The pulse / by W.H. Broadbent ; illustrated with 59 ophygmographic tracings.

  • William Broadbent
Date:
[1899?]
Catalogue details

Licence: Public Domain Mark

Credit: The pulse / by W.H. Broadbent ; illustrated with 59 ophygmographic tracings. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    Chap. XVI.] Ly J/.LY/ACAL EXCITEMENT. 3OI after bleeding, for examj)le, for uvjeniic convulsions ; before and after, or apparently instead of, uraimic con- vulsions ; in sypliilitic disease of the brain. In the following case the connection between the state of tension of the pulse and ungovernable excitement was recognised by several observers over a long period. The patient was under the care of Dr. Ranking, at Tunbridge Wells, and Dr. Marcus Allen, at Brighton, and in town under Dr. Seton and Dr. Coates, with whom I saw her weekly from March to July, 1884, and again in March, 1885. Dr. Ranking;, who has kindly supplied me with the particulars, was called to her in May, 1882, when she was convalescing from a third attack of slight left hemiplegia. She was very nervous and apprehensive, and had dilata- tion of the heart, with an unstable pulse of virtual tension. Durino- the summer she had several anojinoid attacks, which were relieved at once by nitro- glycerine, and in the winter attacks of congestion of the lungs, with partial suppression of urine and albu- minuria. One day in July, 1883, she became suddenly excited, with delusions, which lasted some time, but went off after the administration of one-hundredth of a grain of nitro-giycerine. Later in the summer she got into an excited, unsettled, suspicious and violent state^ which persisted, together with high tension of the pulse. Once she was comatose for twenty-four hours, but recovered after nitro-glycerine, and at once became maniacal. In the winter of 1883-84 she was under the care of Dr. Marcus Allen at Brighton. It was found by observation that her mental condition was always worst when the pulse-tension was high, and that the only way of keeping it down was to cut off all meat and feed the patient chiefly on milk. This was confirmed by our experience when she was brought to town. When the tension was high she was suspicious, abusive, violent and unmanageable. When