Annual report : 1934 / Society of the Lying-in Hospital of the City of New York.
- Society for the Lying-In Hospital
- Date:
- 1934
Licence: Public Domain Mark
Credit: Annual report : 1934 / Society of the Lying-in Hospital of the City of New York. Source: Wellcome Collection.
45/60 page 41
![induction given. Patient did not go into labor; bag was removed (24 hours later), no bleeding. Three days later the temperature rose to 38.6°C. bleeding recurred - 500 cc., Braxton Hicks version was done, transfusion given, bleeding was controlled, patient went into labor, was delivered by breech extraction, manual removal of placenta. Infant was deadborn, macerated, weighed 1510 gm., length 43 cm. Placenta showed placentitis, no evidence of lues. Puerperium was afebrile, temperature never rose above 37.2° C., patient was discharged well on the 12th day postpartum. On the day of discharge from the Hospital, after the patient was at home, she developed pain in the outer aspect of the right leg; ankle was swollen for 4 days, pain gradually subsided. One week after discharge from the Hospital, the patient was seen in her home by the doctor on the Outdoor Service because she complained of pain in the left lower chest of 3 days’ duration, shortness of breath and malaise. There were many rales in the left lower chest. Diagnosis of possible pneumonia was made and patient was admitted to the Medical Service. Examination showed dullness at left base of lung and many rales. Temperature 37.6° C., pulse 100, respiration 26. Impression was infarction of lung secondary to embolism from right leg. Condition improved somewhat. On the seventh day after admission, patient suddenly became nauseated, dyspnoeic, cyanotic, many rales were present, pulse imperceptible and patient died. Final diagnosis: Multiple pulmonary infarcts secondary to probable thrombophlebitis of right leg. Autopsy: Thrombosis of right femoral vein. Infarcts of lungs, bilateral. Pulmonary emboli, occluding main branches of both pulmonary arteries. Acute splenic tumor. [41]](https://iiif.wellcomecollection.org/image/b31710979_0045.jp2/full/800%2C/0/default.jpg)
