Researches on phthisis, anatomical, pathological and therapeutical.
- Pierre Charles Alexandre Louis
- Date:
- 1844
Licence: Public Domain Mark
Credit: Researches on phthisis, anatomical, pathological and therapeutical. Source: Wellcome Collection.
Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
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![less and whitish matters occasionally occurred, either during the fits of cough, or in the intervals between them. There was sometimes none of this vomiting for one or two days; while at other times it occurred repeatedly in the course of the same day. The abdominal pain became somewhat less violent; there was no diarrhoea till the last week, when it was copious, but not attended with colic. The urine began to scald in pass- ing, and from the 28th of March to the 2d of April there was retention, requiring the frequent introduction of the catheter for its relief. On two different occasions the vaginal discharge temporarily assumed a red colour. Some days after the patient's admission the feebleness had become less marked, and the face expressive of some animation. On the 12th of March I noticed slight oedema in the lower ex- tremities ; this rapidly increased. On the 25th, pains in the thighs were complained of; two days before death these pains became extremely acute at the upper and inner part of the left thigh, just where a faint pinkish tint appeared in the skin. During the last night there was constant delirium with general agitation of the body; she died at 4 a.m. Some additions were made to the first prescription at subse- quent periods; she had infusion of triticum repens sweetened with syrup of the five roots for her ordinary drink; and aro- matic fumigations with juniper berries were employed. During the continuance of the diarrhoea the white decoction with syrup of quinces, diascordium with three quarters of a grain [5 centi- grammes] of opium, and, lastly, a small opiate enema, were prescribed. Chicken-broth was the only nourishment allowed. Sectio Cadaveris ; twenty-eight hours after death. External appearances. Considerable serous infiltration of the lower extremities; a few phlyctenae at upper and inner parts of the thighs, and some redness of the skin in the same places.— The femoral veins, especially those of the left side, were dis- tended with fibrinous clots of firm consistence, and red colour of various degrees of depth, strongly adherent to their parietes. The lining membrane of the veins, tinged of a delicate pink hue, was somewhat thicker than that of a subject of the same age, examined for the purpose of ascertaining the point. The coagula extended into the collateral and ibac veins, as far as the superior cava.](https://iiif.wellcomecollection.org/image/b21015235_0061.jp2/full/800%2C/0/default.jpg)
