Clinical lectures / by Robert Bentley Todd.

  • Todd, Robert Bentley, 1809-1860.
Date:
1861
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures / by Robert Bentley Todd. Source: Wellcome Collection.

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    acid perspirations an important medium for eliminating noxious matters—Scanty and loaded cliaracter of tlie urine—A thickly furred tongue cliaractcristic of the disease, and a guide to the progress of the case—Proueness of the heart to become affected—Sudamiua incidental to many diseases where free sweating occurs—Association of rheumatic fever with the puerperal state—Pathology of '■'■puer- peral acute rheumatism^'—Case—Occurrence of severe carditis and pleurisy during salivation—Pree employment of opium—Three cases, examples of the average course of the disease under eliminating treatment—The pathology of acute rheumatism considered, with a view to promote the natural cure by treatment . . .39 LECTURE IV. General remarks on the treatment of rheumatic fever—Points to be aimed at in the treatment of acute diseases generally—Caution against the permanently injurious effects of heroic remedies—Of so-called rapid cures—Various methods of treatment—Pree venesection—Danger of producing a lasting anaemia and prolonging convalescence, or hastening a fatal termination by exhaustion—Case illustrating the iueiEcacy of bleeding eitlier to promote the cure or prevent the recurrence of rlieumatism—-A similar case—Danger of being misled by the favorable progress of some cases after venesection—Example —Moderate bleeding with diaphoretics—Objections—Treatment by mercury—Permanent ill-elTeets of mercury—Its inefficacy agaiust severe internal inflammations—Case treated on this plan—Coichicuni and guaiacum—Treatment by opium—The great value of this drug— Remarkable tolerance of opium in rheumatic fever—Case in illustra- tion—Bark and quina—Treatment by elimiuation—Promotion of excretions—Alkalies and opium—Local remedies—Objections to leeches—Use of cotton wool and small blisters—Indications for stimulants—Case in illustration . . . . .53 LECTURE V. Treatment of rheumatic fever resumed—Precautions necessary to ensure the successful employment of opium—Blisters—Small blisters prefer- able to large ones—The best method of applying them—Caution against the exhausting effects of excessive excretion—Importance of paying close attention to the heart—Signs of commencing heart affection—Irregularity of pulse—Endocarditis—Mitral and aortic bellows-sounds—Distinction between endocardial and ana3mic murmurs