A history of the disease usually called typhoid fever : as it has appeared in Georgetown and its vicinity, with some reflections as to its causes and nature / by W.L. Sutton.

  • Sutton, William Loftus, 1797-1862.
Date:
1850
Catalogue details

Licence: Public Domain Mark

Credit: A history of the disease usually called typhoid fever : as it has appeared in Georgetown and its vicinity, with some reflections as to its causes and nature / by W.L. Sutton. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    ARTICLE 4. DIGESTIVE SYSTEM—MOUTH AND TONGUE. Section 1. At the commencement of the disease, the tongue is usually moist, whitish, with red papillae sticking up through the white coat—at other times, there is little or no alteration from health, in its appearance. Fre- quently it is broad, sometimes rather narrow. At this period there is nothing remarkable about the lips. As the disease progresses, the tongue becomes less moist, or at least there is more clamminess about it; the papillae are more distinctly marked, the edges begin to become red, the taste is vitiated, the lips begin to become red, and somewhat dry. There is frequently a slight soreness of throat, perhaps only observed upon swallowing; and by inspecting the fauces, a slight redness may be ob- served. As the fever advances, the tongue becomes more and more dry, sticky, and dark; the teeth become encrusted with sordes, the lips dry and disposed to crack. Occa- sionally the first coat will leave the tongue red, shining, slick, and dry; sometimes moist, but yet shining. Some- times the tongue is covered with a layer, very much re- sembling tubercular matter; at other times, with what might seem to be fine particles of coagulable milk, easily scraped off, but soon reappearing. In a few instances the tongue is considerably swelled; it may be at the same time moist. As death approaches the tongue becomes more and more dry and thick, so much so, that it is diffi- cult to keep it moist enough by giving the patient fluids, to enable him to speak distinctly. Presently he becomes unable to protrude it. Sec. 2. Nausea and Vomiting.—There is rarely nausea or vomiting. Yet in a few instances one or both may be