The Wheeling intelligencer. [volume] (Wheeling, W. Va.) 1903-1961, 1918-10-26

motion and sensation. Judging from
the accounts In the literature almost
every form OF disease OF the nervous
system may follow influenza.
To involvement Of the nerves may uc
ascribed some OF the common cardiac
symptoms such as persistent irregular
ily. tuchycardla OF bradycardia. ana at
lacks OF angina pectoris. Among tho
most important Of the nervous seluelae
! are depression OF spirits. meloncho!a'
and in some cases dcmentin.
3. Castro Intestinal Forthwith the
onset of the fever there may be nausea
and vomiting. or the attack may set III
with abdominal pain, profuse dlarrhoc
and COLLAPSE. In some epdenlics jaun-
! dice has been L common symptom. In
! n considerable number Of cases there Is
enlargement OF the spleen, depending
! chilly uron the intensity of the fever.
, /, Ncbrilc Form---Thc fever i'll influ-
! enza Is very variable, hut II is import
| ant to recognize that 1t may I've the only
! manifestation OF the disease. 1t Is
! sometimes markedly rcm!ttcnt. with
! ChlllS; or in rare cases thcre is a pro-,
tractcd continued fever Of several
| weeks duration. which stimulated ty-
phoid closely.
! While these are perhaps the most
| common forms with their complications.
| there are many others, among which
! may be mentioned the following: Nari-
| Gus renal affections have been noted.
g. Baumgartcn has called attention to
! the frequency of ncphritiS in tho recent
! epidemic OrChitis has also been seen.
/ Endocarditis and pericarditis phlcbitis
| and thrombosis OF the various vessels
are reported. Herpes is common. A
diftuse erythema sometimes occurs. nc-
Z -
tivitis Is q frequent event. lritis. and.
in rare instances. putic nruritis. have
been met with. Acute otltis media was
Il common complication. have seen
severe and persistent vertigo follow In
| fucrza. probably from lnvolvmcnt of
4, the labyrinth.
| Since the late severe e1idcmics It
! has been the fashion to date various all
ments or chronic ill-h"alth from influ-
enza In many cases this is correct.
1t is astonishing the number of people
who have been crippled In health for
years after an attack
DiagnosIs---DurinG r pGndemic the
cases offer but slight difficulty. The
all proportion to the intensity OF tho
disease. is one OF the most characteristic
features. In the respiratory form the
diagnosis may be made by the bactertn-
logical cXumna ton of the sputum. the
procedure which should he rcsortcd to
carly in n suspected epidemic. The diff
| fcrentiatiun of tho various forms has
been already sufficiently considered.
Trcatmrnt--T$olntion should be prac-
ticcd when possible. and old people
should be guarded aEnst all possible
sources Of Infection. The srcrcttons,
nasal and bronchial, should be thor
Il inf nri ni II hn
disease should be regarded rs serious.
and tho patient should lie confined 10 bed
untR the fever has completely dis2T-
| pcarcd. In this way alone can serious
complications he avoided. From the
outset the treatment should be support
Ing, and tho patient should 10 carefully
frd and wcll nuTscd. The bowels should
| be opened Ivy n dose nf Cnlomcl or 4 sa-
line drauCht. AZ night ten grains of
Dnvcr's powder mny be given. At the
onset n warm bath Ia sometimes CRATE
full in relieving the pain in the back and
limbs. but great care should be taken
70 have the bed we'll warmed and the
patient should he given. after 1t. n
drink Of hot lemonade. If tho fever is
high and there Is delirium. small doses
of antipyr!n may DO given and an Ice
cnp applied to the bend. The medI-
cinal unti-pyretics should bc used with
caution, as profound prostration some
times develops In the cases Too much
stress should not he laid upon the men
tal features Dcltrtum may be marked
oven with slight fever In the cases
with great cardiac weakness stimulants
| should bo given frooly md during con-
| Vulesccnco strychnin In full doses.
Tho intense bronchitis. pneumonia md
uthrr complications should roce!vo their
appropriate trcntmont. Tho GONZALES
crncr requires careful management. and
1t may BE- weokR or months before the
putIent ts roatorod to full health. A
good nutritious dict. change of mir. md
| pleasant surroundings arc essential. Tho
depression nf spirits following this DIS
| cnso Is ono OF tho most unpleasant and
| obstinate features.