Part 175

Lung diseases, complicating influenza, 868 complicating influenza, treatment, 877

Lungs, gangrene of, in influenza, 870 hypostatic congestion of, in typhus fever, 353 lesions of, in cholera, 746 in diphtheria, 687 in glanders, 917, 922 in influenza, 872 in pyæmia, 968 in relapsing fever, 413 in septicæmia, 972 in typhoid fever, 266

Lymph, dried, use of, in vaccination, 477 of vaccinia, microscopical characters, 463 vaccine, proper time for collecting, 479

Lymphangitis, complicating erysipelas, 634 vaccination, 468

Lymphatic glands, condition of, in anthrax, 940 in glanders in horses, 915 in man, 921 in malignant scarlet fever, 508 in rötheln, 586 lesions of, in human anthrax, 942 in anthrax of lower animals, 935 in diphtheria, 687 in relapsing fever, 417 pigmentation of, 92

Lymphatics, as channel of entrance of poison of septicæmia, 963 lesions of, in symptomatic parotitis, 626

Lymphatic swellings, seat of, in grave form of the plague, 778 system, lesions of, in the plague, 781

Lymphoma, 120, 124

Magnesium sulphate, use of, in wet beriberi, 1042

Malaria, 89 action of poison on system, 591 entrance into system, modes of, 591 communicability by drinking-water, 590 by fruit, 591 by milk, 590 conditions necessary to mature the poison, 589 duration of incubation of poison, 591 from impure water, 182 influence of moisture in production, 187 means of access of the poison, 590 nature of the poison, 589 non-interchangeableness of the poison, 591 ponderability of the poison, 590 production, 187 specific nature of poison, 591

MALARIAL FEVER, PERNICIOUS, 605 Definition, 605 Varieties, 606 Algid or congestive form, 606 Causes, 606 Frequency, 607 Cases illustrating clinical history, 606 Causes of death, 607 Mortality-rate, 607 Treatment, 607 General indications for treatment, 608 Use of ice and cold in treatment, 608 Opium, 608 Alcohol, 608 Comatose form, 608 Symptoms, 608 Previous condition of persons attacked, 609 Diagnosis from congestive form, 609 Treatment, 609 Hemorrhagic form of, 609 Causes, 610 Seat of hemorrhages, 610 Cases illustrating clinical history, 611 Treatment, 612 Indications for treatment, 612 Use of quinia, 612 Hemorrhages, 612 Renal complications, 613 Depurative, 613 Use of calomel and purgatives, 613

Malarial fevers, 589 definition, 589 nature of remittent fever, 598

Malignant anthrax oedema, 940 pustule, 926 tumors, 114

Mania following cerebro-spinal meningitis, 819

Maternity hospitals, advantages of, 1021

Marriages, influence of, hereditary, 176 of diseased persons, 176 transmission of hereditary proclivities by, 131

Marriages, consanguineous, 131

Marson's theory of multiple vaccination, 467

Masked forms of yellow fever, symptoms, 654

Maturation in variola, 439

Measles, 557 relations of, to idiopathic parotitis, 620

Mechanism of transudation, 68

Medical diagnosis, general, 148

Melanæmia, 92

Melanin, 92

Membrane, appearance of, in severe form of diphtheria, 668 diphtheritic, artificial production, 684 characters, 685 mode of formation, 685 varieties, 686 gangrenous condition of, in diphtheria, 669

MENINGITIS, EPIDEMIC CEREBRO-SPINAL, 795 Definition, 795 Synonyms, 795 History, 796 Etiology, 801 Seasons as a cause, 802 Meteorological agencies, 802 Localities, 802 Age, influence, 802 Sex, influence, 802 Depressing and debilitating habits, 803 Contagiousness, 803 Morbific principle, 803 Pandemic nature, 804 In the lower animals, 804 Types, 804 Forms, 805, 806 Symptoms--summary of, 806 Modes of onset, 806, 807 Individual, 808 Pain in the head, 808 spine, 808 Hyperæsthesia and anæsthesia of skin, 808 Spinal rigidity or opisthotonos, 809 duration of, 809 Convulsions, 809 Paralysis, 810 Aphasia, 810 Condition of eyes, 810 pupils, in, 810 strabismus, 810 blindness, 811 Deafness, 811 Suppurative inflammation of middle ear, 811 Physiognomy, 812 Delirium, 812 Coma, 812 Vertigo, 812 Debility, 813 Condition of tongue, 813 Nausea and vomiting, 813 Characters of matter vomited, 813 Appetite and digestion, 814 Thirst, 814 Constipation and diarrhoea, 814 Condition of fauces, 814 Urine, 814 Swelling of joints and limbs, 814 Respiration, 814 Pulse, 815 Temperature, 815 fluctuations of, 816 Eruptions, 816 irregularity of, 816, 817 petechiæ and ecchymoses, 816, 817 bullæ and pemphigus, 817 Cause of death, 818 Duration, 818 Convalescence, 819 characters, 819 cause of tardy, 819 Relapses, 820 frequency, 820 Sequelæ, 819 Followed by eye affections, 819 Impairment of hearing, 819 Deaf-mutism, 819 Impaired intellect and mania, 819 Hydrocephalus, 819 Paresis and paralysis, 819 Softening of brain, 820 Difficulty of speech, 820 Severe neuralgic pains, 820 Mortality of, 820, 828 variability of death-rate, 820, 828 influence of age upon, 828 Morbid anatomy, 820 General appearance of body after death, 820 Changes in the muscles, 821 in brain and membranes, 821 Changes due to congestion of brain and membranes, 821 to inflammation of meninges, 822 to softening of the brain, 823 Changes in pia mater, 821 in brain-tissue, 823 in spinal cord and membranes, 823 position of, 823 in internal and auditory apparatus, 824 Softening of fourth ventricle and auditory nerve, 824 Changes in eye and optic nerve, 824 in the viscera, 824 Absence of enlargement of spleen, 824 Changes in blood, 824 Amount of fibrine in blood before death, 825 after death, 825 Changes in blood-corpuscles, 825 Summary of pathology, 826 Diagnosis of, 826 From sporadic meningitis, 827 Functional and hysterical nervous affections, 827 Typhoid fever, 827 Typhus fever, 827 Prognosis of, 828 Symptoms indicating unfavorable, 829 favorable, 829 Imprudence of absolute, in, 829 Treatment, 829 Emetics, 830 Purgatives, 830 Futility of venesection, 830 Local depletion, 830 Cold applications, 830 Blisters, 830 Mode of using blisters, 831 Of coldness of skin, 831 Of collapse, 831 Use of alcohol, 831 Opium, 832 Value of opium, 833 Use of quinia, 833 Antipyretics, 833 Mercury, 833 Calabar bean, 834 Belladonna, 833 Ergot, 833 Potassium bromide, 834 Hydrate of chloral, 834 Potassium iodide, 834 Management of convalescence, 835 Diet in, 834

Meningitis, granular, following rubeola, 574