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The white-coated tongue, often red at the tip and the edges, likely become more brownish, in part because the mouth-breathing the typhoid state. Although constipation the rule in the first week, diarrhea not uncommon, and more frequent in the second week. The spleen may now conmionly felt The signs mild bronchitis appear in the chest, the pulse shows a frequency pay to write papers or even, the abdomen slightly full and tender, with gurgling if diarrhea present.

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The rose spots appear over need someone to write my essay the abdomen and lower chest, term papers sale but almost as constantly over the loins, the sixth the eighth day, and come and during the progress the fever. In the third week the fever generally shows greater remissions, but the patient begins phd thesis for sale show signs exhaustion.

With an average fall perhaps a degree a day in the minimum temperature the upper range often unchanged. The frequency the pulse increases in severe cases.

The abdominal signs are more marked, and tremor, stupor, delirium, retention urine, loss sphincteric control, increased cough and albuminuria are common. It at this time that need a ghostwriter hemorrhage from the need help writing college essay bowels, perforation, hypostatic pneumonia, bed-sores and other severe complications are feared.

In favorable cases the temperature subsides rather sharp steps in the fourth week, with clearing tongue, disappearance delirium, stupor, rash and diarrhea, slowing the pulse and return appetite. In severer cases the symptoms fail clear but continue into the fifth week, with running pulse, subsultus and muttering delirium. Relapse or some serious complication may occur just as the patient seems about convalesce. No disease more subject unexpected changes.

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The typical course outlined above subject many variations as render the diagnosis difficult in the extreme, although typical cases may diagnosed practically at sight.

A large proportion the cases enteric fever sent into the hospital are tagged malaria, influenza, and even in this day and age, typhomalarial fever. This in part because the difficulty diagnosis in the first few days but rather because sufficient care and skill are not used in the diagnosis.

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help me with my research paper A further reason lies in the fact that typhosus may infect other than the usual tissues at the onset. The most common aberrant type probably essay paper writing help pneumotyphoid, in which an almost typical pneumonia present, but later coursework writing help found due the typhoid buy and sell research papers organism. In nephrotyphoid the symptoms at onset research papers on best buy are those acute nephritis. The cerebrospinal type typhoid commonly due irritation the meninges meningo typhoid and in many cases passes for meningitis. Occasionally a true typhoidal meningitis occurs, with such localizing signs as make the diagnosis reasonably sure without the recovery the organism from the spinal fluid, or other proof. The occasional occurrence afebrile typhoid or only trivial elevation temperature in the course the disease should noted. The occurrence chills, especially in association with phlebitis, leads many practitioners into error, for the comparative frequency this complication not sufficiently appreciated. Typhoid septicemia, with severe course, delirium, perhaps petechia and but little indication the presence intestinal lesions extremely difficult diagnosis in certain cases without the help the Temperature. That the typical case has been sufficiently considered.

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