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Several dietetic articles especially adapted for young children are described under the head of "Dietetic Preparations for the Sick." It is not considered expedient or desirable to isolate them from such a general list, as they are appropriate, in some instances, as auxiliary to the treatment of the adult sick.



The arrangement of various exanthematous diseases in a group, to exhibit their different characteristics, may aid to fix in the memory of the practitioner the periods, dates, and appearances peculiar to each. The table is, of course, founded on an average of a large number of cases, and is, therefore, correct in the great majority of instances, although anomalies occasionally arise, in which some slight deviation may occur. For all practical purposes, it will prove a useful and reliable guide.

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4th day of fever, or Small red dots like On 7th day of fever. after 72 hours' ill- flea-bites.

Scarlet fever 4 to 6 days.


2d day of fever, or Bright scarlet diffused. On 5th day of fever. after 24 hours' ill

8 or 9 days.

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12 days.

10 to 14 days, or 7th to 14th day. suddenly.

Chicken pox 4 days.

Rose-colored spots, few

in number.

3d day of fever, or Small red pimples, Scabs form on 9th or 14 to 21 days. after 48 hours' ill


becoming vesicles, then pustules.

10th day of fever, and fall off about the 14th.

scabs form 6 or 7 days.

about 4th day of

2d day of fever, or Small rose pimples, be- Slight after 24 hours' illcoming vesicles. ness.

Erysipelas 3 to 7 days.

2d or 3d day.

Diffuse redness and swelling.



The usual means of diagnosis may be thus arranged to show at a glance what they reveal:

Means of Diagnosis of Uterine Diseases.1

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Having thus learned what general information may be obtained by the different means of diagnosis employed in uterine affections, we may now make the application of it to the specific varieties of uterine inflammation. The arrangement in a syllabic group is well calculated to fix in the mind the various symptoms of each affection as thus diagnostically revealed.

1 Prof. J. H. Etheridge, M.D., Chicago Med. Journal and Examiner Sept. 1876, p. 812.

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See Acute

1. Gene- a. Violent pelvic a. Dull, heavy, pain, accompanied dragging pain in symp- with rectal, vesical, pelvis, increased by Metritoms. and uterine tenes-locomotion.

2. Touch.

mus, and sometimes b. Defecation and with nausea and coition painful. vomiting.

C. Menses accom

b. Pressure over panied with pain, abdomen reveals which begins several

great sensitiveness. days previous.

a. Vagina hot and dry, unless from co existing endometritis there be purulent discharge.

b. Organ low in pelvis, os enlarged, cervix swollen, pressure on cervix very painful.

c. Painful tenderness most apparent upon rectal touch and conjoined manipulation.

d. Pain in mammæ during and before menstruation.

e. Darkening of areola of the breast. f Nausea and vomiting.

g. Great nervous disturbance.

h. Pressure on

rectum with hæmorrhoids and tenes

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a. Pain in back and loins.

b. Pressure on bladder or rectum. c. Painful and sometimes profuse menstruation.

d. Difficulty of locomotion.

e. Nervous disorders.

J. Pain during sexual intercourse. g. Dyspepsia, headache, general lassitude, and debility.

a. Uterus low down.

b. Cervix large, swollen, and painful, and os may admit finger.

c. Usually tender


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See a. Leucorrhoea Acute streaked, glairy, Endo- and bloody.





a. Dragging weight a. Dragging sensation in the and pain in pelvis, pelvis. pain in back, groin, b. Menstrual dis-and thighs. orders.

b. Rectal and vesical

c. Pain in back, tenesmus.
groins, and hypo- c. Purulent discharge)
sometimes bloody

d. Nervous dis-after 3 or 4 days.
d. Tympanitis and
e. Tympanitis. tender abdomen.
f. Symptoms of


g. Sterility.

b. Pain in back and loins increased by exercise.

c. Profuse, irritating leucorrhea, like boiled starch.

d. Menses too scanty or vice versa, oo frequent or vice versa. e. Nervous, irascible, moody, or even hysterical. f. Digestion impaired, ultimately spanæmia, sometimes nausea, etc.

a. Conjoined ma- a. Vagina hot and a. Os in normal position, nipulation reveals dry, or covered with may be enlarged, lips puffy, or tenderness of fun-above discharge. may be roughened.


b. Os gaping, cervix b. Pain results from placing swollen and tender, the finger under the cervix body slightly enlarged, and pressing upwards. whole organ lower in

pelvis than normal.

a. Reveals nothing special.

a. Patulous os internum.

b. Uterine cavity prolonged.

c. Tenderness. Withdrawal followed by blood.

a. Cervix puffy, a. Long, stringy, tough, teswollen, and red, fluid nacious mucus, difficult to reexuding from os either move, exuding from os. clear, albuminous b. Cervix not usually en looking, muco-pus, or larged, may be puffy and stringy, and tenacious. swollen and very red, as if ulcerated, due to removal of investing epithelium.

a. Great tenderness a Meets with obstruction throughout whole or-at os internum. gan, and removal fol- b. Does not produce pain by lowed by a few drops striking against the walls of of blood. the fundus, nor is its removal followed by blood or mucus.

1 Prof. J. H. Etheridge, M D., loc. cit.


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