In the adult you expect to find the symptoms of Antimony tart. cropping up late in a pneumonia, you do not usually get them in the early stages, and by the time the patients have gone on to an Antimony tart. state they are seriously ill. The appearance of these patients is suggestive, they are pale, they have a pinched look, rather a bluish coloration of the skin, and they are covered with a cold sweat. The nose looks rather pointed, pinched in, and very often it has a somewhat sooty colour. Owing to the extensive chest involvement you will find the alae nasi flapping and with the obvious effort to get as much air in as possible all the muscles down the side of the neck are standing out and the patient is struggling for breath. The lips in typical Antimony tart. cases are rather livid, although if the patients are running towards a collapse, as they sometimes do in Antimony tart., the lips may tend to become paler, and in any case they are usually very dry.
The impression you get of these patients is one of extreme suffering. They are intensely distressed, and their main reaction is one of wanting to be left alone-“For heaven’s sake don’t disturb me.” They do not want to speak, they do not want to speak they do not want to be spoken to, and very often they do not even want to be looked at. The patients themselves are very miserable, and you often find them lying panting for breath and moaning.
As a rule there is a very thick coating to the tongue; it is a horrible, pasty, white coating, and the tongue looks just as if it had been painted with white enamel. in few cases you may find a somewhat brown coat, which is very dry, but that is exceptional. The outstanding point is that, in spite of the dryness of the lips and tongue, these Antimony tart. patients are completely thirstless.
Another practical point to remember is that these Antimony tart. cases have a loathing of food of any kind, and in particular any attempt to feed them on milk will produce an acute nausea-the Antimony tart. patients have an acute intolerance of milk.
As far as the actual chest condition is concerned, there is invariably an excessive secretion of mucus; standing by the bed you can hear the moist bubble in the chest. There is a very rattling cough, and yet, in spite of the rattle, there is very little sputum expelled. With the effort to expel that sputum the Antimony tart. patients usually suffer from pretty acute nausea, and they may actually vomit.
With their violent cough these patients suffer from a great sense of oppression in the chest, and very often there is great soreness of the chest wall. They cannot bear any weight on the chest at all, they want to push the blankets off, they want to get them away from their neck, and any suggestion of weight, even a single blanket, will embarrass them.
These patients are very sensitive to any stuffy atmosphere. They have an acute air hunger, and a warm room makes them very much more uncomfortable. And an important point is that they are particularly aggravated by any radiant heat.
With the extensive chest involvement, the hands and fingers, feet and lower extremities, are very liable to become bluish, cyanotic, also the patients become very tremulous and, in spite of their general heat and aggravation from warmth, they very often complain of a feeling of coldness from about the knees downwards. As you would expect in a case of this kind, it is impossible for the patient to lie down flat; the only thing that gives him any comfort at all is to be propped up in bed, at the same time avoiding any suggestion of constriction of the chest.