INFECTIOUS DISEASES 1
General Management 1
Anthrax 7
Chickenpox 9
Diphtheria 9
Bacillary Dysentery 16
Enteric Fevers 18
Erysipelas 23
Glandular Fever 23
Influenza 24
Measles 26
Meningococcal Infection 28
Mumps 34
Poliomyelitis 35
Ornithosis 38
Rubella 39
Scarlet Fever 39
Smallpox 42
Tetanus 46
Typhus Fever 48
Whooping-cough 51
Septicaemia 53
Serum Reactions 54
CHEMOTHERAPY 57
Introduction 57
Sulphonamides 59
Penicillin 64
Streptomycin 69
Tetracyclines 72
Chloramphenicol 75
Erythromycin 77
Polymyxin 77
Neomycin 77
Mycostatin 78
CORTICOTROPHIN AND CORTISONE 79
Physiological Role 79
Pharmacological Role 81
Contra-indications 84
Cortisone or Corticotrophin？ 84
Dosage and Administration 85
Principles of Treatment 86
Use in Various Diseases 86
ANTICOAGULANT THERAPY 92
Heparin 92
Coumarin Drugs 93
Control of Therapy 93
Long-term Therapy 93
Contra-indications 94
DEHYDRATION AND ELECTROLYTE DEFICIENCIES 96
Anatomy and Physiology of Body Fluids 96
Pathogenesis of Dehydration 97
Treatment of Dehydration 103
Potassium Deficiency 111
Dehydration in Infants 113
TUBERCULOSIS 115
Introduction 115
Prevention 116
Principles of Treatment 122
Chemotherapy 124
Primary Tuberculosis 129
Miliary Tuberculosis 131
Tuberculous Meningitis 132
Pulmonary Tuberculosis 133
Pleural Effusion 137
Other Forms of Tuberculosis 138
Marriage and Pregnancy 141
COMMON DISEASES OF THE SKIN 143
Local Treatment 143
Bacterial Infections 150
Impetigo Contagiosa 150
Furunculosis 152
Sycosis 153
Parasitic Infections 154
Ringworm 154
Scabies 157
Pediculosis 158
Acne 159
Rosacea 161
Eczema 161
Due to External Causes 162
Due to Internal Causes 163
Varicose Eczema 165
Occupational Dermatitis 166
Exfoliative Dermatitis 166
Pruritus 167
Urticaria 168
Drug Eruptions 169
Bullous Eruptions 170
Herpes Simplex 170
Herpes Zoster 171
Lupus Erythematosus 171
Alopecia 171
Pityriasis Rosea 172
Lichen Planus 172
Psoriasis 172
VENEREAL DISEASES 175
Prevention 175
Gonorrhoea 176
In the Male 176
In the Female 177
Local Complications 178
Metastatic Complications 181
Non-gonococcal Urethritis 182
Syphilis 184
Drug Treatment 184
Early Syphilis 186
Secondary Syphilis 186
Gummatous Syphilis 187
Cardio-vascular Syphilis 187
Neuro-syphilis 188
Syphilis during Pregnancy 191
Congenital Syphilis 191
Endemic Syphilis 193
Chancroid 193
Granuloma Inguinale 193
Venereal Warts 194
Trichomonas Infestations 194
COMMON TROPICAL DISEASES AND HELMINTHIC INFECTIONS 196
Malaria and Blackwater Fever 196
African Trypanosomiasis 202
Leishmaniasis 205
Leptospirosis 207
Rat Bite Fever 207
Plague 208
Undulant Fever 209
Cholera 209
Amoebiasis 211
Lambliasis 215
Malabsorption Syndrome 215
Leprosy 217
Yaws 218
Yellow Fever 219
Rabies 221
Prickly Heat 223
Tropical Neurasthenia 224
Helminthic Infestations 225
Schistosomiasis 225
Cestodiasis 226
Filariasis 228
Ancylostomiasis 230
Ascariasis 230
Strongyloidiasis 231
Enterobiasis 231
Trichuris Trichiura 232
Trichiniasis 232
Insecticides，Repellents and Acaricides 232
SOME COMMON DISORDERS IN INFANCY AND EARLY CHILDHOOD 236
Introduction 236
Special Methods of Feeding 237
Special Methods of Giving Fluid 238
Neo-natal Conditions 239
Prematurity 239
Neo-natal Infection 242
Epidemic Diarrhoea 243
Haemorrhagic Disease 243
Haemolytic Disease 244
Birth Injuries 245
Diseases of the Digestive System 247
Stomatitis 247
Vomiting 248
Constipation 251
Gastro-enteritis 251
Coeliac Disease 252
Pancreatic Disease 253
Diseases of the Respiratory System 254
＂Colds＂ 254
Otitis Media 254
Bronchitis and Pneumonia 254
Empyema 256
Pulmonary Fibrosis and Bronchiectasis 256
Convulsions 257
