Part 180

Peri-glandular lesions in the plague, 782

Periostitis, complicating typhoid fever, 297

Peritoneal effusions, encysted, in puerperal fever, treatment, 1036

Peritoneum, lesions of, in relapsing fever, 417

Peritonitis, complicating relapsing fever, 406 typhoid fever, 295 general, in puerperal fever lesions, 989 in puerperal fever, symptoms, 1010 pelvic and diffused, of puerperal fever, 988

Pernicious malarial fever, 605

Perspiration in pyæmia, 974 in yellow fever, 645

PERTUSSIS, 836 History, 836 Definition, 836 Etiology, 838 Specific poison, 838 seat, 838 period of greatest virulence, 838 inoculation of animals with, 839 Childhood, influence of, in occurrence, 839 Age at which most prevalent, 839 Sex, influence of, in causation, 839 Catarrhal affections as predisposing causes, 839 Symptoms, 840, 841 Initial stage, 840 Second stage, 840 Stage of decline, 841 Paroxysm, characters of, 837 duration, 840 frequency, 840 Frænum linguæ, ulceration, 841 Urine, condition, 841 Mortality, 841 Morbid anatomy, 843 Complications, 843 Prophylaxis, 843 Treatment, 844 Inhalations, 844 Emetics, 845 Potassium carbonate, 845 Alum, 845 Belladonna, 846 Ammonium bromide, 846 Chloral hydrate, 846 Quinia, 847 Pilocarpine muriate, 847 Sodium benzoate, 847 Caustic irritation, 848 Diet, 848 Hygiene, 848

Pertussis, following the plague, 781

Petechiæ, characters of, in grave form of the plague, 779

Petrifaction, 87

Peyer's patches, lesions of, in typhoid fever, 261

Pharyngeal spasm in rabies and hydrophobia, 899

Pharyngitis in scarlet fever, treatment, 545 and tonsillitis, complicating relapsing fever, 405

Pharynx, lesions of, in rabies and hydrophobia, 902 in relapsing fever, 413 in typhoid fever, 265

Phlebitis and phlebo-thrombosis, lesions of, in puerperal fever, 989

Phlegmonous inflammation, 52

Phthisis, complicating influenza, 870 following typhus fever, 355 from damp soil, 187 pulmonary, hereditary nature of, 128

Physicians as carriers of contagion in puerperal fever, 1017 mortality in, 207 relation of, to public hygiene, 207

Physiognomy of cerebro-spinal meningitis, 812 of dengue, 881 of erysipelas, 632 of hydrophobia, 899 of idiopathic parotitis, 622 of influenza, 866 of symptomatic parotitis, 627 of relapsing fever, 376 of typhoid fever, 272 of yellow fever, 644 significance of, in general diagnosis, 150, 151

Pigmentation, 90

Pilocarpine, use of, in diphtheria, 704 in rabies and hydrophobia, 907 muriate, use of, in pertussis, 847

Pitting, frequency of, in varicella, 482 prevention of, in variola, 452

Placenta, symptoms of diphtheria, 674

PLAGUE, THE, 771 Definition, 771 Synonyms, 771 Classification, 771 History, 772 Etiology--Predisposing causes of, 774 Poverty and filth, 774 Bodily and mental overwork, 775 Sex and age, influence, 775 Season, 775 Exciting causes, 775 Dissemination by bodies dead from, 775 Specific origin, 776 Contagiousness, 776 Nature of the poison, 776 Air as a medium of transmission, 776 Period of incubation, 777 Forms of, 777 Grave or ordinary form, 777 Fulminant form, 779 Abortive form, 780 Symptoms, 777 Grave form, different modes of onset, 779 Invasion stage, 777 Second stage, or stage of fever, 778 Stage of fully-developed local manifestations, 778 Seat of enlarged lymphatics, 778 of buboes, 778 Characters of bubonic swellings, 778 Date of appearance of buboes, 778 Seat and character of carbuncles, 778 of petechiæ, 779 Character of vomited matter, 779 Constipation, 779 Condition of urine, 779 Stage of convalescence, 779 Fulminant form, 779 duration, 779 Abortive form, 780 General duration of, 780 Complications and sequelæ, 780 Followed by catarrhal pneumonia, 781 Pertussis, 781 Mental troubles, 781 Ulcers and abscesses, 781 Morbid anatomy, 781 Changes in lymphatic system, 781 Appearance of buboes, 781 Peri-glandular tissue, 782 Abdominal viscera, 781 Diagnosis, 782 Prognosis, 780 Mortality, 780 Treatment, 782 Preventive, 782 Isolation, 783 Quarantine, 783 Disinfection, 784 Clinical, 784 Inunction of oil, 784 Buboes, 784 Drugs used, 784

Pleura, lesions of, in pyæmia, 968 in relapsing fever, 413 in septicæmia, 972

Pleurisy, complicating typhoid fever, 294 typhus fever, 355 in septicæmia lymphatica of puerperal fever, 1012

Pleuritis, complicating erysipelas, 634 influenza, 870 relapsing fever, 404 scarlet fever, 523 in scarlet fever, treatment, 556