The Lafayette gazette. [volume] (Lafayette, La.) 1893-1921, 1897-09-25

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associated with blood and the gastric juice.
This irritant substance circulating in the
blood damages the kidney and Is the cause
of the albumen found in the urine associated
with this disease. Yellow fever has three
stages, the first febrile, is ushered in sud-
denly with chilly sensation. and often
distinct rigor. Fever rises rapidly, there is
More OF less headache and other pains, and
more or less irritability of the stomach. with
nausea. The first stage lasts from twenty
four hours to three days. This is followed
by remission, or second stage, where the
fever subsidies, pains disappear, and the
into the third stage, known as the stage of
collapse. In this stage the fever becomes
very much higher; the gastric
ilritabi'ity increases into great
Albumen is found in the urine, and frequent
ly blood oozes from all the mucous surfaces
and is passed by the bowels. Black von,it
is associated with this stage, the patient dy-
ing from exhaustion or gradually RECEIVERS
by slow stages.
''In the first stage, the peculiar odor Of
yellow fever is found about the second day,
and the eyes and capillary circulation are
congested. All of these are intensified in
the third stage.
81 believe that where continued fever
of three days duration. completely remit
ting about the third day, is associated with
black vomit and albumen in the urine, and
jaundiced appearance about the mucou:
membrane of the eye, and a slight ;aundiced
appearance about the surface Of the body.
associated with pains in the head and back,
and other portions of the body, and more or
less gastric irritability, it matters not if this
be an isolated case or in the midst of many,
1 would consider it yellow fever.
''rhe shades which separate the syrnP.
toms of the yellow and remittent types Of
fever are sometimes slight that the bill
ious Temittent has frequently been consid-
cred and classified as true yellow fever, but
this apparent similarity vanishes on close
and continuous inspection, for the essential
and distinctive marks are observed which
stamp each with individuality.
''The differences may thus be sumuaa-
rized:
YELLOW FEVER.
First-Is essentially infectious and found
in cities.
Second-Chiehv vigorous and young con-
stitutions fall victims to it. Colored poPu.
lation less liable than white.
Third-Temperature in bad cases very
high.
Fourth-Usually attacks at night.
Fifth - Severe nausea and vomiting
throughout. Epigastric tenderness carly
and decided; black vomit; headache-occi-
pital.
Sixth-Hemorrhage from guns and va
riout parts of the body.
Seventh-Tongue clean, or but slightly
coated; pulse variable, becoming slow in
last stages.
EighIh-Eye highly injected and humid;
expression often fierce or anxious.
Ninth-Pain in back, very severe; also
pains in calves and over eyes.
Tenth-Dclirium rare; mind generally
clear and cheerful.
Eleventh-Urine generally albumhOuS,
suppression common.
Twelve,h - muscular prostration slight;
convalescence rapid; no sequelae.
Thi'teenth-Liver affected and slightly
enlarged.
Fourteenth-Spleen not affected.
Fifteenth-onc attack affords an almost
certain immunity.
SYSTEMATICALLY very high.
Scventeeuth-Peculiar smell often per.
cep,ible.
Eighteenth-Never mcrges into interu1it-
tent.
Observation-Disclosures show great con-
ening of stomach; liver enlarged, fatty,
yellowish in color. its secreting cells filled
with oil globules; heart often exhibits disin.
tegration of the muscular fbers.
BILIOUS REMIrrENr.
First-It is not infectious and found usu-
Second-AN ages and constitutions liable,
and the weakest more so. Colored Popula-
ton liable.
Third-Temperaturc not extraordinarily
high.
Fourth-Usually attacks in daytime.
Fifth-Nausea and vomiting moderate.
Epigastric tenderness Slight. Headache
frontal.
Sixth No hemorrhagic tendency.
Seventh-Tongue heavily coated; pulse
varies little, remaining quick until con-
valescence sets Ia.
Eighth-Eye and Phys,ognomy not Pecu-
liar.
Ninth-Pain slight or absent, headache
moderate.
Tenth-Delirium frequent; mind always
dull.
Observation-Disclosures urine rare; sup
preston also rare.
convalescence slow; sequelae various and
tedious.
Thirteenth-Liver not affected.
Fourteenth-Spleen invariably affected.
Fifteenth-One attack seems rather to
predlspose to others.
Sixteenth-Morality slight.
Seventeenth-No peculiar smell observed.
Eighteenth-Often merges in intermittent.
Observation-Disclosures show congestion
of stomach, but rarely inaammation; liver
of an olive or bronze hue; not fatty; spleen
enlarged.
If