Mental Deficiency 259
Enuresis 259
Cyclical Vomiting 260
Pink Disease 261
THE CARE OF OLD PEOPLE 263
Attitude of the Doctor 263
The Natural History of Aging 263
Management in their Own Homes 265
Management in Hospital 270
INDUSTRIAL DISEASES 274
Introduction 274
Effects of High Temperatures 275
Work in Unusual Atmospheric Pressures 276
Work with Pneumatic Drills 277
Miners＇Nystagmus 277
Poisoning by Metals 277
Poisonous Fumes，Gases and Solvents 283
METABOLIC DISEASES 289
Diabetes Mellitus 289
Dietetic Treatment 289
Insulin Treatment 296
Hypoglycaemia 304
Blood Glucose Tests 305
Diabetic Coma 306
Diabetes in Children 308
Diabetes and Pregnancy 313
Complications of Diabetes 316
The Surgical Diabetic 320
Obesity 324
Nutritional Disorders 332
DISEASES OF THE DUCTLESS GLANDS 351
The Thyroid 351
Simple Goitre 351
Thyroiditis 352
Cretinism 353
Myxoedema 354
Hyperthyroidism 356
The Parathyroid Glands 369
Hypoparathyroidism 369
Hyperparathyroidism 371
The Suprarenal Glands 371
Addison＇s Disease 371
Cortical Hyperfunction 373
Tumours of the Medulla 375
The Pituitary 375
Diabetes Insipidus 375
Adenomata 376
Pituitary Dwarfism 376
Hypopituitarism 377
Male Hormone Therapy 378
Female Sex Endocrinology 380
Gonadotrophic Hormones 381
Ovarian Hormones 382
Disorders of Menstrual Function 384
Sterility 391
Recurrent Abortion 393
Lactational Disorders 394
The Menopause 395
Post-menopausal Disturbances 397
DISORDERS OF THE BLOOD 399
Introduction 399
Classification 400
Anaemias due to Iron Deficiency 402
Chronic Nutritional Hypochromic Anaemia 402
Nutritional Hypochromic Anaemia of Infancy 409
Post-haemorrhagic Anaemia 411
Pernicious Anaemia and other Megaloblastic Anaemias 414
Hemolytic Anaemias 423
Aplastic and Hypoplastic Anaemia 429
Portal Hypertension 431
Myelofibrosis 434
Polycythaemia Vera 434
Enterogenous Cyanosis 437
The Haemorrhagic Diseases 438
Haemophilia 439
Hypoprothrombinaemia 442
Fibrinogenopenia 443
The Purpuras 444
Agranulocytosis 447
Diseases of the Reticulo-endothelial System 449
The Leukaemias 451
Deep Ⅹ-Ray Treatment 457
CHEMOTHERAPY IN MALIGNANT AND ALLIED DISEASES 459
The Nitrogen Mustards 460
Urethane 464
Myleran 464
Colcemid 465
Aminopterin 465
6-Mercaptopurine 467
Hormones 467
DISEASES OF THE ALIMENTARY SYSTEM 472
Symptomatic Treatment 472
Diseases of the Mouth 474
Diseases of the CEsophagus 476
Diseases of the Stomach 479
Peptic Ulcer 479
Gastritis 489
Carcinoma 489
Diseases of the Intestines 490
Intestinal Obstruction 490
Regional Enteritis 492
Malabsorption Syndrome 493
Ulcerative Colitis 495
Diverticulitis 498
Constipation 499
Parenteral Feeding 501
Peritonitis 503
Functional Disease 504
Diseases of the Liver 507
Hepatic Failure 507
Portal Hypertension 509
Viral Hepatitis 510
Nutritional Disease 510
Cirrhosis 511
Pyogenic Infections 511
Diseases of the Biliary Tract 512
Diseases of the Pancreas 514
Pancreatitis 514
Carcinoma 515
DISEASES OF THE HEART AND CIRCULATION 517
Principles of Therapeutics 517
Varieties of Heart Failure 519
Congestive Failure 519
Acute Left-ventricular Failure 548
Acute Right-ventricular Failure 550
Anginal Failure 551
Acute Circulatory Failure 558
Simple Syncope 559
Cardiac Syncope 559
Collapse and Shock 561
The Infections 564
Rheumatic Fever 564
Pericarditis 569
Circulatory Failure in Acute Infections 571
Focal Sepsis in Heart Disease 571
Bacterial Endocarditis 572
Congenital Heart Disease 575
Heart Disease in Pregnancy 580
Hypertension 584
The Senile Heart 595
The Cardiac Arrhythmias 596
Auricular Fibrillation 596
Auricular Flutter 599
Paroxysmal Tachycardia 599
Heart-block 602
