The acute stage the disease ran its course in irom three five or more days, subsided very gradually never crisis and the patient was generally left weak, and often with an obstinate cough that did not yield nature or medicine for weeks or But not every case presented all the symptoms above enumerated there was every degree, from the severe form that I have delineated research papers help that in which the local affection was almost nil but all agreed in one characteristic, that the constitutional disturbance was primary in point time, and was out all proportion the local The epidemic ran its course in about a month, and the epidemic influence seemed grow weaker with time, there being a larger proportion severe cases in the first There were no fatal cases, but as the men soon passed from under observation I unable tell whether any cases lung disease were consequent upon this epidemic. Such a result stated sometimes met with, and have two factors that seem favorable the development phthisis help with essays assignments the state debility in which many the patients were left and the local irritation about the respiratory Complications. At the same time with this epidemic there occurred one case pneumonia, one pleurisy, two intercurrent pneumonia in phthisical patients, one erysipelas and in every case phthisis which there was a large number under treatment both the rational symptoms and physical signs were greatly aggravated for a time, evidently extension the local pneumonitis that attends tuberculization, and several these patients, who had long essay writers been in statu quo received an impetus grave-ward from which Interesting questions here suggest themselves, were these cases pneumonic and pleuritic inflammation merely complications influenza, as Aitken teaches they may use a later term which means the same thing, localizations general disease there in such cases an underlying blood disease some sort, which manifests itself in one person influenza, in another pneumonia, in another pleurisy, in another, perhaps, erysipelas, finally, have the diseases nothing in common except the fact that they may depend upon the same unknown atmospheric or terrestrial influences That there was community origin somewhere highly probable, both from the coincident occurrence the cases and from the fact these being, I think, the first cases pneumonia and pleurisy that ever occurred at the Asylum that there was not localization general disease a lawful inference from the circumstance that the cases pneumonia and pleurisy ran their usual course from the first, and did not supervene upon a previous influenza neither did the consumptives exhibit any influenzal symptoms but a proper discussion the second and third questions asked above would involve the opening the whole subject the nature the diseases mentioned, a subject that has been much discussed but far from being settled. While mind the second hypothesis would appear best explain these cases, another the first or third might seem Diagnosis, The symptoms point at once some febrile afiection, and their totality would doubtless enable any one arrive at a diagnos with ease. Febricula can excluded the intensity the prostration and the presence cough and expecttiration symptomatic fever the constitutional nature the symptoms and the absence physical signs the other essential fevers the course the disease.
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There was nothing in this epidemic throw any new light the nature or catwe influenza but its character was confirmatory the views already held, that a specific febrile affection a general disease, which the catarrhal lesions are only a local manifestation a self-limited disease, running a definite course, and not shortened treatment. thesis for phd The Asylum situated low ground, and has a good deal fresh-water marsh in its vicinity. The inmates are disabled soldiers the late war about one disabled wounds, the remainder suffering most the chronic ailments incident humanity. The weather had been rainy, but not unusually cold for the season, the There was a great prevalence colds at the time in the city Augusta, five miles distant, but without the severe constitutional symptoms that characterized The treatment consisted a mild saline cathartic at the outset diet toast and tea recumbency powder at night, in cases requiring an anodyne this constituting the whole treatment in about one half the cases.
In the more severe cases, minute doses one eighth a grain potassio-tartrate antimony, guarded morphine, those weak constitution, small doses aconite two minims the tincture the root were administered every two hours. Whether any benefit was derived from this latter medication or not, a question involved in the obscurity which generally attaches the action medicines. My own impression that the intensity the symptoms was modified some extent, and the patient rendered more comfortable, either these medicines but they did not have the striking effect that they often will in a severe but nonspecific Many the patients subsequently required tonic treatment, and some were taking iodide potassium and various expectorants for a long time before they were Pictures for Bellevue Hospital.
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In connection with the lecture the modern operation for the extraction cataract, I desire present an analysis sixty-one cases in which I have performed One-third these occurred in private and two-thirds in Infirmary practice. It should stated in the outset that this list includes the earliest operations I performed, knowledge the method, as well as the after-treatment, being purely theoretical. Nothing had then been printed the subject.
I had had the good fortune present at Heidelberg when Prof, von Graefe explained the operation, and notes his remarks were only source information. Most the cases loss vitreous, and two out the three failures, occurred at this period or shortly afterwards. I have since, in common with other ophthalmic surgeons, experienced a large diminution accidents, as well as an increased percentage success, through the manual dexterity acquired practice and a close adherence Graefe's later instructions. Out fifteen operations, performed between the first March and the fifteenth April, the present year, there was but one case where the result was other than successful. This was that a man, eightyfive years old, one whose eyes had been already operated a colleague, without result, the vitreous having been found in an unnaturally fluid condition, and escaping in large quantity. The pupil the second eye, where a similar state things existed, now completely closed, but there good perception light, and a subsequent iridectomy promises well.
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