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Acute Miliary Tuberculosis.
Acute infectious disease,characterised by the formation of
miliary tubercles most frequently in the lungs and brain. It is
a secondary disease, being due to embolic infection from primary
tubercular lesion in any other tissue or organ. The exciting
cause is bacillus tuberculosis of Koch.
The lesions are inter-alveolar, in contradistinction to the
lesions of primary pulmonary consumption which are
intra-alveolar.
Symptoms are cough, tachypnoea,tachycardia, moderate rise of
temperature, etc.
Aliment : Food.
Asthma :Dry : The attack is usually sudden, violent and
of short duration. The cough is slight with less expectoration.
Humid : The paroxysm is gradual and protracted, and the cough
severe.
Millari : A certain affection of children which Millar himself
styles `asthma acutum'. Some authors says it is laryngitis.
Apoplexy : From Greek - Apoplessein : `to cripple by a
stroke.
Dictionary meaning : Stroke. Sudden unconsciousness usually
caused by cerebral embolism, hemorrhage or thrombosis. There is
sterterous breathing, incontinence of urine and faeces, and a
varying degree of hemiplegia.
Types found in old medicine texts are :
Apoplexia Sanguinea : It cosists of an intracerebral hemorrhage,
forming clots of various dimensions.
Apoplexia Serosa : In acute hydrocephalus, it sometimes happens
that the exudation of serum takes place so suddenly and so
profusely as to cause all the symptoms of an apoplectic stroke
and it is called apoplexia serosa.
Pulmonary apoplexy. : Arises from the rupture of large usually
arterial blood vessels.
Bright's Disease. : A generic term embracing the various
forms of organic kidney disease of inflammatory origin, with
resulting albuminuria and dropsy.
Bronchocele : Goitre.
Cachexia :A
deranged state of the body, arising from vitiated blood.
Catalepsy : ( Greek : katalepsis - a seizing.)
Term used by psychiatrists to describe sustained immobility.
It is a sudden loss of all voluntary muscle power, so quickly
befalling all muscles that the different parts of body remain
precisely in the same position in which the attack finds them,
thus making the patient appear like a statue.
Catarrh : (
Greek : Katarrheein - to flow down ) Inflammation of a mucous
membrane, with constant flow of mucous.
Chlorosis :Chlorosis is a form of primary anemia
characterized by a marked diminution in the amount of hemoglobin
in the blood, and a slight decrease in the number of red blood
corpuscles. In severe and persistent cases there is often
observed an imperfect development of the organs of circulation
and reproduction.
The albuminates and leucocytes seem not to be affected, and this
is an important pathological distinction between it and anemia,
in which latter there is always a decrease of the plasmatic
albuminates.
Choleric :Easily irritated, inclined to anger.
Colliquative :A term applied to various discharges which
produce rapid
Costiveness : Constipation.
Crusta Lactea or Milk Crust.
This disease is an eczema of nursing infants.The disease usually
commences on forehead and cheeks of the child.
Delirium Tremens.
Its main symptoms are delirium and tremor associated with
sleeplessness and sensory delusions. It is always the
consequence of habitual abuse of spirituous liquors.
Dipsomania :
Alcoholism in which the drinking occurs in bouts, often with
long periods of sobriety between.
This weakness is associated with inability for intellectual
work, loss of memory, slow flow of thoughts, and dull
apperception gradually brings the victim into a state of
enfeeblement near that of idiocy.
Dyscrasia : A bad habit of body, producing generally a
diseased condition of the system.
Ecthyma : Isolated large pustules.
Upon a red and swollen surface single pustules appear, of the
size of a pea, which contain a yellow purulent, or dark coloured
fluid, if there be blood mixed with it. They are surrounded by a
red areola, and appear most frequently upon the extremities, on
the seat, on the chest, and on the neck, less often on face.
Ephemeral : Of short duration.
Favus : Honey comb Ring worm.,Tinea Favosa or
Maligna.,Porrigo favosa or Lupinosa.
Is a vegetable parasite, the achorion Schoenleinii.
It is used to be classed among the pustular eruptions, because
it first appears as a small yellow spot, the sheath of hair
being filled with the fungous growth; but it has no tendency to
suppurate. It grows with great rapidity, and forms a large,
hard, dry crusts, which have a peculiar mouse like odour. The
pathology of favus is best understood by considering it
essentially to be a form of abnormal nutrition, with exudation
of a matter analogous to, if not identical with, that of a
tubercle, which constitutes a soil for the germination of
cryptogrammic plants, the presence of which is the path gnomonic
of the disease.
