Part 189

Varicella Prurigo, nature, 484

Varieties of beriberi, 1039 of grease-traps, 221 of pernicious malarial fever, 606 of rubeola, 568 of sewer-traps, 191 of typhoid fever, 298

VARIOLA, 434 Definition, 434 Synonyms, 434 History, 434 Etiology, 435 Contagiousness, 435 Nature of contagium, 435 Mode of entrance of contagium, 435 Duration of activity of contagium, 435 Period of greatest activity of contagium, 435 Modes of transmission, 435 Race, influence of, 436 Season, influence of, 436 Sex, influence of, 436 Neglect of vaccination as a cause, 436 Individual idiosyncrasy, 436 Protection from, by previous attacks, 436 Effect of pre-existing skin disorders, 436 Symptoms, 436 Stage of incubation, 436 Invasion, 436 Variolous rash, 437 date of appearance, 437 significance, 437 Simon's triangle, 437 Stage of invasion, 438 Eruptive stage, 438 Characters of eruption, 438 Position of eruption, 438 Stage of vesication, 438 Umbilication, 438 Maturation, 439 Characters of mature pock, 439 Condition of patient in suppuration stage, 439 Pustules on mucous surfaces, 439 Stage of desiccation, 439 General, during desiccation, 440 Secondary fever, 439 Date of appearance of secondary fever, 439 Confluent variety, 440 Seat of lesion, 441 Condition of mucous surfaces in confluent, 441 General condition in confluent, 441 Hemorrhagic variety, 442 First form, 442 Second form, 443 Lesions of, 443 Variolic purpura, 442 Complications and sequelæ, 445 Complicated by eye diseases, 445 Erysipelas, 445 Nasal inflammation, 445 Furuncles and abscesses, 445 Muscular paralysis and hemiplegic attacks, 445 Laryngitis, 446 Gangrene of genitalia, 446 Followed by a typhoid state, 445 Pathology and morbid anatomy, 446 Cutaneous lesions, 446 Formation of papule, 446 Vesicle, 446 Cause of umbilication, 447 Repair of pock, 447 Hemorrhagic variety, 447 Changes of viscera, 447 Diagnosis, 447 From measles, 448 From scarlatina, 449 From pustular skin diseases, 449 From dermatitis medicamentosa, 449 From syphiloderm, 449 From acneform disease, 449 From typhoid fever, 450 From typhus fever, 450 Prognosis, 450 Symptoms indicating unfavorable, 450 Influence of sudden defervescence of eruption, 450 Pregnancy and childbed, 450 Fatality of, in the unvaccinated, 450 Influence of vaccination after development, 451 Treatment, 451 Preventive, 451 Hygienic, 451 Necessity of cleanliness, 454 Invasion stage, 452 Eruption, 452 Exclusion of sunlight for prevention of pitting, 452 Use of warm baths, 453 Hot water compresses, 453 Stimulants, 454 Hemorrhagic form, 454 Disposition of clothes and body after death, 454

Variola of vaccine, 473

Variolic purpura, 442

VARIOLOID, 443 Symptoms, 443 Invasion stage, 443 Eruption, 444 Types of, 444 Identity with variola, 444 Treatment, 451

Veins, condition of, in cholera, 737 intestinal, lesions of, in cholera, 745 jugular, thrombi of, in symptomatic parotitis, 626 lesions of, in pyæmia, 967 in symptomatic parotitis, 626

Venesection in cholera, 764 in rabies and hydrophobia, 908 in relapsing fever, 431 futility of, in cerebro-spinal meningitis, 830

VENTILATION, 177 et seq. Defects, 179 Distribution of air, 180 Estimation of carbonic acid in air, 178 Insufficient, evil effects, 181 Importance of, in treatment of typhoid fever, 323 Methods of calculating amount of air-supply, 179 Modes of investigating merits of a plan, 179 Of waste-pipes in drainage, 223 Of soil-pipes, 189 Proper size of flues and registers, 179 Relation of, to heating apparatus, 180 Varieties of ventilators, 180 Velocity of air, 180

Ventilators, varieties, 180

Venous emboli, 63 thrombosis, following typhoid fever, 294

Veratrum viride, use of, in puerperal fever, 1033 in scarlet fever, 543 in yellow fever, 651

Vertigo in cerebro-spinal meningitis, 812 in relapsing fever, 384 significance of, in general diagnosis, 158

Vesication in variola, 438

Vesicle in variola, morbid anatomy of, 446

Views, earlier, concerning nature of puerperal fever, 990 modern, concerning nature of puerperal fever, 992

Virus of anthrax, period of greatest virulence, 928 of rabies, localization of, in wound, 893 of vaccination, varieties of, 472 vaccine, manner of transporting, 480 storage, 479

Viscera, lesions of abdominal, in the plague, 781 in cerebro-spinal meningitis, 824 in erysipelas, 635 in variola, 447

Vision, modifications of, in relapsing fever, 399 in typhoid fever, 280

Vital statistics, registration, 208

Voice, alteration of, in diagnosis, 158

Vomit, character of, in cerebro-spinal meningitis, 813 in cholera, 738 in grave form of the plague, 779

Vomiting during intermittent fever paroxysm, 593 in cerebro-spinal meningitis, 813 in cholera, 738 treatment, 761 in diphtheria, treatment, 694 in general peritonitis of puerperal fever, 1010 in mild scarlet fever, 503 in para- and perimetritis of puerperal fever, 1007 in pyæmia, 975 in remittent fever, treatment, 605 in rubeola, treatment, 581 in septicæmia, 977 in typhoid fever, 285 treatment, 331 in typhus fever, 350 treatment, 367 in yellow fever, 644 treatment, 652 significance of, in general diagnosis, 162

Vulva, symptoms of diphtheria, 674

Wakefulness in relapsing fever, 384 in typhus fever, 349

Walk, significance of, in diagnosis, 161

Walking form of typhus fever, 354 of yellow fever, symptoms, 654

Washstands, stationary, dangers from, 216