Medical Handbook for the Use of the Revenue Cutter Service

Cover Medical Handbook for the Use of the Revenue Cutter Service
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Patient should be allowed good food. Fresh air is also important.
In muscular rheumatism the muscles most frequently affected are those of the back (lumbago), side of neck (stiff neck or wry neck), and side of chest (pleurodynia). Exposure to cold, sudden cooling of the body especially after active exercise, and sitting in a draft of air are the chief causes, or exciting causes.
As a rule there are no symptoms other than the stiffness and pain on motion. The muscles may be slightly swollen, and
... very sensi- tive. Sometimes the attacks come on suddenly and apparently with- out cause, or following a slight twist or strain, as a " kink in the back, " or patient may wake up in the morning with a stiff neck.
Treatment. In acute cases salicylate of soda may be given in 5 or 10 grain doses (0. 3 gm. To 0. 6 gm. ) every three hours until four or six doses are taken. Apply hot applications, dry heat, hot-water bag, or a hot poultice locally, or the heat may be applied by a flat- iron, over folds of flannel or a piece of blanket, and the rheumatism " ironed out.


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