The Somerset press. [volume] (Somerset, Ohio) 1873-1977, 1878-05-09
Symtoms Of Typhasd Fever.

The iuuusion Of typhoid fever is almost |
always rather insiaious. A person may
rise in the morniDg feeling as well as usu-
al, but. in the course of the day, he may
feel certain degree of illness moi easily de
scribed, perhaps has wondering pains about
the body, aud headache; he may have little
creeping chills down the back, and has go
desils for food If he exc mines his pulse
il is found to be somewhat accelerated.
This period Of duration may extended over
a day OF two. The beginning of the fever is
dated from the chill. The chill il not
hard shake, but little chills are produced
BY putting the bands into cold water, or by
cold air failing upon the patient; or with.
ont these prOvocstions the little chills may
diffuse themselves over the back and body.
hare sometimes called these chilly sensa-
tioas diluted chiNs. In the meantime, the
temperature of the body is increased, and
the pulse has increased in frequency. By
the end of the second day there is usually
considerable fur on the tongue, and il will
be literally Of snow-white color The pa
tient perhaps has not yet taken to his bed,
and he will sit by the fire, even in moder-
ately warm weather, in order to remove
this chilly feeling.
These symptoms increase gradually; the
patient goes to bed; the pulse gradually in
creasss l. frequer.cy from day to day; the
tempersanae Of the body becomes a little
more elevated ss.ch day for about week.
Iu the mean time the mind usually re.
mains clear. The countenance does uoi
have the duskey hue seen in typhus, and
the eyes do not become suffused.
In . certain proportion of cases, on one O.
Tie early days of the disease, epistaxis oc.
ou4s. It is nothing alarming, and may be
repeated. The patient gradually looses
strength. There is also, pretty early in the
disease, sanderness in the epigastrium, and
also tenderness in the right lilac region. Al
the disease advances it is not uncommon te
get gargling in the right lilac region of pal
patton. Pretty soon the bowls begin to b.
distended; digestion, intestinal as we'll al
gastric, is incomplete, and the gases accu
mulate in the sntestinal tube. Gradually +
tymdanitic state of the bowls is produced
which is usually quite noticeable.
In some cases the tympanitic distentior
of the bowels becomes so considerable as t.
be the cause of suffering and difficulty o
breathing,
Pretty early in the disease diarrhoe
begins and by diarrhoea is ment two o
! mole liquid stools in twenty -four hours. !
2 dfarrhea is present in the majority of cases
r yet it is not essential to the existence O
0 this disease.
OIL Occasionally these excavations are mul
tiplied to ths humber of fifteen or twent
Q in twenty -fDtr hours, but usually there az
8 not mora than five to eight. There is pt
10 culiar brownish hne to the discharge
3. which, has been regarded by some as ehal
- actaristic; but I am not sure about that
h The mind remains clear for few day
i. and. then. in the grayer cases, comes tbs
:. muttering delirium already considered VI
l. der the bead of typhus fever. With thu
q. there is very likely to occur some obtus'
ss ness of senses. There ls that same deep
Q ion of eight noticed in typhus; consequen
10 ly the patient, when very sick, will pick
Z. the bed clothes and the air. At the san
ID time he is usually more or less deaf, so tn
ID you will be obliged to speak in a loud tos
ID 70 make him hear. The delirium usual
n. lasts until tbe subsidenee of the fever. tt
e- fur ON the tongue, although of perfsca
i'd white color at the beginning, soon becom
lie yellowish, then brown. and in the secol
Id week Of the disease the tongue, quite col
4 monty, becomes quite dry. 1t may becor
:. 90 dry that its movements will give rise
~ assures, 80 in typhus. and there will also
% some collection of sordes npon the tee
i. gums and lips. There is another appes
:. ance of tbe tongue not infrequently Sc,
-, the fur, in the second week, may leave
~ altogether, and the surface will have
90 smooth shining appearance and beef-l
=. collar. This is what has beeu called I
v;a beef tongue. and is usuylly dry. but |
- cracked.
a0 -.-Nedicol Record.