Felon :
This is the deep type of inflammation of the thumb or one of the
fingers. The inflammation involves all or nearly all of the
structures of the finger, and is frequently followed by the
destruction of one or more of the phalanges.
Fever
Anticipating : In intermittent fever sometimes it happens
that the paroxysms keep no regular time. If they sets in earlier
they are termed `anticipating'.
Fever Bilious : Gastric catarrh and fever complicated
with an abundant secretion of bile.
Fever Gastric:
In some cases, gastritis is attended with a higher or less
degree of fever, and then it goes under the name Gastric fever.
The fever generally augments in the first few days, shows an
evening exacerbation, and may last from one to two weeks,when
the patient gradually recovers.
Fever Hay. :
It is a slight febrile catarrh, which affects the conjunctiva,
the mucous membrane of the nose, and upper air passages, and
frequently, but not always, is attended by asthmatic
difficulties, which sometimes are of great intensity. It attacks
only people peculiarly disposed to it, and regularly recurs
every year when the rose bloom ( rose cold ), or when hay is
made ( hay fever, hay asthma ), during the months of May till
September ( Summer catarrh ). Pollen is the exciting cause.
Fever Hectic :
It is invariably associated with some organic affection of some
important parts, whether by congestion or by indurations. It is
characterized by its aggravation after eating and by an
increased development of heat.
Usually the temperature increases by night fall. there will be
flushes of heat.
Fever Miliary :
This affection is sometimes an original disease, but more
frequently associated with some other malady and even
occasionally accompanies other chronic diseases, in which latter
instance it may generally be considered as an evidence of some
internal constitutional taint.
The primary feature of the disease consists of a great number of
exceedingly small,round, red pimples, which are soon converted
into white vesicles, afterwards become opaque, and end in scurf;
they are irregularly scattered, of the size of millet seeds, and
when the hand is passed over the cutaneous surface, a sensation
is experienced as if caused by the presence of small grains of
sand beneath the scarf-skin.
Fever Milk : Fever or uneasiness occurring in women after
confinement, during the first period of the process of secretion
of milk.
Fever Nervous. :
Abortive typhoid fever.Typhoid fever symptoms but of a mild
type. The temperature is not that much intense. On the eighth or
ninth day there is a considerable morning remission, which sinks
at the end of the second or during the third week to a normal
state, with only slight aggravations in the evening. Still the
patient gain their usual strength quite slowly.
Fever Postponing :
In intermittent fever, sometimes it happens that the paroxysms
keep no regular time. If they sets in later, they are called
`postponing'.
Fever Relapsing. : Typhus recurrence
The relapsing fever consists in the majority of cases of two (
seldom more ) paroxysms which are separated by an interval of
comparative health, lasting from four to seven days or to
fourteen days. This long remission made the second paroxysm
appear like a relapse, wherefore the `relapsing fever' was
applied to it by English physicians.
It is highly contagious, occurs epidemically and is predisposed
by filth and overcrowding.
Fever Scarlet :
It is an acute infectious and contagious disease, characterized
by the appearance on the body of a diffuse scarlet eruption. The
main features are eruption, angina (throat) and inflammation of
the kidneys.
Fever, Thermic : Insolatio.
Caused by the influence of excessive heat.
Grippe : Influenza.
Ichor : A thin watery humor flowing from ulcers.
Incipient : commencing.
Insolation : Fever Thermic.
Langour : Feebleness, weakness, lassitude of body.
Lumbago : Violent pains of a rheumatic character, in the
loins, either periodical or permanent, frequently accompanied
with a considerable degree of fever.
Matter : Pus collected in or emitted from an abscess,
pustule &c.
Miliary rash : Sudamina.
Noma : Gangrene of the cheeks.
Starts as a small blister, situated in the middle of the cheek
or towards the corner of the mouth on the inside of the cheek.
It is mostly found in the childhood.
Obstipation : Constipation.
