Family medical book on morality, the diseases of women and children by Goldson Mrs Malinda

Author:Goldson, Mrs Malinda. [from old catalog]
Language: eng
Format: epub
Tags: Medicine, Popular, Women, Children
Publisher: Oakland, Cal., Pacific press pub. co.
Published: 1901-03-25T05:00:00+00:00

ning exacerbation exceeding the remissions of the following morning by about one degree Fahrenheit, so that the fastiginm is reached in the later days of the first week. Here the initial is absent, but there is often a slight sense of chilliness or transient shivering during the early days at the time of the evening exacerbation. The fastiginm having been reached, the type of the fever becomes subcontinuous, the difference between the evening and the morning temperature being about a degree and a half.

At some time between the end of the second and the middle of the third week, or exceptionally even later than this, the type of the febrile movement gradually becomes distinctly remittent or even intermittent, the remissions and exacerbations being gradually increased. The defervescence thus assumes the form of a rapid, gradual lysis, the fever terminating when the evening temperature falls to normal.

In a considerable proportion of the cases the defervescence takes place by a rapid lysis, without the intervention of distinct remissions or intermissions, the fall being of an irregular zigzag not unlike that which marks the access. Less frequently—and this is especially the case where the duration of the fever is relatively short—the defervescence takes place with considerable rapidity, in itself suggestive of crisis. This is the well-known mode of termination in the abortive cases seen in adult life.

In the early days of convalescence the morning temperature, and at times the evening temperature also, falls to subnormal ranges. During convalescence the temperature is exceedingly unstable. Transient perturbations, with a rise of three or four degrees to which the term recrudescence of fever has been applied, are brought about by slight causes, among which are errors in diet, especially the eating of meat or fried chicken, constipation, undue muscular effort, and mental excitement.

The temperature range, alike during the fever and during convalescence, is liable to modifications in consequence of complications. Abundant loss of blood from epistaxis or from intestinal hemorrhage is apt to be followed by a considerable fall of temperature. This fall is not permanent unless it occurs during the defervescence.

The temperature of the disease in children reacts promptly and decidedly to antipyretic treatment. The height of the fever in the fastiginm is variable. In many cases it does not exceed 102.5 to 103 degrees Fahrenheit. Exceptionally it reaches 104 degrees or even 105 degrees. The average difference between the morning and evening temperature is, as a rule, about a degree or a degree and a half. There is occasionally observed a slight exacerbation occurring early in the afternoon, followed by a correspondingly slight remission. The maximum temperature is reached in the evening. Where, in the course of twenty-four hours, two temperature observations only are made, the most convenient time is between seven and eight in the morning and between seven and eight in the evening. In grave cases, and where the temper-

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