Cases and observations illustrative of the nature of gangrene of the lungs / by David Craigie.

  • Craigie, David.
Date:
[1843?]
Catalogue details

Licence: Public Domain Mark

Credit: Cases and observations illustrative of the nature of gangrene of the lungs / by David Craigie. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    half from the spine on tlie left side. The pulse was 112, softer ; the castor oil had been rejected by vomiting; and the tongue was furred. Two compound colocynth pills were directed to be taken and re- peated to the fourth time, and the opiate antimonial solution was intermitted! On the 20th, he was asleep at the visit, but perspiring profusely over the head, neck, and chest; respirations were about 20 in the minute ; he complained only of weakness; the matter expectorat- ed was opaque, jelly-like, and slightly orange-coloured. A blister was applied on the left side of the chest; the opiate antimonial solution was resumed ; and an ounce of oil of turpentine was direct- ed to be given next morning. On the 21st, the blister had risen well, and perspiration had been less profuse. He now complained, however, of pain in the right sub- axillary region. Kespiraticm was bronchial, but performed Avith a duller sound than usual in the same spot. The pulse was 108. Ten ounces of blood were ordered to be drawn by cupping from the right subscapular region. On the 22d, when blood had been drawn from the part to the amount ordered, the pain of the side of the chest was rather worse, and it was aggravated by deep inspiration. Percussion elicited a preternaturally clear sound over the whole of the riglit subaxillary region, and downwards to about two inches from the lower margin of the chest, and crepitous rattling was heard all over the lower part of the right side of the chest, most distinctly during expira- tion, with a sort of rough friction sound. The respiration was almost entirely abdominal, 30 in the minute, with very little move- ment of the chest; and he lay entirely on the leftside. The sound elicited by percussion behind was much duller than lateral- ly. The pulse was 116, and small. He had been very cold all night, and had a great deal of hiccu]). The tongue was covered with a yellowish rough fur, and the bowels had not been moved much since the 21st. Blood was ordered to be drawn from the arm to the amount of 16 or 18 ounces, afterwards an opiate of two scruples of the morphia solution, and a purgative enema with one ounce of oil of turpentine to be administered. The antimony was stopped. 23d. Only four ounces of blood could be drawn, which was much buffed and cupped. Enema was followed by three motions. The pain became much easier, but the hiccup continued unabated. The pulse was 96, sharp and wiry ; and the tongue continued covered with a yellow moist fur. Respiration was totally inaudi- ble in the lower part of the right side of the chest; percussion elicited a duller sound than yesterday; and nothing was heard ex- cept the beats of the heart. The voice was not resonant. Six grains of calomel, six of colocynth, and ten of jalap in treacle were ordered ; to be followed by a turpentine purgative