Onyx. :In corneitis ( keratitis ) when in consequence of
inflammation suppuration takes place between the layers of the
corneal laminae, we have an interstitial abscess of the cornea,
which appear either as a yellowish spot with whitish
circumference in any part of the cornea, or as a deposit of pus
diffused throughout the cornea, so that the whole looks yellow.
the pus may gravitate to the lower margin of the cornea forming
there a curved line which resembles the white mark at the root
of the nail,hence it is called Onyx.
Ozaena :
Atrphic condition of the nasal mucous membrane in chronic coryza,
with associated crusting and fetor.
Pannus : Corneal vascularisation, often caused by conjuctival
irritation.
Pabulum : Food.
Perspiration :
Critical : is to be distinguished by the following points :
It affords general relief; every source of suffering will be
modified with its occurrence and the regularizes of pulse will
be subsided with its onset.It will be warm and clammy in nature.
Develops over the whole surface simultaneously.
All restlessness, nervous irritation or mental uneasiness will
subside with it and there appear a calm, even, undisturbed
sleep.
It will be continuous. It will appear at a particular period in
relation to the duration and course of a fever.
Phthisis :
Phthisis Florida : This is an acute form of tuberculosis where
there is a rapid infiltration and tubercle
formation, followed by extensive destruction and degeneration.
Plethora :
Plethora vera : (True plethora)
Fullness of the arteries and veins, repletion of single organs,
florid complexion, and increased temperature of the body.
Serous plethora : Increase in blood serum and decrease of
corpuscles, which characterizes itself by the fullness of the
arteries and veins, paleness, or else quick change of color.
Plethora ad vasa. : ( False plethora )
This is not too much blood in general,but too great an afflux of
blood into the blood vessels as in fevers, in consequence of
bodily and mental exertions, spirituous, irritating drugs, etc.
Plica Polonica. :Matted hair, is according to Hebra, an
eczema of the scalp, forming crusts and matting the hair
together in a most hideous manner. ( Found in Poland ).
Podagra : Gout.
Pompholyx : Pemphigus.
Pemphigus foliaceous : begins with a single blister,
which is continually increasing, until the whole surface of the
body is literally skinned and then covered by a brownish crust.
It often takes a fatal termination.
Porrigo devalcans : Alopecia circumscripta.
Caused by Microsporum audonini., which attacks the hair in
isolated patches, and the denuded spots are left clean and
polished and of a marble whiteness.
Prurigo :
It exhibits flat papules, which have the same color as the
surrounding skin. when broken, they discharge a small drop of
clear fluid, and are attended with an intolerable itching. Want
of personal cleanliness, of the proper change of clothing, and
poor and unwholesome food are probably its most frequent causes.
It is found in all ages with exception of the first years of
childhood.
It is found principally on the extensor sides, especially of the
lower limbs and on the back.
Prurigo mitis : Disease confined to lower extremities.
Prurigo formicans : Graver forms.
Prurigo pudendorum: Confined to the anus,penis,scrotum and
vulva.
Prurigo Contagiosa. : Prairie itch.
Pruritus :
Hyperaesthesia of the cutaneous nerves, frequently a reflex
symptom, without any eruption, or an itching of the skin in
consequence of some foreign material, like bile, coursing in the
blood and irritating the cutaneous nerves, as in jaundice.
Prairie Itch. :
An acute inflammation of the skin. It may be preceded by the
premonitory symptoms of malaise, headache, and slight febrile
disturbance; or its onset may be first marked by the appearance
of erythematous points, covered with small transparent vesicles,
varying in size from a pin's head to a mustard seed, and
situated for the most part on the neck shoulders,back and outer
surface of the limbs. It is accompanied by intolerable itching.
Psoriasis :
Psoriasis guttata : Psoriasis commences in small, red, somewhat
elevated,roundish spots, like drops, which are soon covered with
dry,oblong, white scales. This stage is called Psoriasis guttata.
Psoriasis diffusa : When the spots increase in number, they
necessarily coalesce as they grow and form large irregular
surfaces, which are covered with scales of various thickness and
adhesiveness. This stage is called Psoriasis diffusa.
Psoriasis annulata : They sometimes accumulate in round patches.
While on the periphery new spots still appear, those in the
centre dry up, and this give rise to a circular eruption called
Psoriasis annulata ( Ring worm ).
Psoriasis gyrata.: Several circles of psoriasis annulata meet,
their peripheric lines are broken off by already healed up
centres, and now they form various figures, parts of
circles,straight lines etc, and is called psoriasis gyrata.
