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Show 34 Epidemic Malignant Fever. Irgflamed Brain. hing headache accompanying it, was the Only symptom to alarm. This remitted with the fever, but did not go off. No anxiety at- disasters opened the eyes of patients and the surgeons. It was a latent (sourde) inflamma- It was rather extreme depression tended. (accablement.)" tion of the brain, occasioned solely by tur» gescence of the blood. This it was indispens- " About the 8th or 10th day, the headache " Young women suffered most. able to detect. The first But by what sign"? It was fit- increased, and the patient was agitated by amost ting that the unabated headache, the throbbing The pulse was rapid, above all, should serve as pathognomicsicrns t: small, hard and contracted (serré). The eyes grew more glossy and red. In this stage the those who, by virtue of their profession, :UO‘llt not to be ignorant, that throbbing and paincare urine, from time to time, shewed more signs of imperfect coction, 'and afterwards became variable again. A great bleeding at the nose suc« ceeded. This often recurred. The patients the inseparable attendants of phlegmonous in. flammation. Here then were grounds for a! ieastemgjectm‘ing inflammation of the brain. To this conjecture, ringing of the ears, and intolerance of too strong a light, gave all the. force of certainty. The whole import of these symptoms were not at first seized, and thev grew fatal, before they were suspected to be (if the least consequence." distressing sleeplessness. looked bloated. Convulsions, delirium, ten-= sion of the belly, and sometimes diarrhoea MUM 35 closed the tragedy. Death occurred between the 14th and let days; sometimes with brown spots, always with a black, chopped, dry, shrunk, and trembling tongue, teeth dry, lips - " The treatment was the most simple pos- lead-coloured and puffy, face livid; and some- srble, and success certain, where recourse was times the bleeding at the nose continued till had to it in time. death ; blood dissolved." urgent indication was, to diminish eonDcrestion in the brain, and especially in the piaDnm-ter, which the redness of the eyes justifies me in regarding, as the chief seat of inflammation " Such was the state of those, whom the ap- parent mildness of their complaint lulled in false security. When called in at these last mo- ments, every thing being desperate, I could only make vain efforts, and collect a history of the symptoms." " Young here. Views. The sole and single but It was for blood-letting to fulfil these From the arm, it was but of moderate utility. I preferred opening the vena saphena, and repeated it quickly (brusquement) to the "Fourth - ..‘.\ . ""V‘W . .. i, "rm 'Mos'sr " l '_l |