Encyclopedia of practical medicine.

  • Nothnagel, Hermann, 1841-1905.
Date:
1901-08
Catalogue details

Licence: In copyright

Credit: Encyclopedia of practical medicine. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    eyes with which he follows every movement of the nurse or the physi- cian, from whom he hopes for fulfilment of his desires, are characteristic. It has already been indicated that during the period of involution and that of convalescence the patient is exposed to the danger of recru- descences and relapses, and even at this time life may be threatened by hemorrhage and intestinal perforation. Among the remaining dangers, bed-sores, erysipelas, and abscesses, the sequelae of pneumonia, especially pleurisy and empyema, as well as parotitis, typhoid laryngitis with ulceration and necrosis of cartilages, may be mentioned. Changes in the myocardiiun also may at this time assume an alarming role. Men- ingitis and other severe disturbances on the part of the central ner\'ous system are fortmiately less common. All of these and still other dis- turbances subsequently to be described in detail may quickly cause a fatal issue in the course of a few hours or days, or after long-continued sulfering may terminate either in recovery or in death. How frequent are weeks of hope and fear, and finally everythmg to have been in vain ! When recovery finally takes place after complicated, long-protracted convalescence, it is, fortunately, more frequently complete than m the case of many other infectious diseases. The patients generally recover with remarkable rapidity after subsidence of the local manifestations, and their nutrition improves, so that they present the well-known picture of the contented, fattened typhoid convalescent. SUMMARY OF THE POST-MORTEM CONDITIONS. The followmg section will be comparatively less comprehensive than some others in this work, as a part of the facts that might be considered here will be treated of in other sections. Thus, for convenience in descriptions, detailed statements as to the morphology and the biology of the tyi^hoid-bacillus have already been made in the section on Etiology and will be made in the section on Diagnosis, while m the section devoted to an analysis of the individual symptoms it was mipos- sible in many places to avoid a full description of the anatomic altera- tions. I believe that this apparent irregularity has rather contributed to comprehensiveness, and that it is the best means of elmiinating otherwise unavoidable repetition. EXTERNAL APPEARANCES. Accordmgly as death has taken place during the first stage of the disease, whether as a result of the severity of the infection or of intes- tinal hemorrhage, or of other sudden accident, or in the second stage after protracted suffering or in consequence of severe complications, the