A course of lectures on hydrophobia : its history, pathology, and treatment ; compiled from the manuscript notes of the late Dr. T.S. Holland ; delivered in the theatre of the North Charitable Infirmary and City of Cork General Hospital / by T.C. Shinkwin.

  • Shinkwin, Thomas Crofts.
Date:
[between 1800 and 1899]
Catalogue details

Licence: Public Domain Mark

Credit: A course of lectures on hydrophobia : its history, pathology, and treatment ; compiled from the manuscript notes of the late Dr. T.S. Holland ; delivered in the theatre of the North Charitable Infirmary and City of Cork General Hospital / by T.C. Shinkwin. 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.

    28/68 (page 28)
    narrow circle of cases. Dr. Holland, in collecting the notes from which these lectures ai'c compiled, consulted no less than 393 monographs, besides an immense nuniberof reports in various journals ; and in presenting you with a review of 120 cases thus collected, you arc furnished with a larger basis for argument and deduction than has been hitherto offered to the profession, or than could possibly come under the notice of any one of its members. The period from the bite to the death has been divided into three stages :— 1st. The period of incubation. This includes the time elapsing between the occurrence of the bite and the lirst symptom, and the shortest interval on record is 12, while the longest was 334 days; and an average of t he intervals that occurred in the entire 120 cases gives CI days and 18 hours as the mediuui duration of the period of incubation. Authors reckon the first stage, from the occurrence of the fust symptom to the time at which the horror of liquids l)resented itself. The propriety of making this division will be presently considered; but presuming, for the moment, that it is correct so to subdivide the disease, the symptoms in this stage are,—once in every four cases, pain in the wound and adjacent parts, which become iuflamed or redder than natural; eight in about every twelve cases present—shivcrings, sadness, anxiety, sleepiness, sighing or loss of a])petite; while in the remaining four (of these twelve cases), pain in the wound would have occurred ohcc as the only symptom of this stage ; and in the still remain- ing three cases, horror of Fniuids would have been the first deviation from health. Hence, the first stayc icould have been enlirchj ahscnl in unc out of evcnjfouv cases, it is there- fore evident that the division, made by authors, of a first