Dr. Watson on Scarlet Fever

1842 Boston Medical and Surgical Journal  
The earliest threatenings of this formidable complaint demand attention. It is usually preceded for a day or two, or longer, by languor and peevishness ; frequently by nausea and %'omiting, and a costive state of the bowels. The pulse, in the outset, has been found slow, and beating with irregular intervals ; but it afterwards becomes frequent. The urine, at first, is scanty as well as altered in appearance. The face becomes pale and chuffy. Sometimes, as the disease proceeds, violent headache,
more » ... , violent headache, dilatation of the pupils, convulsions, or palsy, denote effusion within the head. Much more frequently the pleurae are the seat of the internal dropsical accumulation, and dyspnoea is a prominent symptom. Ascites, to any considerable extent, is rare.
doi:10.1056/nejm184210260271201 fatcat:7bkdxzuzrfafvjanmdql6mgkoy