Volume 1

The modern practice of physic : exhibiting the symptoms, causes, prognostics, morbid appearances, and treatment of the diseases of all climates / Eleventh edition, thoroughly revised, corrected, and to a considerable extent re-written by A. Frampton.

  • Thomas, Robert, 1753-1835.
Date:
1853
Catalogue details

Licence: Public Domain Mark

Credit: The modern practice of physic : exhibiting the symptoms, causes, prognostics, morbid appearances, and treatment of the diseases of all climates / Eleventh edition, thoroughly revised, corrected, and to a considerable extent re-written by A. Frampton. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    rather than on others, as first upon the neck and chest, subse- quently and more rarely upon the abdomen and upper extremities, still more rarely upon the legs, and scarcely ever upon the face; and lastly, on that of the spots having certain fixed physical cha- racters. He maintains, moreover, that these laws, and the devia- tions from them, obtain about equally in scarlatina and in this disease, for which he suggests the name of maculina* He cites Dr. Bartlett for the assertion, that a second attack of the disease is very rarely witnessed when the first had been severe, or when it had been attended by an abundant eruption, f If we may judge from the results of fourteen post-mortem examinations mentioned by this author, it would appear that cerebral complication was com- mon to it, since in nearly all of them there was alteration either in the substance or membranes of the brain, varying from mere congestion to marks of extensive inflammation, and effusion of serum and lymph; while in not more than four of them were there lesions in the alimentary canal, in three of which there were both enlargement of the glandular solitaries and contiguous ulcerations. Certainly, concludes the author farther on, the French doctrine that associates certain injuries of the intestinal mucous membrane and fever as an invariable circumstance, received no confirmation whatever (from the epidemic of 1847, observed in Manchester), but quite the contrary, if Dr. Jenner’s observations in London confirm these remarks in all their leading particulars. His researches extended from Jan. 1847, to Feb. 1849. § Enough has probably been stated in proof of the exanthematous character of the maculated fever. We proceed to adduce authorities in support of the opinion that a specific eruption observing different laws attends that other form of continued fever which has been described as dothinenterite by M. Bretoneau, and as typhoid affection by M. Louis. “ Professor Louis,” says Dr. Hodgkin, “ has observed in twenty-six out of thirty-five cases of this form of fever, which he has recorded as connected with the derangement of the aggregate glands, that there was a peculiar form of cutaneous discolouration which he has de- scribed as causing red lenticular patches.” || They have been most frequent and conspicuous on the abdomen, but they are also seen on the chest and limbs, and have been observed to make their appearance on the sixth, seventh, eighth, ninth, eleventh, and even in one case on the thirty-fifth day, and to continue visible for an uncertain time, sometimes lasting several days, and sometimes disap- pearing as soon as the second day; they have been three, four, or five days in coming out, and have subsided gradually. In some cases the first have disappeared, and others have succeeded them. IT Dr. Bartlett, as quoted in the Review before referred to, gives the diagnostic appearances of these two rashes. “ This eruption,” ho says, * Erit. ami l-’or. Medico-Chirurgical Review, pp. 308. 314,315. T Ibid. p. 312. | Ibid. pp. 301, 302. § See Edinburgh Monthly Journal of Medical Sciences, for 184!). || Lectures on Serous and Mucous Membranes, ii. 460. if Ibid. p. 461, vol. r. v