Natural history, pathology, and treatment of the epidemic fever : at present prevailing in Edinburgh and other towns, illustrated by cases and dissections / by John Rose Cormack.

Date:
1843
Catalogue details

Licence: Public Domain Mark

Credit: Natural history, pathology, and treatment of the epidemic fever : at present prevailing in Edinburgh and other towns, illustrated by cases and dissections / by John Rose Cormack. 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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    ] dth August^ {eighth day.) To-day, the countenance is greatly depressed; the pulse is 80, and feeble; he has had copious dis- charge of black fluid blood from the mouth and nostrils—what was collected, measures twenty fluid ounces, (apothecaries’ measure,) but, from the soaked appearance of the clothes and'^ bedding, it is evident, that a considerable additional quantity has been lost. This hmmorrhage commenced at 10 p.m. last night, j (when the nostrils were plugged, and other measures taken for^ 1 aiTesting it,) and continued to a greater or less extent, till^J half-past eight this morning, when it somewhat abated. At^H half-past twelve noon, ho could hai’dly articulate, and the pulsej| was excessively feeble; but before the visit was completed, itWI had become 78, and rather firmer, soon after getting a littl(^H negus. Then, also, he could articulate, though indistinctly. HejB has taken about five ounces of wine since the visit yesterday.— R. acetatis plumhi gr. xxiv, aqucp distillatw zvi. Solve. HaheatxM %i sexid qudque hord.—Continuatur vinmi ad ^vi; the wine he given cautiously. Half-past nine p.m. He has had a little more epistaxis since^ jl the forenoon visit, and has vomited eleven fluid ounces of a dark- llj coloured fluid, exactly resembling coffee-grounds. He has slept fl. from noon till now, excepting when disturbed by the vomiting; j| but his sleep was broken. The pulse is 80, soft, and compressi- U ble, but fully as firm as at the forenoon visit* None of the mix- U ture prescribed has been administered. I \4ith August^ {ninth day.) After the evening visit last night, | he slumbered till half-past four this morning, when he was roused I by a return of the vomiting, and ejected about three ounces of a I black fluid, exactly resembling coffee-grounds, and bearing no resemblance whatever to blood. After this, he slumbered on till 7 A.M„ when he had an attack of rigors. The nurse states, that he had opisthotonos at this time, being quite insensible, and to all i appearance in avticulo mortis. He has at present, some subsul- i tus tendinum; he lies on his bapk, wifh a collapsed, but easy countenance; the breathing is noisy; the respirations 26 in the minute; the pulse is about 120, very weak, but varying consi- derably as to number within a brief space of time. The impulse of the heart is almost imperceptible, and the first sound is in- audible; the apex is under the sixth rib. There is strong pulsa-