Scirrhus or malignant disease of the rectum / by Alden March.

  • March, Alden, 1795-1869.
Date:
1868
Catalogue details

Licence: Public Domain Mark

Credit: Scirrhus or malignant disease of the rectum / by Alden March. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    with gas, nearly the whole of which waa discharged when I passed the tube higher up into the bowels. I dressed the wound, had her clothing changed, and she is quite comfortable. She has taken beef tea, beef extract, toast, and milk punch. Same treatment continued. 9.30 p.m.—Pulse 100; skin moist; tongue cleaner; bowels very much distended and tender; she is very uncomfortable. The wound discharges considerable sanious matter. After drawing off twenty ounces of urine, I crowded the tube further up the rec- tum, and a large quantity of gas escaped—the bowels became soft and flaccid, and the uneasiness subsided. She then ate some bread and milk, and went to sleep. Ordered gr. j. of opium every two hours; milk punch at the same time, and to let her eat freely of bread and milk, and keep the bowels constantly wet with whisky and water, of each equal parts, January 13th, 8 a. m.—She has rested well all night; pulse 100. She looks pale; is free from fever; bowels mostly free from tym- panitis. About a tablespoonful of sanious matter discharged from the vagina; but very little inflammation around the wound; appe- tite moderate. I have dressed the wound, and ordered the same treatment continued. 4 p, M.—Pulse 96; she has urinated freely. We moved her from the bed to the lounge; she is feeling much better. Same treatment continued. 11 p. M.—Patient is uneasy lying on the lounge; complains of back-ache; pulse 100. It has been necessary to draw off the urine nearly all since the operation. The bowels are but little dis- tended, with gas. The wound discharges freely matter of sanious character, which smells badly. We have moved her back to the bed, where she feels better. Slight soreness of the bowels in umbilical region. Ordered for the night one grain of opium every two hours; milk punch at the same time; toast, beef extract, crackers and milk for diet; bowels and wound to be wet with whisky and water as before. January 14th, 9 a. m.—Pulse 100 and soft. The parts are unit- ing finely. I removed two sutures, and the parts remain in situ. The patient is comfortable, except being crowded by her urine. The bowels nearly free from tympanitis; labia less swollen; the wound discharging considerable matter of a creamy character. She is cheerful; the soreness of the abdomen all disappeared. 11.30 A. M.—No chano-e. [Art. 4.] 2