Volume 1

Medical and miscellaneous observations relative to the West India Islands / by John Williamson, M.D., fellow of the Royal College of Physicians, Edinburgh, formerly surgeon to the Caithness Highlanders, and late of Spanish Town, Jamaica.

  • Williamson, John (Surgeon)
Date:
1817
Catalogue details

Licence: Public Domain Mark

Credit: Medical and miscellaneous observations relative to the West India Islands / by John Williamson, M.D., fellow of the Royal College of Physicians, Edinburgh, formerly surgeon to the Caithness Highlanders, and late of Spanish Town, Jamaica. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    to far discovering the case not to have affected the in- her table of the skull, and that the symptoms conse- quently proceeded from concussion. 25th.—Another, but smaller, portion of bone ex- foliated. The patient recovered completely, though the wound was not quite healed. RemarJcs on Neptunis case.—It was strongly im- pressed on my rtiind, that the accident did not produce fracture or depression of the inner table of the skull, 80 as to render the operation of trepan necessary. It was at least probable, if such had been the case, the stomach would have been affected ; and, though deglu- tition was accomplished with difficulty, no nausea or vomiting took place in the progress of his case. These induced me, among other reasons, to oppose an opera- tion to the utmost of my power, though a gentleman, also in attendance, urged the measure. However, I found it impossible to reconcile my mind to be present, or to assist at it; and, on repeating my reasons in pre- sence of the overseer, it was abandoned. The pulv. ipecac, comp. (Dover's powder) in that case operated with great effect as a diaphoretic ; and, if any effusion did take place, absorption may have been jpromoted by it. The treatment, in other respects, was to keep the primcB via in a regular and rather open state. In that climate, even with negroes, it would be generally ad- visable to order a purgative more frequently. In diet, attention was inculcated to nourish him with