Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

202/440 (page 184)

The duration of the abdominal pain was as follows : Mnles. Females. TotHV. Throughout the disease, in . . . i8 27 45 a considerahlc part of it, in . 6 9 From two to six days, in . . . 12 24 36 5 8 13, 41 68 109 Deducting tlao 13, in whom this symptom was present only one day, and in whom it may fairly be attributed to some accidental cause, we have 96 cases out of 139, in whom abdominal pain was somewhat permanent, and in 60 only did it continue throughout the greater part of the illness. In the great majority, the pain was general,—in 32, it was chiefly or entirely confined to the region of the liver, a cir- cumstance noted by Dr. West;—3 of those in whom this was observed had long laboured under chronic hepatitis. In 17 of the 32 alluded to (between one half and one third of those in whom the pain was severe) the liver was exceed- ingly tender to pressure; and it was the seat of pain, more or less acute, in 20 out of the 60 patients in whom the abdomen was tender during the greater part of the disease. Dr. West mentions the usual duration of the abdominal pain as about four days, though once it continued for fifteen days, and in three other instances from six to eight days. In 11 only of my own cases was pain observed in the right iliac region, 8 of these presenting it during one day, 2 during two days, and only one for three days consecutively. Valleix notices the presence of diffuse pain on pressure, for three or four days, in two of six typhus patients; and of pain on pressure and constant uneasiness in four, and of cohc m a fifth of the six labouring under typhoid fever. According to Louis, abdominal pain was present in 112 cases only of 128, was rarely general, occupied in the vast majority either the iliac foss» or the hypogastric region, continued generally throughout the greater part of tlie disease, its duration being commonly from ten to twenty-five days. In six cases it lasted a whole month. The results of my own observation are, that abdominal pain was present m every case examined by me; and that in six, m whom pam