Extra-systoles 602
Surgery in Cardiac Disease 603
The Ambulant Cardiac Patient 608
The Cardiac Neuroses 611
Imaginary Heart Disease 612
Anxiety States 613
The Effort Syndrome 614
DISEASES OF THE BLOOD VESSELS OF THE LIMBS AND THE EFFECTS OF COLD 616
Physiology 616
Classification 616
Sudden Obstruction of Larger Arteries 617
Gradual Obstruction of Arteries 617
Intermittent Obstruction of Arteries 620
Erythro-cyanosis 621
The Effects of Cold 622
Venous Thrombosis 623
DISEASES OF THE NOSE，THROAT AND EAR 625
The Nose 625
Epistaxis 627
Rhinitis 628
Foreign Bodies 630
Sinusitis 631
The Pharynx 632
Tonsillitis 632
Pharyngitis 635
The Ear 637
Diseases of the External Ear 637
Affections of the Drum 639
Diseases of the Middle Ear 639
Deaf Aids 643
The Larynx 644
Laryngitis 644
CEdema of the Larynx 645
Prescriptions 646
DISEASES OF THE RESPIRATORY SYSTEM 648
Prophylaxis 648
Acute Coryza 650
Bronchitis 652
Acute Bronchitis 652
Chronic Bronchitis 656
Emphysema 658
The Pneumonias 660
Empyema 668
Spontaneous Pneumothorax 671
Haemothorax 672
Bronchiectasis 673
Pulmonary Abscess 676
Post-operative Pulmonary Complications 678
Intrathoracic New Growths 680
Pneumoconiosis 681
Fungous Infection 682
Sarcoidosis 683
Bronchial Asthma 683
Paroxysmal Rhinorrhoea 695
RENAL DISEASES 698
Nephritis 698
Classification 698
Biochemistry 699
Type 1 Nephritis 700
Type 2 Nephritis 708
Diabetic Glomerulosclerosis 713
Renal Amyloidosis 713
Anuria 714
Focal Nephritis 718
Functional Proteinuria 718
Diets 720
Renal Calculi 723
Infections of the Urinary Tract 724
Nephroptosis 728
CHRONIC RHEUMATIC DISEASES AND DISEASES OF BONE 729
Introduction 729
Classification 731
Prophylaxis 732
Rheumatoid Arthritis 733
Osteoarthritis 751
Chronic Menopausal Arthritis 753
Spondylitis 754
Still＇s Disease 756
Collagen Diseases 757
Gout 758
Non-articular Rheumatism 761
Surgery in Rheumatic Diseases 767
Appendix 769
The Rheumatism Clinic 769
Local Heat 770
Plaster Splints 771
Exercises 774
The Sedimentation Rate 777
Diseases of Bone 777
PSYCHOTHERAPY IN GENERAL PRACTICE 778
Introduction 778
Doctor-Patient Relationship 780
The Interview 782
Patients requiring Specialist Treatment 787
Tasks within the Practitioner＇s Scope 792
Alcoholism and Drug Addiction 801
DISEASES OF THE NERVOUS SYSTEM 806
Introduction 806
Infections 807
Meningitis 807
Encephalitis 808
Chorea 811
Spinal Cord Infections 812
Tumours 815
Traumatic Disease 816
Vascular Disease 818
Demyelinating Diseases 821
Motor Neurone Disease 822
Congenital and Familial Diseases 822
Epilepsy 822
Migraine 826
Disorders of Muscle 827
Neuritic Syndromes 828
Speech Therapy 832
Physiotherapy 833
THE WELFARE OF THE DISABLED 838
Introduction 838
Congenital Cerebral Palsy 839
Epilepsy 841
The Mentally Handicapped 842
Blindness 843
Deafness 845
Acquired Palsy 846
Heart Disease 848
TREATMENT OF POISONING 849
General Principles 849
Antidotes 850
TECHNICAL PROCEDURES 852
Asepsis 852
Subcutaneous Administration of Fluid 853
Venepuncture 854
Intravenous Infusion 857
Blood Transfusion 861
Intradermal Injection 870
Hypodermic Injection 870
Intramuscular Injection 871
Paracentesis of the Abdomen 872
Aspiration of the Pleural Cavity 873
Paracentesis of the Pericardium 874
Lumbar Puncture 875
Cisternal Puncture 878
Aspiration of Joints 879
Oxygen Therapy 880
PRINCIPLES OF PRESCRIBING 887
Introduction 887
Form of Prescription 888
Legal Requirements 888
National Health Service Prescribing 889
Nomenclature of Drugs 891
Dosage 891
Selection of Preparation 892
Cost of Drugs 893
Glossary 895
CONVERSION TABLE FOR WEIGHTS AND MEASURES 900
INDEX 901