A treatise on the practice of medicine, for the use of students and practitioners . ure, cylindrical, andbranching. As has been stated, themaximum temperature is soon at-tained. On the evening of the firstday it may reach 104° Fahr. (axil-lary), and for several days it con-tinues at about 103°, 104°, or even105°, there being a slight morningremission and evening fever pursues this course withlittle variation in favorable cases,until the period of crisis, when justbefore the defervescence a rise maytake place. This rise in temperaturein anticipation of the crisis is usualbut by
A treatise on the practice of medicine, for the use of students and practitioners . ure, cylindrical, andbranching. As has been stated, themaximum temperature is soon at-tained. On the evening of the firstday it may reach 104° Fahr. (axil-lary), and for several days it con-tinues at about 103°, 104°, or even105°, there being a slight morningremission and evening fever pursues this course withlittle variation in favorable cases,until the period of crisis, when justbefore the defervescence a rise maytake place. This rise in temperaturein anticipation of the crisis is usualbut by no means invariable. The pulse during the stage of hypere-mia is about 100—full, hard, and strong ; but, as consolidation takesplace, if extensive or extending widely, a change occurs in the pulse ;it becomes less full, and, when the ischemia of the arterial side hasreached the lowest point, the pulse is small, soft, and weak, and thesuperficial veins are abnormally full and prominent. The skin, duringthe time of greatest fever, is mordicant, or burning-hot, and is dry or. Fig. 24.—Fibrous Tissue in Sputa. (Beale.) PNEUMONIA. 349 covered with a warm perspiration. If the skin is relaxed, dusky, cool,and covered with a cold sweat, the condition is unfavorable. If the inflamed area is deeply situated and surrounded by healthylung-tissue, the reactions produced on palpation and percussion aremodified. On palpation the resistance is increased if the inflamedlung is exterior ; not affected, if within. The vocal fremitus is some-what increased. The sonority is diminished when the lung is con-solidated ; it is exaggerated when there is a layer of lung-tissue con-taining air overlying a consolidated area. Again, the sonority isexaggerated, or tympanitic, when in the beginning of the inflammationthe lung still contains some air. The sound continues somewhat tym-panitic in quality about the consolidated portion of the lung at themaximum. With the progress of the exudation, and wh
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
