A Manual of Fevers

Cover A Manual of Fevers
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The temperature is less important, and the mere presence of high fever is not a bad sign, especially if the morning remissions are satisfactory, but if it continues long at a high level with little or no remission there is always cause to dread the prostration which it entails, and again pyrexia of this kind not infrequently precedes such accidents as haemorrhage and perforation. A sudden fall of the temperature is not to be regarded as satis- factory unless there is some improvement in the pul...se and amelioration of the patient's symptoms. Too often it means the onset of an ulcerative accident. It must be thoroughly understood that the temperature should be taken and charted every four hours, or other- wise its fluctuations may be entirely missed.
Should the " typhoid state " supervene, the prognosis must be very guarded, and any exaggeration of the 212 MANUAL OF FEVERS nervous or ataxic symptoms is a bad sign. Mere incontinence of urine or faeces need not, however, be regarded too seriously.


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