Notes of lectures on the theory and practice of medicine : delivered in the Jefferson Medical College at Philadelphia / by John Eberle.

  • Eberle, John, 1787-1838.
Date:
1844
Catalogue details

Licence: Public Domain Mark

Credit: Notes of lectures on the theory and practice of medicine : delivered in the Jefferson Medical College at Philadelphia / by John Eberle. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    that it cannot be substituted by an artificial abstrac- tion of blood. This fact proves, that such evacu- ations do not, strictly speaking, produce the amend- ment which follows, but that they are effects or manifestations, of a previous salutary change in the vital actions. Crisis by haemorrhage is chiefly confined to inflam- matory fevers ; occurs sometimes in typhus fe- vers ; epistaxis, the most common critical haemor- rhage—usually preceded by flushed face, red and suffused eyes—sneezing, ringing in the ears, &c. Critical sweat. The most common crisis ; must be general over the body, attended with a warm skin and turbid urine. Its approach indicated by: a soft, full, wave-like pulse; a stinging, or itching sensation on the surface, red, warm skin, and scanty urine. Critical discharge of urine: must be copious: the morning urine best for inspection ; critical urine exhibits at first, a cloud, floating in the upper part of the vessel—then a globular body about the middle—and finally a sediment; (Vogel, Richter, &c) should be attended with a soft or moist skin ; preceded by pains in the loins; fre- quent inclination to urinate; uneasy or burning sensation in the genital organs; dry, harsh skin; thirst, and a soft and active pulse. Critical alulae discharges: most frequent in bilious fevers —occur during the remission of fevers— are copious; signs of approach, a peculiar trem- bling of the under lip—stammering—a full, active pulse, pain and noise in the bowels; dis- charge of wind—moist tongue—paucity of urine. (Richter.) Critical emesis, very uncommon. By crisis, in the most general acceptation of the term, is under that period in the course of a fever, at which a determination either to death or convalescence takes place, and in which, therefore, the fate of the patient is determined. This decision must necessarily always occur in the ultimate poin of violence of the disease.