A practical sketch of the Asiatic cholera of 1848 : its rationale and (presumed) pathology / by S.F. Statham.

Date:
1852
Catalogue details

Licence: Public Domain Mark

Credit: A practical sketch of the Asiatic cholera of 1848 : its rationale and (presumed) pathology / by S.F. Statham. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    transverse colon which follows a similar course. That part of intestine in the pelvis does not appear darker. Mesenteric vessels congested, the glands just perceptible in some parts, are either pink or white. Stomach contains much gas and some dirty white fluid. Interior pale, except around the oesophagus, where are numerous vascular points and some minute stellate injection. (Esophagus pale. Small intestines pale, and contain dirty and flocculent fluid, of yellowish cast in the duodenum. Brunner’s glands distinct. Solitary glands are few in number. Peyer’s very numerous and of good size, are raised from the surface, and have a kind of flocculent aspect; the component glands are not recognised. Large intestine pale; contains tin-bid dirty-white fluid with flakes. The solitary glands are hardly visible. There is bright uniform vascularity in one part of the sigmoid flexure for about one inch and a half. Liver is somewhat pale and rough, as if deposit and partial con- traction had occurred; substance firm. Bile and blood-vessels full. Gall-bladder nearly full of thick dark-green bile. Pancreas firm, pale. Spleen firm and not dark. Kidneys of good size; the cortical substance a quarter of an inch thick. Bladder contracted; contains a little turbid urine. In this case the pain in the side was very probably connected with the unusual disposition of the intestine. Every care was taken of this man, but from the first the collapse was profound, and no hope entertained. X.—J. W., 38, sawyer. Married; stout and strong, pale from drinking, is in tolerable circumstances, but lives in a close house. Last year was subject to fits (epileptic ?), and since then has often felt faint, and perspired profusely when at hard work. ITis daughter was taken ill of cholera thirteen days ago, and died in seven hours and a half; just before this he had diarrhoea for a short time. He is not known to be subject to diarrhoea. Two days ago his bowels were opened three times rapidly ; he went to work nevertheless, but feeling faint and giddy was obliged to return.—He had Acetate of Lead and Opium Pills, and became better. Testerday felt pretty wed. Nov. 3Oth, 2 a.m.—His son being very ill with cholera, he got out of bed two or three times to help him. Bowels open twice; brown, faecal, and very watery. He soon became hoarse. -H a.m.—ltapid serous motion, lost voice, sunk countenance, anxious and despairing.