A practical analysis of seventy cases of inflammatory, functional, and structural disease of the heart : with observations on the treatment and prevention / by S. Scott Alison, M.D.

  • Alison, Somerville Scott, 1813-1877.
Date:
1851
Catalogue details

Licence: Public Domain Mark

Credit: A practical analysis of seventy cases of inflammatory, functional, and structural disease of the heart : with observations on the treatment and prevention / by S. Scott Alison, M.D. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

    14/52 page 10
    III. STRUCTURAL DISEASE OF THE HEART, Forty-two examples of organic disease of the heart, of which some account is now to be given, include nearly all the cases which have come under my notice for some years. They may therefore be taken as a fair specimen of heart-disease in a physician's practice, and of what the young physician may expect to meet. With only three ex- ceptions, all the sufferers came under my own care. Most of them remained under treatment for some time, and most of the deaths oc- curred under my own notice. Some of the patients are still living, and under treatment. In these instances, the present age has been given, and the diu'ation of the disease calculated up to this time. In other examples, these points are given at the time of patients coming under treatment. The three patients, not under my treatment, were Nos. 31, 32, and 33, in the general table. No. 33 had been under the care of Dr. Budd, in King's CoUege Hospital. He died in a pri- vate house, and I was requested to be present at the examination of the body. The particidars of the patient's symptoms, etc., were taken from the Hospital Book, by the kind permission of Dr. Budd. No. 32 was the patient of a student connected with the Northern Dis- pensary : I examined the heart and great vessels. The particulars, on other points, are derived fi-om the student. No. 31 was a patient of Dr. Willis, whom I assisted at the autopsy. A considerable proportion of these cases were seen by other physicians, either before or during my superintendence In the arrangement of my materials, I have, for greater conciseness as weU as for more ready comparison, placed many points in a general table. Facts, of little importance in themselves, become of great import in relation to a number of examples of disease. Thus, to know that dissipation and exposure were noted in one fatal case is comparatively of little consequence ; but that all the patients, of Avhom this was re- corded, ultimately died, is a collective fact of great significance, and is practically suggestive. Some special points of interest, in different examples, were observed, and are thought worthy of record. These, as well as some observa- tions on the pathology and treatment of organic disease of the heart, require separate notice.
    digitised image 1
    digitised image 2
    digitised image 3