File:Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index (1920) (14781704321).jpg

Identifier: internalmedicine02wils (find matches)
Title: Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index
Year: 1920 (1920s)
Authors: Wilson, J. C. (James Cornelius), 1847-1934 Potter, Nathaniel Bowditch, 1869-1919
Subjects: Medicine Diagnosis
Publisher: Philadelphia, London, J. B. Lippincott Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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eventh day. A precritical rise of a degree or more is not very rare.The time occupied by the crisis varies from two to several hours. It is accompanied by an abundant sweat and usually occurs during a deep and prolonged sleep, from which the patient awakes weak but refreshed and comfortable. The fall almost always reaches subnormal ranges—96°-97°F. (35.5°-36° C), and may be followed by a postcritical rise and sub-normal oscillations for a few days. In some instances the crisis is inter-rupted by a rebound—interrupted crisis—or it may extend over twentj^-four hours—protracted crisis. In delayed cases and in children the deferves-cence is often by lysis. In fatal cases of the so-called sthenic type there may be a preagonistic rise of temperature and in the asthenic cases anabrupt antemortem fall of several degrees. The crisis is sometimes at-tended by collapse s^onptoms. In the aged and in drunkards the temperature is much lower. Afebrile cases are encountered. Pain.—The pain
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Fig. 244.—Croupous pneumonia. Recovery. CROUPOUS PNEIMOMA. 115 luis all th(> characters of pleurisy. It is stitch-like and lancinating;, usually severe, aj;<iravatecl by ileep l)reathin«!; and coujjh, and referred to the regionof the nipple or the infra-axillary rej^ion on the affected side. Occasion-ally it is referred to the cpi)!;astriuni or the region of the appendix: an important jxiint for the diagnostician. In these cases there is a diaphragmatic pleurisy. In apex pneumonia pain is less constant and less severe and in central lesions it is absent. DY.sPxa:.\.—The respiration rate is increased in almost all cases, the masked pneumonias of drunkards and the aged and the terminal pneumonias of chronic diseases constituting M E M E M E M E M E M E M E moiTKtJ nJi.r.U, ^•n. r. XOT ;l05» !* _^ 8 ~^ 103102101°IOO°99 = 1 S8° 1 -*)97» 1 ~* PuUt.Bap.Date. 1 -4JO 1 1 -40 1 1 -39» 1 ■38» y/ —^ V i \y -37» 1 ( \ / 1 -36° 1 I /L J ^^ f 20 .Z/ 22 -■.,U ^^ ^r ?^0 ^

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