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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    face, chest, arms, and abdomen; on the legs, it is somewhat less intense. Upon the abdomen, and arms, the yellowness has a purplish tinge, and there are small purple spots scattered about irregularly in these situations, to which the neighbours attracted the notice of the patient three days ago. She does not seem to be i worse than yesterday, but there is no amendment; the bowels have not been opened since admission.—Habeat enema purgans^ statim.—Sumat pilulam hydrargyria hord somni, et repetatur eras mane.—Habeat vini rubri forma “ negus. 2c? October, {eighth day.) She passed a restless night. Yester- day afternoon, she vomited a good deal of black-coloured matter, which the nurse describes as resembling hare soup, but unfortu- nately it has not been preserved; there has been slight hmmor- |i rhage from the gums, which she never had before; the pulse is |! 100, and somewhat deficient in strength; the bowels were opened by the enema; she had the blue pills as ordered.—Bumat pilulam j calomelanos et opii, sexto, quaque hord, ad quartam vicem.—Gonti- i nuatur vinum. ^d October, {ninth day.) There has been no more vomiting, I nor hseraorrhage from the gums; she passed a comfortable night, and slept some; the yellowness has faded considerably, and the countenance is improved; the tongue is parched, and on its : centre there is a brown stripe; the pulse is 116, soft, and defi- cient in strength; the skin is ceol, and natural; she has had se- veral dark stools; the urine is scanty, and porter-coloured; she has some cough; there is no sweating. The pills and wine were ad- ministered as prescribed.—Continuatur ninum.—Habeat trochiscas \ morphxm et ipecacuanha; xx. Sumat j vel ij, urgente tussi. 4;th October, {tenth day.) The purple spots cannot be seen; the yellowness is disappearing rapidly; and in every respect, she 1. is improving.—Continuatur vinum. , I ^th October, {eleventh day.) The improvement certainly conti- i!j nues, though the patient does not think so; she spits up a quan- i i tity of very tenacious mucus, occasionally containing black car- Kj| bonaceous-looking masses, of the size of a largo pea, which give a »'] sooty streaking to the sputa; the urine is much more abundant, *1 and has now a straw-colour; some scalding pain attends mic- ' turition; the tongue is clean, and moist; the pulse is 90, small Hi and thready.—Let a bottle of porter be substituted for the wine.