International Clinics (1909) (Paperback)

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: flllebfdne CLINICAL OBSERVATIONS IN FIVE HUNDRED CASES OF TYPHOID FEVER BY JOSEPH H. BARACH, M.D. PITTSBURGH, FA. If there is one disease to-day in the domain of medical science that has been carefully, extensively, and successfully studied, that disease is typhoid fever. Because of its slow evolution, its deliberate course, and its many classical symptoms, it has lent itself especially well to careful analysis, both clinically and in the laboratory. Epidemically and pandemically, especially in the northern temperate zone of both continents, occurring within or having created about itself medical centres, typhoid fever has been extensively studied from many viewpoints and there have been recorded careful analyses of many thousands of cases. While it is true that, in the aggregate, the number of real facts known to-day regarding typhoid fever is quantitatively greater than of any other disease in its class, there are still some of its most interesting phenomena to be understood. More vital than all is the inherent weakness of our knowledge toward a universally recognized specific treatment for the disease. Until all that can be desired is known, I consider it the duty of us who have the opportunity to .study the disease and record our observations. The observations to be recorded here were made in a series of 500 cases of typhoid fever which occurred within a period of two years (1904-1905) in hospital services of four of our Pittsburgh physicians, to whom I am much indebted. These cases I saw every day of their' disease, and carefully recorded the events on the day of their occurrence. In this paper I will include certain observations which refer to the etiology, diagnosis, complications, and treatment of the disease. Read before the Allegheny County Medical...