The Diagnostics And Treatment of Tropical Diseases
The Diagnostics And Treatment of Tropical Diseases
E R Edward Rhodes Stitt
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Algid Stage, — In this stage there is almost complete cessation of circulation, even the incision of a vein is only followed by a drop of black tarry blood. Anuria is practically complete. The vomiting, piu-ging and cramps may or may not subside and in the patient, with his great thirst, intense exhaustion and cadaveric appearance, with mental faculties fairly well preserved, we have an example of a living death. The temperature of the sodden, inelastic, clammy skin is Digitized by VjOOQIC SYMP...TOMATOLOGY 1 57 markedly depressed, even below 90° F., while the rectal temperature may ^approximate normal or be elevated. Som« authorities consider a marked difference between the superficial and rectal temperatures as of bad prognosis. The voice becomes husky and finally so feeble that the patient can only whisper and the breath feels cold. The sodden shrivelled hands, as those of a washerwoman, are very characteristic. Thirst is intense. The patient now falls into a listless^ motionless state in which however the apathy is more apparent than real.
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