Psoriasis inveterata. : In some cases the morbid process of skin
leisions continues for a long time, and causes the skin to
become thickened, rigid, and cracked. This takes place
especially in the diffuse and irregular forms; then it is called
Psoriasis inveterate.
Psoriasis syphilitic : The circumspect form of psoriasis. This
is always of syphilitic origin.
Renal calculi.
Renal sand consists of fine powdery deposits.
Renal gravel at most attains the size of a pin head.
Renal stones are of a larger size, but seldom exceed that of a
bean.
Roetheln : Rubella.
Rose : Erysipelas.
Scarf Skin : The epidermis or outer layer of the skin.
Scrofulosis :
A cachexia which manifests itself as a nutritive disturbance in
the external skin, the mucous membrane, joints, bones, organs of
sense, and above all in the lymphatic glands in such a manner
that individuals thus affected betray the internal disorders by
a peculiar habitués. According as the faulty nutrition leads
either to a deficiency in fat on account of fatty deposits in
some parts of the body, or to a deficiency in fat on account of
too rapid growth, scrofulous have been divided into a torpid and
erethic form.
Habitus of Torpid : Uncommonly large head, coarse
features, thick swollen nose and upper lip, broad cheek bones,
large belly, swollen glands on the neck, soft flappy muscles.
Habitus of Erethic : Conspicuous white skin, which reddens
easily, and through which the blood vessels shine forth; red
lips and cheeks; bluish color of sclerotic, which gives to the
eyes an expression of languor; the muscles of such individuals
are thin and flabby; the weight of the body does not correspond
with the size, showing a want of solidity of the bones; their
teeth are fair, bluish, glistening, long and narrow, and their
hair is soft.
The majority of cases lie between these two extremes , or
represent a mixture of the characters of both.
The exciting cause of the pathological changes in the lymphatic
glands is considered to be the bacillus tuberculosis. The
scrofulous diathesis can be inherited from scrofulous or
tuberculosis parents, although children from such parents may be
entirely free from any scrofulous taint.
Singultous : Hiccough.
Softening of Brain :
Red softening : Inflammatory lesion of the cerebral substance,
second stage of encephalitis, leading to abscess of the brain.
Yellow softening : It is the consequence of a hemorrhagic
infarction, through the plugging up of cerebral vessel, which
may lead however by irritation to a true encephalitis.
Squamous : Scaly.
St.Anthony's Fire. : Erysipelas
Stenocardia : Angina pectoris.
Associated with a peculiar sensation of anxiety and
constriction.
Stomacace : Putrid sore mouth.
A destructive ulceration of the borders of the gums, producing
extensive swelling of the entire mouth and cadaver breath. It is
mainly a disease of children. When found in adults, it may be a
consequence of mercurial abuse or an enfeebled state of the
system, unseemliness, poor food, and atmospheric influences.
Struma : Scrofula.; Goitre.
Sudamina : Miliary rash.
The stoppage of the outlets of sudorific glands occurs most
frequently in diseases in which there has been great dryness of
skin previous to the outbreak of the sweat, as for example, in
the first weeks of typhus.
Miliaria alba : Transparent, minute vesicles upon a naturally
colored skin.
Miliaria rubra :
similar eruptions upon a skin which is reddened by hyperemia or
hemorrhagic effusions.
Sycosis : Fig warts, Condylomata.
Tetter : Eczema.
Tobsucht : High degree of melancholic exaltation.
Trismus : Lockjaw.
Typhus :Literal meaning is ` smoke or stupefaction '.
The term has been used to denote diseases all of which were
characterized by a dry tongue, stupor, delirium, and great
prostration.
Typhus includes three forms of low fevers. They are
Typhus exanthematicus or Petechial typhus ;
Tyhpus abdominalis or Ileo typhus or Typhoid fever and
Relapsing fever.
Wen : Sebaceous cyst.In eye, fatty tumor of the lids.
Whitlow : Run around.: Panaritium : Paronychia.
Superficial inflammation of thumb or one of the fingers which
terminates in suppuration.
Wry neck : Permanent contraction of the muscles of one
side of the neck. It is caused by long lasting torticollis(stiff
neck)
Zymotic : Contagious; Infectious
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