. A practical treatise on medical diagnosis for students and physicians . nal pressure without suppuration ; ((/) inflammatory affections ofthe liver, as abscess, and forms of cirrhosis. (See Fig. 81.) It occursrarely in rapidly growing cancer. (9) Intermittent fever may also attendthe prolonged use of morphine. Of the above-mentioned varieties of paroxysmal or intermittent fever,those of the most common occurrence are due to suppuration, pyaemia,infectious endocarditis, tuberculosis, or hepatic disorder. In addition tothe paroxysmal temperature, rigors precede and sweating follows theparoxysm
. A practical treatise on medical diagnosis for students and physicians . nal pressure without suppuration ; ((/) inflammatory affections ofthe liver, as abscess, and forms of cirrhosis. (See Fig. 81.) It occursrarely in rapidly growing cancer. (9) Intermittent fever may also attendthe prolonged use of morphine. Of the above-mentioned varieties of paroxysmal or intermittent fever,those of the most common occurrence are due to suppuration, pyaemia,infectious endocarditis, tuberculosis, or hepatic disorder. In addition tothe paroxysmal temperature, rigors precede and sweating follows theparoxysm, as in cases of malarial intermittent fever. The diagnosis frommalarial intermittent fever can be established at once by the demonstra-tion of the Plasmodia of Laveran in the blood. Remittent Fever. Fever of a remittent type occurs in many of theconditions in which intermittent fever is present. It is characteristic ofone of the forms of malaria. It is most frequently encountered in tuber-culosis of the lungs. The remissions usually occur in the mornings, but Fig. Continued fever of tuberculosis. (Original.) the order may be reversed. The same type is met with in puerperalfever, pyaemia, and septicaemia, and in local suppurations such as abscessof the liver and empyema. A continued fever may be made to resemblea remittent by antipyretic treatment, which may cause abnormal remis-sions. Remissions characterize the decline of the continued fevers, par-ticularly typhoidj during the period of lysis. Continued Fever. Continued fever is met with in lobar pneumonia,typhoid fever, typhus fever, erysipelas and tuberculosis. In acute lobar S UBNO RMAL TEMPERA T URE. 365 pueuraonia the temperature rises ra])iclly, and in a few hours from theinitial chill reaches 103° or 105°. The morning and evening tempera-tures vary but little, usually not more than 1 or 2 degrees, until acrisis occurs in from four to eight days. The temperature then falls toor slightly below normal, and does not
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