THE GENERAL TREATMENT OE EEVER 669 



or with micrococci. They sometimes appear like minute fat droplets, 

 which may be correct, as such do appear after a meal. 



Under artificial conditions lymphocytes and myelocytes may become 

 flagellates, induced by excitants such as atropine, methylene blue and 

 a cancerous plasma. 



Normal blood has shown bodies with pseudopodia supposed at one 

 time by Koch and Kliene to be associated with piroplasmosis. They 

 are only altered blood cells. 



Bodies like vesicles in red cells have been mistaken for a special form 

 of intra-corpuscular spirochsetal inclusion. 



Stained Blood. 



Blood platelets on red cells must be differentiated from the malarial 

 parasite, and a mass of platelets from a crescent or a clump of spores or 

 Leishman-Donovan bodies. 



The corps en pessaire and corps en anneau of French writers should 

 be differentiated from pathological findings in malarial cachectics. In 

 such patients anticipate endoglobular and anaemic degeneration of the 

 red cells. 



The degeneration and vacuolation of leucocytes may make the 

 student almost unaware of their origin. Experience alone will aid in the 

 process of differentiation. 



Oval and round rings occur in the cytoplasm of lymphocytes, probably 

 under the influence of alkaline stains, &c. 



When animal blood conditions are considered the subject becomes 

 much more comprehensive. 



For details upon this subject the student is recommended to : 

 " Fallacies and Puzzles in Blood Examination," by Andrew Balfour, 

 M.D., in the Fourth Report of the Wellcome Tropical Research Labora- 

 tory, Vol. A, Medical, of which the above is an abstract. That article 

 will be found sufificient for general purposes. 



THE GENERAL TREATMENT OF FEVER. 



In this outline of treatment the specific cause of the fever is not dealt 

 with. This should be known and treated accordingly, but in all fevers 

 there are so many things in common that the general treatment may be 

 along similar lines for all. 



When death takes place probably the chief source of weakness is the 

 heart, hence one must consider those factors telling against the circulation 

 as : — 



Under and improper feeding. 



Insufficient water. 



Vomiting because it withdraws food and water from the patient, 



is exhausting and prevents rest and sleep. 

 Diarrhoea for the same reasons. 

 The breathing of foul air. 

 Insufficient oxygen. 



The interference of oxygenation due to hmg troubles. 

 The impairment of the renal secretion. 

 The loss of sleep and rest due to noises, bright light, pain, toxaemia 



and pyrexia. 

 The elevation of the head. 



