Indurative mediastino-pericarditis / by Thomas Harris.

  • Harris, Thomas.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Indurative mediastino-pericarditis / by Thomas Harris. Source: Wellcome Collection.

    15/78 (page 9)
    J. L., a boy, aged 14 years, first came under my observation in July, 1890. He was admitted to the Manchester Hospital for Consumption and Diseases of the Throat and Chest, on July 12th, 1890. He stated that he had enjoyed good health until the previous Christmas (1889), about which time he began to feel unwell and to sufifer from pain in the left side. This continued until the beginning of the following March (1890), when he became more acutely ill, and had to take to his bed for the first time. He remained in bed for five weeks, during which time he was seriously ill. Dr. Yeats, who attended him at this time, tells me that he remembers the case very well, and that the boy had acute pericarditis and pneumonia. After the acute symptoms had subsided he was sent to the seaside for a month, and as Weak Eespiration. Bronchial ditto. X Cardiac Apex. Tympanitic Reso- uance (Stomach.) l''io. 1. Case 1.—J. L., set. 14. July 13th, 1890. Diagram showing limits of percussion duluess (cardiac, mediastinal, pleuritic, and hepatic). he did not seem to get strong, was brought to the Consumption Hospital on July 12th, 1890. On July 13th, 1890, the following was his condition:—He was a small boy for his age, poorly nourished, and weighed 77ilbs. He complained chiefly of shortness of breath, especially on slight exertion, and pain on the left side of the chest. His lips were extremely livid, and also his ears, but less so than the lips. The veins in his neck were prominent, and a deep inspiration seemed to have very little effect on them, certainly they did not become more prominent during a full inspiration. There was no anasarca and no evidence of ascites ; the feet and hands were blue and felt cold, although it is noted that the temperature of the ward at the time was 60° F. There were no enlarged glands anywhere to be felt. Temperature normal.