4.25. Doing perfectly well; up and about.

4.30. Left in ward, upon completion of my term of service.

FIG. 16.
Chart of temperature in typhoid fever with relapse.—Original attack.

FIG. 17.
Chart of temperature in typhoid fever with relapse.—Relapse.

ABORTIVE ATTACK, FOLLOWED BY TYPICAL ATTACK.—Thomas Rogers, October 15, born in Philadelphia, assistant nurse. Admitted January 25, 1883; discharged March 26, 1883, cured. Father died of hemorrhage from the lungs; mother living and healthy. Two years ago he sustained a compound fracture of the left leg from a bale of cotton falling on him; otherwise he has always enjoyed good health. For the past three months he has been assisting the nurse in the receiving ward of this hospital. Four days before admission, without unusual exposure, he had a slight chill, and felt cold for several hours. This was followed by fever and a feeling of weakness. He also had slight headache and the bowels were constipated; no epistaxis.

Upon admission patient has a good deal of hebetude, face flushed, temperature 102°, pulse 106, tongue slightly coated, moist. Has slight pain in right lumbar region, but no distension of abdomen. Urine negative.

Ord. quinine gr. viij. daily; liq. ammon. acet. fl. drachms ij. q.q.h.