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Related post: evening the pulse was 110, and the temperature 101°. On
the 29th, the pulse was 120 at a. m., and the temperature 102°.
He had epistaxis for a few moments on this date, and diarrhoea.
The fever persisted without any abatement for the two follow-
ing days, the pulse being 120, and Silagra 50 the temperature 102°. On
January 1st, at 9 A. m., the pulse Silagra Price fell to 90, and the tempera-
ture to 100°. He was then perspiring profusely. At G p. m.
the pulse and temperature Cheap Silagra were normal. Free perspiration
continued. The muscular pains had continued to be, and
were still, severe.
The relapse of fever thus ended after a continuance of five
days. After January 1st there was no return of fever. On
the 13th of January he was able to sit up. He convalesced
without any drawback, and Silagra 50 Mg was discharged, quite well, Janu-
ary 24th. There was no eruption of any kind. The diarrhoea
continued only two days, and was slight.
The Silagra Online treatment was as follows : Ten grains of quinine were
given daily, for the first four days, in one dose, at noon ; and
two srrains three times dailv, during the intenuission. Dilute
ox EELAPSIXG FEVER. 113*
nitric acid was given during the continuance of fever. Bis-
mutli, kino, and opium, were given to relieve tlie diarrhoea.
The points in this case to which your attention is to be di-
rected are, the abruptness of the attack ; the continuance of
high febrile movement for five days ; the sudden and complete
disappearance of fever, profuse perspii'ation occurring at the
same time ; an apyrexial period of ten days ; an abrupt relapse
of fever lasting five days, the second febrile career ending sud-
denly, with profuse perspiration, and convalescence then tak-
ing place ; the prominence of muscular pains, both during the
fever and in the intermission ; the residence of the patient in
a house where this fever existed ; his suffering from depriva-
tions before beiug attacked ; and, finally, the absence in the
history of the characters which distinguish severally typhus,
typhoid, and remittent fever. Silagra Tablets
I shall now introduce a patient who is supposed to be pass-
ing through the primary febrile career of relapsing fever. Buy Silagra Uk The
patient is a girl fourteen years of age. She was admitted with
fever, which has now continued for five days. The pulse is
140, and the axillary temperatm*e 101°. Purchase Silagra Silagra Cipla Now let us consider
the Order Silagra Online question, What are the grounds for supposing this to be a
case of relapsing fever ?
In the first place, it Silagra 100 Mg is an essential fever of some kind, for
a careful examination of the different organs of the body has
failed to disclose an acute inflammation anywhere ; it is Generic Silagra not,
therefore, a symptomatic fever. It is not one of the eruptive fe-
vers, for there has been ample time for the eruption and other
diagnostic characters of these fevers to become manifested, and
they are wanting. If not relapsing fever, it must Order Silagra be a febri-
cula, or remittent Buy Silagra Online fever, or typhus, or t^-phoid fever. The du-
ration and the intensity of the febrile phenomena show that it
is not a febricula. None of the characters of remittent fever
have been exhibited. The abruptness of the attack, and the
absence of the abdominal symptoms of typhoid fever, warrant
us in saying that it is not, in all probability, that disease. Fi-
nally, were the disease typhus fever, it is time for the eruption
to have appeared, and this is rarely wanting is cases of typhus.
The eruption is not present in this case ; moreover, there is not
the dusky hue of the face which characterizes typhus ; nor is
there the physiognomy representing the mental condition
which belongs both to typhus and typhoid fever. There has
been no incoherency or passive delirium, and the patient is
now able to give an accurate Cipla Silagra account of the past and Buy Cheap Silagra present
symptoms.
Thus, gentlemen, you see that the diagnosis is reached, at
114* PEOF. AUSTIN FLINT, SK., Buy Silagra
the present time, in this case, chiefly by exclusion ; but, if the
disease be relapsing fever, we may expect daily a sudden cessa-
tion of the febrile symptoms, and a period of apyrexia, or an
intermission, which will probably be followed by a relapse.
The diagnosis will then be confirmed.'
Before this patient is removed, let me call your attention
to the presence of petechise on the lower limbs. The small,
round, dark spots which you see are truly petechial, that is,
they are minute extravasations of blood, or ecchymoses. They
may occur in relapsing fever, as in typhus or typhoid fever,
and also, in various diseases. They have no diagnostic signifi-
cance, nor do they denote an unusual gravity of disease.
I now introduce a patient who is convalescing from relaps- Silagra Buy
ing fever. The first career of fever was seven days in this
case ; then followed an intermission of seven days. The re-
lapse of fever lasted only four days. He is able to walk up Cheapest Silagra to
the amphitheatre, and is nearly w^ell enough to be discharged.
The remainder of my lecture I shall devote to a brief con-
sideration of the following questions : What points in the clin-
ical history of relapsing fever are Silagra Tablet distinctive of the disease ;
and has it any anatomical characteristics? What are the

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