Abstract of all cases of tubercular disease which have been treated by Mr. Watson Cheyne with tuberculine up to the beginning of April, 1891.

Date:: [1891]

Credit: Abstract of all cases of tubercular disease which have been treated by Mr. Watson Cheyne with tuberculine up to the beginning of April, 1891. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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$20 Name, age, sex, &c. F. G., set. 3. female, K. C. H.; admitl ed Dee. 2nd, 1890 Diagnosis.— Disease of elbow-joint No tubercular family history. Disease began 18 months ago after an injury. Has been treated at various hospitals, but elbow has lately got worse,in spite of rest M. G., Tubercular family his- ret. 6, tory. The disease ol female, the left elbow-joint K. C. H., has been noticed for admitted the last 3 mouths, Dec. 3rd, attributed to a fall. 1890. No treatment Diagnosis.— Disease of elbow-joint with abscess Condition before injection. Internal organs healthy. Right elbow- joint 1$ inches larger than the other, measured over bend of elbow; the chief swelling is on outer side of arm, espe- cially over the head of the radius. The movements of flexion and extension are limited and pronation and supination are impossible. There is pain on movement (Before the Koch period I would have persevered with expectant treatment for some time, but I believe that complete arthrectomy would ultimately have been necessary) Internal organs healthy. There iB general thickening of I he synovial membrane of the left elbow-joint, but not very mark- ed. Great rigidity of the joint; hand completely pronated. Pain on attempt- ing movement, also tenderness on pres- sure on the elbow. There is a small abscess the size of a hazel-nut over the back part of the head of the radius; no fluid in the joint. (Before the Koch period I would have performed complete arthrectomy at once in this case) Frequency and amount of injections. •002'; 2-002'; 3-002'; 1-002'; x 002; 2 002'; 1- 003'; i -004'; i-003; *'004'; 2- 005'; 1-007; !0* 1'; 2-012; 1- 015'; 1 -02'; 2-015'; j 03'; ! -02 (operation, interval of 11 days); ,02; j'02'; 2- 03'; j 03' ■ . '04'; .-05'. •06' 2-03'; 1 03'; ! 04'; 2 05'; ! -06'; 2 07'; j 07; r08; 1 '09 ; 2 -1 > 1 '1 i 2 1 i 1 1 i 1 1; i T-T-T-T-T-T ; jT; T-T-T-T-'1-(T, '1)-(T, T)- (-1, '1)-(T, T)-(T, T)-(T, T)- (T,-l)-(-l, T)-(T, -l)-(-l.-l)- (1, l)-(-l,'I)-(T, T)-('l, ■!)- (T -1)-(T, -1)-(T, 1). To be continued Jltl «nil mouut, kc hltDCtl UJI Stab1 iljltlilll! Ill win ill id u Ui\t= •IIS. jilt rat sc ilitiis l Met' Will Kll; fn nu n i | S» In mlilti tr ml* tine tiled ■003'; 2-003'; 2-003 2-003'; i'003'; 2-004 ! -004'; ! *005 ; 2 007'; 3 008' 2- 009'; j 01; !-012'; 3-015' 3- 02 (abscess excised, in terval of 9 days); j-025 !-025;!-03; 2-04; ,-04 4- 04'; j-04'; i-06'; 2’07' !-08'; i-l'j 2-l; i 1; i-l l'l; 2'li 4'lf ]'1> l'l Treatment stopped iij#ti«= total idiom a=i-» Cane Dec. lib. 1: Silfiills 8lli,1891 iip. ■ilele s ' U tu found i »l broken Wit'es i ted a soft c; kin part i ferity, Kbit Itte starting fcnJlc ¥it.(( iiiirn. '•iiinein la. Kill, tats of u.$