Some remarks on the climate of the Swiss Alps, with pulmonary cases treated at Maloja (6,000 feet) / by A. Tucker Wise, M.D.

  • Alfred Thomas Tucker Wise
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Some remarks on the climate of the Swiss Alps, with pulmonary cases treated at Maloja (6,000 feet) / by A. Tucker Wise, M.D. Source: Wellcome Collection.

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    flesh with night perspirations. After spending three months in Europe he has undergone much improvement. On examination moist rales were heard over the apex of the left lung with pleuritic crackling and slight dulness. On the right side jerky breathing was heard underneath the clavicle. Yellow expectoration with morning cough. Temperature 98 to 100. Weight, 9 stone 13 lbs. Bacilli in sputa. Pulse 100 to 116. Result.—After summer residence dry sounds replaced moist sounds. The expectoration was about the same. Weight 10 stone. After winter residence the weight was 9 stone 13 lbs., it had been up to 10 stone 5 lbs., but was reduced by indiscreet exercise, as all abnormal physical signs and general health had improved. Pulse 84 to 96; temperature 98*4, Bacilli in sputum undiminished in number. No. 4.—JEt. 49. Consolidation of the superior lobe of the left lung. Commenced with slight haemoptysis a few months ago. There was no loss of flesh nor night perspirations. Cough frequent, with expectora¬ tion of yellow heavy mucus, occasionally streaked with blood. Pulse 88 to 104; temperature 98‘4 to 99. Weight, 9 stone 10 lbs. Bacilli in sputum. Result.—Strength greatly increased after the winter's residence, and expectoration lessened. Weight 9 stone. Pulse 90 to 120. This patient died in Italy during the subsequent spring from an attack of pericarditis. No. 5.—M \ 28. Left front of chest immobile, portions of three ribs have been excised for empyaema. Respiratory murmur inaudible over the left lung, where there was a cavity in the apex communicating with pleura. Harsh breathing in right apex, extending to second rib, other¬ wise the right lung was normal. Pulse 96 ; temperature 98*4. Morning cough, and occasionally violent fits of coughing after meals. Breathless¬ ness on exertion ; appetite good ; sleeps well. Weight, 10 stone 8 lbs. Result.—General improvement. Recommended a sea voyage and then to return to Maloja for a second winter. Weight, 10 stone 12 lbs. Pulse 92. No. 6.—MK 15. Illness commenced in the spring of 1882 with slight cough, and haemorrhage on two occasions, malaise and anaemia. The winter of 1882-3 was spent at Bournemouth, 1883-4 Algiers, 1884-5 Tunbridge Wells and the Riviera. There was always a little cough and yellow expectoration. The sputum was tinged with blood at Alassio in April, 1885, and the temperature at that time ranged from 99‘4 to 101. Came to the Engadine in July 1885, when the following notes
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