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Food In Illness

Light, easily digested food is of the first importance in many...

The Sitz-bath May Be Taken In A Small Wash-tub If There Is No

proper sitz-bath-tub at hand. It should be large enough to allo...

Diphtheria

Use the A D current, strong force. Place the N. P., long cord...

Sympathy

SYMPATHY, in its best sense, is the ability to take another's...

Benign Growths Primary In The Tracheobronchial Tree

Extension of papillomata from the larynx into the cervical tr...

Water-drinking

As the patient should have a constant supply of pure air for ...

Ulcers Case Xxi

Mrs. Butcher, aged 52, has two ulcers a little above the oute...

Why Fuss So Much About What I Eat?

I KNOW a woman who insisted that it was impossible fo...

Breath And The Heart

Stout people are usually more or less "scant of breath." Accum...

The Care Of The Heart-pump

The Effect of Work upon the Heart. Whatever else in this body...

Ulcers Case Xxvi

The following case occurred in the person of a lady with vari...

Esophagoscopic Extraction Of Foreign Bodies

It is unwise to do an endoscopy in a foreign-body case for th...

Sick Headache

See Headache. ...

A Rampaging Infection

At the age of 40, John, an old bohemian client of mine, came ...

Breath And Nerve

Difficult breathing, especially in ascending a hill, is often ...

Sensitiveness

When the nervous system is in a certain state, all impressions...

Punctures Case Iv

The present case is somewhat more severe than those which hav...

Telephones And Telephoning

MOST men--and women--use more nervous force in speaki...

Spectacles

If the operator has no refractive error he will need two pai...

Heart Disease In Children And During Pregnancy

A common characteristic in a large proportion of middle-age...



3 Treatment Of Torpid Forms Of Scarlatina Difference In The





Category: TREATMENT OF SCARLET-FEVER.
Source: Hydriatic Treatment Of Scarlet Fever In Its Different Forms

TREATMENT POINTED OUT.

When the _reaction_ is _torpid_, the pulse small, weak, quick, the skin
dry, the rash slow to appear, and when it appears in small, pale, livid
spots, instead of bright scarlet patches (16-25); the treatment ought to
be calculated to produce a short, but powerful, stimulus upon the
surface of the body, after which a long pack should assist the organism
in producing a slow, continuous and increasing reaction. If in violent
reaction a repetition of short packs and long cooling baths is
indicated,--in torpid reaction, cold and short tonic baths or affusions
and long packs are required, in proportion to the degree of the reactive
power of the patient. Therefore the packing sheet should be very cold,
but thin and well wrung out, so as to make a strong, but transitory,
impression, soon overcome by the reaction it calls forth, upon which all
our success depends. The patient stays in the pack till he becomes quite
warm and tired. Perspiration is seldom produced; if it is, it may be
considered a favorable symptom. I have had patients stay in the pack for
four, five, six and seven hours, and almost always, when I took them
out, their skin was covered with eruption. The only phenomenon, which
should induce the physician to relieve the patient of the pack before he
becomes perfectly warm, is increased delirium, which in torpid reaction,
indicates a tendency to a typhoid character of the disease, when the
warm and moist atmosphere of the long pack would be more favorable to
the disease than to the patient, by weakening the nerves still more. In
that case, a long half-or sitz-bath is required, the former, under
constant rubbing, from 15 to 20 minutes, the latter from 30 to 40
minutes; the temperature of either from 65 deg. to 70 deg..





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