Note on a case of congenital malformation of the heart : congenital atresia of conus arteriosus - incomplete septum ventriculorum - aorta, mainly arising from the right ventricle / by Judson S. Bury.

Bury, Judson Sykes.

Date:: [1887]

Credit: Note on a case of congenital malformation of the heart : congenital atresia of conus arteriosus - incomplete septum ventriculorum - aorta, mainly arising from the right ventricle / by Judson S. Bury. 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.

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$fall, had no fright. The boy has always had fair health ; was never laid np with severe illness—never had inflammation of the lungs, nor any •chest complaint, though at the beginning of last winter he had pains over the right side of the chest in front and behind. Lately he has heen spitting blood. She has never noticed any swelling of his feet, but ■says that he has complained much of pains in the legs and feet. He often has diarrhoea. His father is quite healthy; his mother's father died of consumption, and her brother died of some lung affection. She lost two babies from bronchitis, has five other children living, younger than William—they are all quite well. The day after admission to hospital, patient vomited about three oz. of fluid blood, and became intensely cyanosed, but seemed quite well an liour later. Dcry APfilL we J Of' 103' 702' ica.' 700' 39' 98' 97° 36' 1 K.B ^ M.E 3 M.S. ME 5 ME 6 ME 7 ME a 3 M.E 70 1 /fj /2 M.EiM.e>V.£ 10 ME M.E IS ME / 0 J ( ] 2 J 3 J 2 3 J 6 7 7 /< 1 9 ■z 0 1 2 Z i 3 h / J / \ U I > \ On April 22nd hia chest was again carefully examined, but nothing 'fresh was discovered; the heart sounds were distinctly heard over the back, and were quite pure ; in front the systolic murmur had the same character as before. His temperature, (as shown in the accompanying cliart) which previously had been more or less normal, was 99-8° in the evening of the 22nd, and tiie next morning, at eight o'clock, was 105-8°; at 10 a.m. the house surgeon, Dr.,Scott, noted that the heart's action was very rapid, the pulse 186, and respirations 48 per minute. The murmur was not distinctly audible. The breath sounds, except at the right apex, were normal, and no crepitation was heard. There was some general tenderness of the abdomen, and a little diar- rhoea. At 7 p.m. his condition was much the same. The bowels had been moved three times since 4 p.m. The pulse was very rapid and small, and difficult to count. He was drowsy, but said he had no headache. He died somewhat suddenly a few hours later.$