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A Synopsis of the Practice of Medicine

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A Synopsis of the Practice of Medicine

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    Available in PDF Format | A Synopsis of the Practice of Medicine.pdf | Unknown
    William Blair Stewart
Excerpt from book: GENERAL INFECTIOUS AND CONTAGIOUS DISEASES. CHOLERA. Synonyms.—Asiatic cholera: epidemic cholera: sporadic cholera. Definition.—An acute, specific, epidemic or endemic, infectious, malignant disease, recognized by sndden onset, profuse vomiting, severe cramps, rice-water stools, collapse, and death in a few hours or days. Etiology.—The direct cause of the disease seems to be the Spirillum cholene or comma bacillus of Koch, which is an acrobic germ and is earned by drinking-water, milk, food, and the stools of the patient. Decaying vegetable matter, intense heat of a dry season, bad hygiene, over-crowding, summer complaints, and carelessness predispose to its development. Although hot weather favors its development, some of the worst epidemics have occurred in Russia in midwinter. The genus may be carried in rags, merchandise, and letters. It is not self-protective. Period of incubation varies from two to seven days. Symptoms.—Cholera is usually preceded for a few hours or days by a feeling of lassitnde, uneasiness, slight headache, lack of appetite, occasional dizziness, slight diarrhoea, and weakness. There is a distinct chill or chilly sensations, accompanied by epigastric and abdominal pain, nausea, coated tongue, bad taste in the mouth, and profuse diarrhoea. Atfirst the diarrhcea contains fecal matter, but it changes in quality to an opaque, copious, or colorless fluid which is passed every few minutes or seconds. These so-called rice- water stools are alkaline in reaction, have a specific gravity of about 1009, contain albumin, and deposit a fine mass of leucocytes, mucus, epithelinm, shreds of tissue, salts, and bacteria. These passages are accompanied by gurgling and rumbling sounds, but with little tenesmus or pain. Blood may be mixed with them. Vomiting...  
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Book details

  • PDF | 318 pages
  • William Blair Stewart
  • General Books LLC
  • Unknown
  • 6
  • Other
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