenous development of the plasmodia. Besides, two of Lave-rans bodies, one exhibiting a delicate little basket appearance. Near the centre a polynuclearwhite cell with bluish nuclei and red granulation. (H. Rieder.) the whole body is drenched with it. All the subjective symptoms vanishwith wonderful rapidity, and the patient, with the exception of exhaustion,seems to be restored to complete health. The hot stage lasts from one totwo hours, the cold stage from three to eight hours, and the sweatingstage from two to six hours. In the inters^al between paroxysms the patient is free from fever, but isanaemic, weak, and has impaired appetite and constipation. During theentire paroxysm the mind rem


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