Some account of the last yellow fever epidemic of British Guiana / by Daniel Blair ; edited by John Davy.

Date:
1850
Catalogue details

Licence: Public Domain Mark

Credit: Some account of the last yellow fever epidemic of British Guiana / by Daniel Blair ; edited by John Davy. 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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    Cases. Lungs: — adhering to pleura by red coagulum and engorged - 1 inflamed (1st stage) [?] - - * « 1 apoplexy of, with extravasation - - - - 6 gorged - - - - - * -20 shrivelled, collapsed, and uncongested - - - 2 bronchi injected and lined with blood and mucus - 1 bronchi simply injected - - - - -6 pus or puriloid matter found in blood - - - 3 tubercle [?] in blood detached, but unsoftened - 1 Heart:— enlarged - - - - - - - 5 enlarged, flabby, and pale - - - -• 1 contracted and small - - - - - 1 soft and flabby - - - - - - 8 valves imperfect - - - - - 3 left side gorged with black fluid blood - - 2 highly arterialised blood in left ventricle - - 2 dark thin blood with clots in right cavities - - 5 yellow and greenish yellow coagulum in right cavities - 3 with black blood - - - 4 in left auricle - - 1 heart generally full of blood - - - - 1 right auricle contracting on the application of stimulants 2 hours after death - - - - - - 1 pericardium containing much yellow effusion - 3 Aorta : — full of blood - - - - - - 1 yellow coagulum in- - - - - -1 Head: — scalp, integuments gorged with dark blood - - 3 sinuses and vessels enormously congested - - - 10 general vascularity and congestion - - - 14 extravasation on brain - - - - - 3 experiments on the subject. In a letter with which he has favoured me, of the 28th December, 1848, he says,— In every case of decided yellow fever I have found the urine highly albuminous ; a condition which it assumes about the second or third day and maintains throughout, increasing as the disease advances, and, in cases of protracted convalescence, continuing long after all symptoms but debility have left the patient. Most of the albumi- nous precipitates, he mentions, were of a brownish colour; in some cases just before the fatal termination, the presence of blood in the urine was recognised by the microscope. In two instances he found the albumen in the urine replaced by a substance having the properties of caseine.]—En. H 2