Medical Inquiries and Observations, Vol. 2: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
Science
Medical Inquiries and Observations, Vol. 2: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
Eruptions, or an abscess on the external parts of the body, if they
occur before the last stage of the disease.
A spitting of blood, in the early, or forming stage of the disease, is
favourable, but after the lungs become much obstructed, or ulcerated, it
is most commonly fatal.
A pleurisy, occurring in the low state of the disease, generally kills,
but I have seen a case in which it suddenly removed the cough and hectic
fever, and thus became the means of prolonging the patient's life for
several years.
The discharge of calculi from the lungs by coughing and spitting, and
of a thin watery liquid, with a small portion of pus swimming on its
surface, are commonly signs of an incurable consumption.
No prediction unfavourable to life can be drawn from pus being
discharged from the lungs. We see many recoveries after it has taken
place, and many deaths where that symptom has been absent. Large
quantities of pus are discharged in consumptions attended with
abscesses, and yet few die of them, where they have not been preceded
by long continued debility of the whole system. No pus is expectorated
from tubercles, and how generally fatal is the disease, after they are
formed in the lungs! It is only after they ulcerate that they discharge
pus, and it is only after ulcers are thus formed, that the consumption
probably becomes uniformly fatal. I suspect these ulcers are sometimes
of a cancerous nature.
A sudden cessation of the cough, without a supervening diarrh[oe]a,
indicates death to be at hand.
A constant vomiting in a consumption, is generally a bad sign.
Feet obstinately cold, also a swelling of the feet during the day, and
of the face in the night, commonly indicate a speedy and fatal issue of
the disease.
Lice, and the falling off of the hair, often precede death.
A hoarseness, in the beginning of the disease, is always alarming, but
it is more so in its last stage.
A change of the eyes from a blue, or dark, to a light colour, similar
to that which takes place in very old people, is a sign of speedy
dissolution.
I have never seen a recovery after an apthous sore throat took place.
Death from the consumption comes on in some or more than one, of the
following ways:
1. With a diarrh[oe]a. In its absence,
2. With wasting night sweats.
3. A rupture of an abscess.
4. A rupture of a large blood-vessel in the lungs, attended with
external or internal hæmorrhage. _Sudden_ and _unexpected_ death in a
consumption is generally induced by this, or the preceding cause.
5. Madness. The cough and expectoration cease with this disease. It
generally carries off the patient in a week or ten days.
6. A pleurisy, brought on by exposure to cold.
7. A typhus fever, attended with tremors, twitchings of the tendons, and
a dry tongue.
8. Swelled hands, feet, legs, thighs, and face.
9. An apthous sore throat.
10. Great and tormenting pains, sometimes of a spasmodic nature in the
limbs.
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