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]
Catalogue details

Licence: Public Domain Mark

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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    Name, S age,sex, &c. History. Condition before injection. Frequency and amount of injections. 3 M. C., set. 26, female, admitted Dec. 1st, 1890, K C. H. Diagnosis.— Lupus of face and palate; enlarged glands in neck Mother died of phthi- sis. Disease began 15 years ago. The nose was first attack- ed, and from thence it spread on to both cheeks. Hard palate and upper gums be- came affected about 5 years ago and the upper lip 2 years ago. Has undergone all sorts of treatment. Scraped last on Nov. 21st, 1890 Internal organs healthy. Very extensive lupus. A considerable part of the carti- laginous part of the nose has been eaten away as well as the columna. It ex- tends up over the root of the nose, and for a short distance on to the forehead. From the nose it extends on to both cheeks, on the right side covering the whole of the cheek down to the lower border of the inferior manilla, and as far outwards as the level of the anterior border of the masseter. On the left side the disease does not extend so low, hardly reaching below the level ot the angle of the mouth. The upper lip is much affected and swollen, and the dis- ease spreads to the inner side of the lip, from thence to the front of the gums; there was also a small patch at the ante- rior part of the hard palate on the right side. Much of the surface is raw as the result of the recent operation. There was some discharge from the nose. There are some enlarged glands in the submaxillary region aud at the angle ef the jaw on the right side •006'; 'C06; ,-006;,-008 , '008 , *008; 2-01'; ■01 x 013; , 02; 4 '03'; 2 06; , ■06' ,-08>;2 31'; *'i; i’i; ,1 2 12'; i 12; ,12; a12'; , •12 1 15; 2 12; ,-12; ,12;, •12 2'12;2 1; i1; 21; i'l; il 2 1; i 09; ] *1; 2'1> 1*1; i'l 2-l; i-l ; ^l. U- l-Ol.-l) -1- •l-l-C 1, -D-ei, -1H-1, •l)i Cl, -1, •l)-Cl, -1, -D- Cl, -1, •D-Cl, 1, -1)- (1, -1, •D-01, -1, -1)- Cl, 1-, •!)-(• 1, -1, -1)-12 _ (•12, -12H-12, -12, 12)- (■12, -12, '12)-('12, -12. '12). Treatment being continued 1: S 3 ; 4 Et. S„ set. 25, female, admitted Nov. 29th, 1890, K. C. H.; discharged Feb. 2nd, 1891, to attend as out-patient Diagnosis.— Lupus of nose and cheek Father and mother consumptive. Began on upper lip, imme- diately below septum of nose, 5 years ago. Has steadily extend- ed in spite of all sorts of treatment. Has had 24 operations, the last about 6 weeks before admission Various organs healthy. About Jrd of the cartilages at the tip of the nose have been destroyed, especially on the left side; the orifices of both nostrils are consider- ably contracted. The centre of the upper lip is drawn up. The greater part of the nose is covered with scar tissue, in which are numerous lupus nodules and small ulcers. On the left side there is a sepa- rate patch of lupus close to the inner canthus of the eye. There is also a patch about the middle of the right cheek, which is ulcerated, and below the sym- physis of the jaw is a thickened scar about 1J in. long, probably from a sup- purating gland. There was evidently some disease inside the nose,but the ori- fice on the left side was so small that nothing could be seen ■008' ; 2-01 ; s-Ol; ,■01 1-01; ; 2’01 : 1 01'; ■ , 013' l ’02'; 3-03': ; 2 0-4'; ,•06' 00 © 2 l ; 3 ■12'; 2 12 ; 3-15: 2'2; 3-23'; 2 I; *1 ; ant once a . week ■ 1 ts k (i I;i a bni =} 5 H. F., set. 15, male, admitted Dec. 1st, 1890, K. C. H.; discharged Jan. 28th, 1891. No phthisical family history. Disease be- gan 6 years ago Diagnosis.— Lupus of thigh and axilla Internal organs healthy. At the back of the right thigh, rather below the middle, is a patch of lupus 3$ in. from above downwards and 3J in. transversely. The patch is much thickened and covered with scales; there is no ulceration, and no signs of cicatrisation. Towards the outer part of the left axilla there is a similar patch, 34 in. from above down- wards, and 21 in. from side to side •01'; 2-01-01; 2-013; fo, , *013; 1’015; 2-02'; ,'022'; k ,•024'; ,*03'; *-04'; 2'05';l[« r06; , 08; 21: s'12'; 2'1;' * 3*12; 2*12; 3*1; 2*1. Sub- Total sequently attended twice a Si week and received ’1. Not N been seen since the begin- ning of March
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