Quotation from: Manual of SurgeryWritten by: Alexander Miles and Alexis Thomson |
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The _second period_ begins when the shock passes off, and lasts till the sloughs separate. The outstanding feature of this period is _toxaemia_, manifested by fever, the temperature rising to 102, 103, or 104 F., and congestive or inflammatory conditions of internal organs, giving rise to such clinical complications as bronchitis, broncho-pneumonia, or pleurisy--especially in burns of the thorax; or meningitis and cerebritis, when the neck or head is the seat of the burn. Intestinal catarrh associated with diarrhoea is not uncommon; and ulceration of the duodenum leading to perforation has been met with in a few cases. These phenomena are much more prominent when bacterial infection has taken place, and it seems probable that they are to be attributed chiefly to the infection, as they have become less frequent and less severe since burns have been treated like other breaches of the surface. Albuminuria is a fairly constant symptom in severe burns, and is associated with congestion of the kidneys. In burns implicating the face, neck, mouth, or pharynx, oedema of the glottis is a dangerous complication, entailing as it does the risk of suffocation.
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