Reports of the practice in the clinical wards of the Royal Infirmary of Edinburgh, during the months of November and December 1817, and January 1818, and May, June, and July 1818 / by Andrew Duncan.

Date:
1818
Catalogue details

Licence: Public Domain Mark

Credit: Reports of the practice in the clinical wards of the Royal Infirmary of Edinburgh, during the months of November and December 1817, and January 1818, and May, June, and July 1818 / by Andrew Duncan. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    She was put upon animal diet, and got purgatives, tinct. cantha-. ridis, and a variety of drinks, with mercurial frictions upon the ab- domen, without any benefit. The quantity of her urine continued about lb. xiv., while that of her ingesta was about lb. x. daily, prov- ing a very considerable absorption from the atmosphere, either by the lungs or skin, or both. She first complained of strangury on Decem- ber 1st, and about the middle of that month she lost her appetite, which had been previously voracious. About the same time she be- gan to complain of excruciating pain in the back, which continued with little intermission to the last. The more interesting changes are noticed in the following reports. Dec. 1.—Urine fifteen lbs.; drink ten lbs.; swelling as before; complains of considerable uneasiness from a stran- gurious affection ; frequent loose stools ; pulse 88; heat natural. 12tb.—Ingesta eleven lbs.; urine fifteen lbs., as before, besides a quantity passed in bed; tumour of the abdomen increasing in size, circumscribed, extending from about an inch above the umbilicus, to the left ilium, and as low a3 the pubes; the upper part of the abdomen natural in appearance ; body in general emaciated, and she com- plains of increasing weakness for two or three days past; her appetite has decreased much, but thirst still excessive; had four stools from a rhubarb bolus. 13th—Ingesta about ten lbs.; urine fourteen lbs. of a very pale whey colour, and did not coagulate with heat until it ^as considerably evaporated ; with the infus. of galls it form- ed a slight coagulum, after standing some time; swelling in- creased an inch since yesterday; pulse 84, full; complains of great heart-sickness. Contr. ung. hydr. Let her have a pint of porter daily, and for drink ten lbs. of water, very slightly acidu- lated with sulph. acid. 14th.—The tumour is not at all trauslucent, although, on the upper part, its parietes are very thin, and fluctuation is distinctly felt through every part of it; is very painful, even when not touched, especially at both extremities ; sickness very severe; appetite much reduced; urine fourteen lbs. as before, injesta eight lbs.; relishes her acid drink; pulse cjo, natural. Contr. med. et cap. hora somni pil. Theb. gr. x. 27th.—Ingesta nine lbs.; urine not measured, but when she desires to make it, the pain is excruciating, until she