Surgical experiences : the substance of clinical lectures. / By Samuel Solly.

  • Samuel Solly
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: Surgical experiences : the substance of clinical lectures. / By Samuel Solly. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    The urine was examined by Mr. Walter Tyrrell: “pale white sediment suspended in a small quantity of mucus, exhibiting under the microscope crystals of the oxalate of lime.” On the 29th of October, ]\Ii\ Lcggatt, of William Street, Lowndes Square, was called in at the suggestion of Dr. Watson, Mr. Leggatt residing within a few doors of Captain W . Mr. Leggatt, who has kindly favoured me with his notes, says, “ I found him with violent pain in the back. He had taken a grain of morphia at bedtime, and 15 mins, of Battley without effect. I examined the abdomen, but could not satisfy myself of the existence of aneurism. The pulse was quick when I saw him, but it came down under the influence of chloric ether, and small doses of Battley.” Aboiit three or four days after this date, when the intestines had been completely emptied by pm-gatives, Mr. Leggatt satisfied himself of the presence of an aneui'ism. Nov. 7.—I found him in a state of dreadfal suffering ; the pain is now refeiTed more to the back than the abdomen. I agreed with Mr. Leggatt to put him under chloroform, and then raise a blister by means of a heated iron spoon on the side of the lumbar vertebrae opposite the seat of pain, the raw surface to be dressed with morphia. 9th.—The chloroform relieved his pain so entirely that the bbster was not dressed that night with morphia, but the pain returning again on the following day recourse was had to the morphia with success. 10th.—1 found him again suffering very much, though not quite so bad as on a former occasion. I now met Mr. Hester, of Oxford, who is an old friend of the family; he came to the same conclusion as ourselves, agreed to same palliative plans of treat- ment, suggesting also a little digitalis three times a day ; ordered, 3j. t. d. 12th.—Dr. Todd met Mr. Leggatt and myself in consultation, and agreed that it was aneurism of the abdominal aorta. 19th.—Met Dr. Todd again. Captain W is suffering severely, much altered and worn, had taken scarcely any food, no appetite, and almost constant sickness. Ordered, Creosote, Tqj.; quinine, gr. ij. 6tis horis; tinct. opii, 3j. ex enemate icienda. 20th.—Met Sir B. Brodie. Mr. Leggatt announced to us that he was now not able to feel any pulsation in the right iliac artery, though up to this time the pulsation has been distinct. Both Sir B. Brodie and I were satisfied of the correctness of this statement as regarded the artery in its passage over the pubis. I thought that 1 could feel a slight pulsation at the saphaenic opening. The pulsation in the left iliac and femoral artery was quite distinct, though feeble, but the circulation generally was feeble. He was in a sound sleep, and when awakened he was not in so much pain. The sickness had been apparently alleviated by the creosote and