How to Diagnose Smallpox a Guide for General Practitioners Post Graduate Stud
How to Diagnose Smallpox a Guide for General Practitioners Post Graduate Stud
W Mcc Wanklyn
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He tells you he is so weak in the knees that he cannot stand ; his legs give way under him. He does not want to speak, move, or eat. He wants to be left alone. There is a marked relaxation of muscular tone. In the 58 HOW TO DIAGNOSE SMALLPOX [ch. Vn index afforded by the delicate muscles of the face, the loss of tone is evidenced by a charac- teristic expression. It has been compared to that of a man who has had a hard run for a train, has just caught it, and sunk down exhausted into a seat. Th...ere is apt to be a similar facial ex- pression of prostration and relaxation in the early stages of smallpox. I have a note of the onset of smallpox in a girl of about three years of age, whom I saw not long ago. The rash was just appearing. The note runs : " the natural muscular tension is absent ; she looks exceedingly tired; there is a pallor and a sug- gestion of ashy greyness in the face, and an expression, when her attention is roused for a moment, which is both appealing and hope- less. " This child had a severe attack, and died.
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