A System of Physiologic Therapeutics Volume 5; A Practical Exposition of the Methods, Other Than Drugging, Useful, in the Treatment of the Sick - Softcover

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1903 Excerpt: ...scar from the spurious forms resulting from other local infections. Three or four days after inoculation a faint erythema, upon which develops a reddish papule, appears at the site of inoculation. The papule enlarges, projects, and by the sixth day is distinctly vesicular, loculated, and umbilicated. Two days later the contained fluid has become cloudy and opaque, giving it a pearly appearance. The surrounding skin becomes red, brawny, painful, and radiating reddish streaks may indicate the course of lymph vessels. The tributary lymphatic glands enlarge and are painful, and there may be a slight rise of temperature, chilliness, insomnia, anorexia, and malaise lasting from one to three days. Rarely, a generalized morbilliform eruption appears over the body. By the Fig. 75.--Well-marked Result Of Secondary Vaccination, Tenth Day. Lesions Too Flat And Depressed For Typical Primary Vesicles.--(From Welch and Schamberg.) Fig. 76.--Secondary Vaccination Of Doubtful Character, Twelfth Day, Followed By A Slightly Pitted Scar.--(From Welch and Schamberg.) twelfth day a brownish depressed crust appears in the center and finally covers the entire lesion. This may not fall off for from MEASLES 285 three to four weeks. The remaining scar is pitted (foveolated) and may contain radiating ridges of scar tissue. The scar gradually pales, so that finally it has less color than the surrounding skin. Secondary vaccinations are often atypical, and frequently it is difficult to determine their true or spurious character. Isolation and Disinfection.--The smallpox patient should be isolated; preferably in a special hospital situated remotely from other dwellings. All exposed persons should promptly be vaccinated and kept under surveillance for fourteen days. Their persons and clot...

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