Abstract of Dr. Andrew Clark's case of fibroid phthisis.

  • Clark, Andrew, Sir, 1826-1893.
Date:
[1868], [©1868]
Catalogue details

Licence: Public Domain Mark

Credit: Abstract of Dr. Andrew Clark's case of fibroid phthisis. 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.

    4/18 (page 2)
    reclines on her back, and takes little notice. Pupils dilated and sluggish. Is drowsy, but sleepless. Answers questions with difficulty, but as it seems correctly. Teg. Org.—Skin dusky, yellowish, dry, rough ; white patches here and there. Hair dark, scanty, coarse. Fingers clubbed. Temp, in axilla 97.4. Big. Org.—Teeth decayed, yellow: sordes. Tongue dry, red, and cracked; thirst; vomiting; flatulence; diarrhoea, preceded by griping pains. Hepatic dulness, greatly increased downwards and to left. No increase of splenic dulness. Genito-urin. Org.—Menstruated two months ago. Slight leucorrhoea. Urine deficient in quantity, pale, acid, of a density of 1012, and containing a tenth of its bulk of albumen. Scanty deposit, exhibiting granular matter and small hyaline casts. Ees]). Org.—On account of weakness of patient, front and lateral parts of chest alone examined. Respirations 20 per minute, and chiefly abdominal. Examin. of Left Side.—Front depressed, and move- ment slight. Supra-clavicular region percussion tympanitic; breath sounds blowing; resonance broncophonic, with echo. From secon to fifth rib, and from near sternum to posterior part of axillary ' region, hard resistant dulness, vnth considerable re- traction of chest-wall. In front of this region, inspiration bronchial, and accompanied by moist subcrej)itant rales ; expiration dry, and not sensibly prolonged. In axillary region breath sounds tubu- lar, and partly masked by coarse crepitation ; vocal resonance broncophonic. At two spots breathing cavernous and voice pectoriloquous; here metalHc