The Medical Standard Volume 37, No. 10 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1914 Excerpt: ...t he subsidence of the acute symptoms that signs of edema denoting kidney damage show themselves, and indeed long after convalescence is over and the patient is apparently well again, we must keep up our watch for signs of a postscarlatinal nephritis and examine the urine at frequent intervals. In all cases a fluid diet should be ordered, preferably milk because of its nutritive qualities, and because it is usually well borne. Should any marked idiosyncrasy to milk be present, matxoon, zoolak, or malted milk may be substituted, or oatmeal gruel may be given. Sometimes orange albumin, which is nutritious and easily digested, is very acceptable to the patient. The concentrated meat broths are contraindicated because of their highly nitrogenous character. "Water should be given liberally throughout the course of t he disease. For mild cases of scarlet fever with a moderate rise of temperature and no apparent complications, I order a cleansing warm bath each morning, with sponging of the whole body once or twice a day with either tepid water alone or equal parts of water and alcohol. My medication in these cases consists of a course of calomel at the outset, followed by a saline, and if the bowels show signs of sluggishness I give an enema every second day, omitting it on any day during which there has been a satisfactory evacuation. Occasionally during the course of the disease I order a licorice powder or citrate of magnesia. I usually give liquor ammonii acetatis in doses of four drams every four hours for an adult, proportionately for a child, for its diuretic effect. A gargle of liquor antisepticus alkalinus properly diluted, or a simple warm salt solution used at least three times in the day, about completes the medicinal treatment. The severe types ...