A Manual of Medical Diagnosis Being An Analysis of the Signs And Symptoms of D
A Manual of Medical Diagnosis Being An Analysis of the Signs And Symptoms of D
Andrew Whyte Barclay
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In all of these cases it will be seen how little we can rely upon any one pathognomonic sign, and that if we would avoid dangerous or even fatal errors in diagnosis, regard must be had to all that can be learned of altered function or action in disease. § 3. Chronic Disease. — If the diagnosis of acute diseases of the encephalon be beset with difficulties, those encountered in investi- gating states of chronic disease are still greater, and in the majority of cases it must be confessed that we ...can scarcely form any certain opinion as to the actual lesion ; there we had to guard against being led by symptoms referable to the brain, to overlook acute diseases in other parts to which they were only secondary ; here we are very apt to mistake mere functional disturbance for chronic disease. In a practical point of view, and this is the most important one, the only question of real interest is, whether we can distinguish such as are dependent on states of chronic inflammation, and therefore remediable in a majority of cases, from those which depend upon other causes, when we must be content with treating symptoms; because, in the absence of inflammation, the same broad and ra- tional principles of treatment will be most efficacious, whether they depend upon functional disturbance or on serious disease.
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