History and description of an epidemic fever, commonly called spotted fever, which prevailed at Gardiner, Maine, in the spring of 1814 / by E. Hale, jr.

Date:
1818
Catalogue details

Licence: Public Domain Mark

Credit: History and description of an epidemic fever, commonly called spotted fever, which prevailed at Gardiner, Maine, in the spring of 1814 / by E. Hale, jr. 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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    cith—]So better, but grows weaker. I have at length discovered many instances of extreme bad conduct on the part of the nurse, and after much difficulty have succeeded in getting her discharged; although the new one does not seem entitled to much confidence. My patient has still some diarrhoea, pulse 140, feeble; tongue ex- tremely parched; lips and teeth covered with a black sordes; skin continues moist; respiration difficult; partially in a delirium. Continue the medicines as before, except to substitute the com- pound tincture of cinchona, one drachm every two hours, for the decoction. Evening.—Much the same. R Spiritus Menth. Pip. gt. viii. Tinct. Opii Cam ph. gt. xv. every two hours. 10th. Case almost desperate ; tongue parched and black; she is unable to thrust it out of her mouth; respiration laborious; delirious ; pulse low, quick and fluttering ; feet and legs swelled ; diarrhoea very urgent through the day, stools sometimes passed involuntarily ; fceces black, and extremely fetid ; great disturbance in the bowels; swallows with difficulty ; refuses soup. Apply a blister over the cartilages of the lower ribs on each side. R Lavend. 01. Vol. gt. ii. Spir. Menth. Pip. gt. vi. Tinct. Opii gt. iv. every hour. Give fifteen drops of tincture of opium after every