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
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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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    lachrymation; he complains of pain in the region of the liver; there is distinct yellowness of the sclerotics, and skin of the neck and abdomen.—Quiescat. \5th Septemher, {seventh day.) The yellowness has become much more decided since yesterday; the whole surface of the body has now a golden aspect, excepting below the knees, where the tinge is much less distinct; the yellowness of the sclerotics is very deep; the pupils are contracted; and the eyes are suffused. This morning, about ten o’clock, in consequence of urgent com- plaint of pain in the region of the liver, and pit of the stomach, ton leeches were applied, which bled well, and have afforded great relief. There is still, howevei’, much pain, caused by pressure over a space of some inches in extent, between the mesial line ' and the cartilages of the false ribs on the right side, as well as a general soreness on pressure over the whole region of the liver. There is no pain or fulness in the region of the spleen. The urine is high-coloured. The bowels have been opened four times; the evacuations are black, fluid, scanty, and foetid. The tongue is covered with a tenacious yellow fur; there is much thirst. The skin is soft, and of natural temperature. He has a short tickling cough, unaccompanied by any pain in the chest, but which aggra- : vates the abdominal pain and lieadach, by shaking the body. The ])ulse is 60, full, and compressible.—To have the head diligent- ■ ly kept cool, hy a lotion of the muriate of ammonia: and the abdomen lo he fomented.—Jnjiciatur enema domesticum.—Ilabeat vo^nitum sulphatis zinci gr. xii, ex aquae tepidee ^viij, station. Ilabeat vini o'uh'i ^iv; to have two ounces made into negus, immediately after the operation of the emetic; and the remainder at sleeping-time. 9 p.M. There was copious vomiting of green and brown mat- ter from the emetic; and he says, that he has felt much better since. The yellowness seems to be less distinct; but, from the imperfect light, it is impossible to be certain on this point. The abdominal pain has almost entirely left him. The pulse is 118, and feeble ; some hours ago, it was not more frequent than at the I noon visit. He did not get the negus till now.—Ht.pil. calomel, et | opii unamstatim, et repet. eras onane.—lit. haust. c. sol. onur. morphia) | f gtt. XXX, h. s.—Injic. enema amyli c. sol. onur. morph, gtt. xxv, eras : f. mane. I ^ 19th September, {eighth day.) He feels better, and is much iin- J i