Arizona weekly republican., 1893-02-23
Dr. Ancil Martin, diseases eve, ear nose throat especially. Glasses ntted
Pneumonia.
III.
BY VIM. W. HIBBARD, NJ. D.l

Acute pneumonia varies il its sev- eriiv. Although some seasons it is quite light, at other times it is the re- verse. These viaristions are not readily explainabe. Undoubtedly the cause is largely atmospheric. One influence which causes serious results in this disease is largely due to previous health. When the physical state has been un- dermined and weakly constitution has thereby resulted acute pneumonia be- comes serious. There is no single habit or condition which influences more unfavorably than that of hahitua' drunkenness. In cases of long con tinued abuse of alcohol the mortality is large no matter how scientific the treat ment may be, ranging from 20 to p per cent. When there are complications in pneumonia they should at the earliest possible moment be recognized and treated, for it is by these complications the worst results follow. A gradual rise of temperature after the fifth or sixth day is always 10 be viewed with much apprehension. A pulse which Is consistently over 120 is of grave signlfi- canoe. When there is marked delirium toward the close of the first week 1t IS a grave significance. A dry, brown tongue is unfavorable, especially when the fever is not increased. Intense pros tituton, profuse sweating and sunKen features all indicate a severe type of the disease. When acute pneumonia Is developed in course of a continued lever, measles. or other diseases, it may lead to fatal termination. Occurring in persons affected with organic disease of the heart it is likely to prove serious.
 Acute pneumonia not easily con counded with other diseases, especially
 when treated by careful and intelli-
 gent physician. Sometimes It is SO mistaken, as for instance the somewhat rare form of acute tuberculosis, com monly known as galloping consumption in which a large area of the lung be- comes rapidly consolidated. Here, however. although the whole lung may
 be involved, the disease usually cotn- mences in the upper lobes so that abnormal physical signs are more marked at the apex. The beginning of
 the decease also does not have the ab- ruptness and audiences of pneumonia. It is slower and more protracted. The irregular course of the fever IS also
 marked, there is not that difference as to pulse or temperature at various times of the day. Pleurisy has some- times been confounded with pneu- monis. In pleurisy, however, there is not generally such audiences in the rise of temperature besides there is usually an eGusion poured out as the result of inflammation and the s,de affected distinctly bulges out. The pain is severer sometimes SO much so as to cut short of breath. It is also different Tn character--stabbing like. In pneumonia the patient should al, ways lake to the bed and keep 1t nnt'l convalescence is fully established. The room should if possible be one that is light and airy, and of a temperature ranging from 60 to 65 degrees save. in ex- pectiopal cases where there is consider ble sensiteyeness of the bronchial tubes, of course there should be thorough and systematic ventilation 90 that the air of the sick room may be of the greateet purity. The chief aim as the diet should not be as regards tte quan