The diagnostics and treatment of tropical diseasesStitt, E. R. (Edward Rhodes)
Science
The diagnostics and treatment of tropical diseases
Stitt, E. R. (Edward Rhodes)
Tropical medicine
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| Blackwater fever | Yellow fever | Bilious remittent
-----------+-------------------+-------------------+--------------------
Onset |Sudden but asthenic|Sudden but asthenic|Comes on more
| with marked | for two or | slowly.
| rigor. | three days. |
-----------+-------------------+-------------------+--------------------
Urine |Haemoglobinuria. |No blood in urine |Bile in urine.
| Pink foam to | before 3d or 4th | Yellow froth on
| urine. Albuminuria| day and then | shaking urine.
| from first day. | haematuria. | Albuminuria
| | Albumin from 2d | slight and
| | day. | not common.
-----------+-------------------+-------------------+--------------------
Icterus |Early and intense. |Does not appear |Jaundice develops
| Comes on in a few | before 3d day | slowly about 2d
| hours. | and gradually | day.
| | intensifies. |
-----------+-------------------+-------------------+--------------------
Spleen |Somewhat enlarged |No enlargement of |Splenic enlargement
| and tender. | spleen. | is marked; may
| | | have ague cake.
-----------+-------------------+-------------------+--------------------
Pulse |Rapid from start |Stationary pulse |Pulse not so rapid
| and becoming | with rising temp- | as in blackwater.
| more so as disease| erature or falling|
| progresses. | pulse with |
| | stationary temp- |
| | erature. (Faget’s |
| | law.) |
-----------+-------------------+-------------------+--------------------
Vomit |Early marked |Mucus-like followed| Bilious vomiting
| bilious vomiting. | by black vomit | and gastric distress
| | about 4th day. | less than in
| | | blackwater.
-----------+-------------------+-------------------+--------------------
Evidences |Usually present as |Negative unless |Some evidence at
of malaria| parasites or | yellow fever | some time almost
| melaniferous | occurs in a | always obtainable.
| leucocytes or | malarial case. |
| increased large | |
| mononuclear | |
| percentage. | |
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