Report of Professor Delafield's Lectures On the Practice of Medicine

Cover Report of Professor Delafield's Lectures On the Practice of Medicine
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There seems to be both an hereditary and a personal predisposition to the disease, and the same individual often suffers from sev- eral attacks. The strong and vigorous, and the feeble arid debilitated, seem to be equally liable to the disease.
Exposure to cold and wet may often act as exciting causes.
Symptoms. — The symptoms of the disease may begin in several different ways.
1. For a few hours, or for several days, the patients complain of general malaise, headache, irregular chills, a littl
...e fever, irritability, sleeplessness, a coated tongue, no appetite,' urine loaded with urates, and irregular pains about the joints.
2. There are pain and stiffness of one or more joints, gradually increasing, and followed, after some hours, or days, by fever.
3. The invasion is sudden — chills, a rapid rise of temperature, and inflammation of one or more joints.
When the disease is established there is a febrile move- ment, the pulse is full and rapid, the skin is hot and dry or bathed in acid perspiration, the tongue is coated, nausea and vomiting are often present, the bowels are constipated, the urine is diminished in quantity and loaded with urates, the intelligence is clear, but restless- ness and sleeplessness are apt to bcmarked features.


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