Suppurative pylephlebitis : being a clinical lecture delivered at Guy's Hospital on January 6th, 1900 / by J.H. Bryant.

  • Bryant, John Henry.
Date:
1900
Catalogue details

Licence: In copyright

Credit: Suppurative pylephlebitis : being a clinical lecture delivered at Guy's Hospital on January 6th, 1900 / by J.H. Bryant. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    ‘ -7i« 2 them to heart, and apply the lessons you have learned when you are faced by similar diffi- culties. You will learn more from the exposure . of a mistaken diagnosis than from the confirma- ' tion of a correct one. I will read you thei notes of this case, will then scrutinise thej symptoms and discuss the diagnosis as far as- possible, as we did in the ward, and then, lastly, ; if I have time, I will give you an account of ’ the disease, based on twenty cases collected] from our Records. 1 The patient was a boy, fifteen years of age,,i who was admitted on August 30th, 1699, for vomiting and pyrexia. On August 22nd he] went to work and seemed in his usual health. At 1 a.m. on the 23rd he vomited and com-: plained of pain in the right side. He felt feverish but had no rigors. He had eaten some green apples before going to bed. He did not remain in bed, but as he did not improve he was taken to see a doctor, who diagnosed gastro-enteritis, and ordered him to be kept in bed on a miik diet. He was very sick again on the 28th, and as the sickness continued and he. seemed worse, he was admitted on August 30th. . The bowels throughout have been freely opened^ and the motions very loose. There has been no cough and no expectoration. ' Several years ago he was treated in King’s College Hospital for a tuberculous ankle, and was kept in bed for some months. He was also treated at the same hospital for some disease of the left eye, for which iridectomy was performed. Two years ago he was treated; for appendicitis by the same doctor, who sent him up for admission. Condition on admission.—Temperature 10T6°, respiration 48, pulse 120. A fairly well deve- loped boy. He seemed rather collapsed. His •