Appendicitis by John Henry Tilden
page 80 of 107 (74%)
page 80 of 107 (74%)
![]() | ![]() |
|
analysis and explanation of symptoms to fit the diagnosis and
treatment and before he is through with the subject he declares that the _diffusion is confined _to the focus of infection. If I did not know something of the worth of words I am not sure but such an excellent explanation might persuade me!! If I did not know from experience that all this is _theory, beautiful theory, _it might be very hard to resist!] "After the symptoms of local and general inflammation with their secondary signs in the stomach and intestine had lasted for six days, suddenly a complete change took place: The nervous, anxious, extremely distressed patient became feeble and scarcely complained at all; his formerly congested face was pale and elongated, the nose pointed and cool; the skin lost its turgescence and warmth and was covered with a cold sweat; the bodily temperature also fell, the pulse became small and frequent but remained quite regular, the abdomen became softer and to a great extent lost its sensitiveness; the vomiting decreased to a few painless attacks," [Wholly due to the opium and morphine given] "and singultus disappeared: A picture which, to a certain extent, is a combination of collapse and narcosis although not to the degree of profound loss of consciousness, being the picture of an intoxication in sharp contrast to the preceding febrile state." [That is exactly what I stated above--a case of narcotism. How is it possible that the author, recognizing the narcotism, feels it incumbent to give other explanations?] |
|