0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

PNEUMONIC FEVER—ITS SYMPTOMATOLOGY.

EDWARD F. WELLS, M.D.
JAMA. 1894;XXII(16):565-572. doi:10.1001/jama.1894.02420950001001.
Text Size: A A A
Published online

DIGESTIVE SYSTEM.

During the chill or rigor there may be chattering of the teeth, and this usually augurs a severe attack. In one of my cases incessant and prolonged chattering occurred without the presence of a chill or general rigor, but this is rare.

A man, aged 65, was awakened at midnight with uncontrollable chattering of the teeth. I saw him within an hour and found him in a great state of nervous excitement and alarm. His subjective symptoms were a feeling of uneasiness and an indefinite dread of impending evil. The skin was pale, pinched and cool; pulse 96, respirations 20, and temperature 99 degrees. He was restless, tossed about in bed, passed his urine frequently, and his teeth chattered incessantly and uncontrollably. This latter continued for more than two hours, subsiding gradually. Although the skin was cool, yet there was neither chilliness nor rigors. The ordinary symptoms of

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();