Four hundred cases of phthisis / by F.M. Sandwith.

  • Fleming Mant Sandwith
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Four hundred cases of phthisis / by F.M. Sandwith. 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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    lungs either contained no tubercles, or some tiny points at one apex. Hiemojotysis.—Out of thirty-six Egyptian patients es- pecially examined with reference to this, twenty-two were certain that they had never had any blood-spitting, while fourteen, mostly men, had spat blood once or twice at the beginning of the illness. Among eighty-three Soudanese seventy-five had never had this symptom, but eight had had it early in the illness, and two of these eight had it again while in hospital. This great freedom from limmoptysis among the lower humans is interesting. Among twenty Nubians, seven had had previous hemoptysis and thirteen indignantly denied it. Vomiting is a rare symptom ; patients ask for solid food, in spite of diarrhoea, until they are actually dying. They are unacquainted with any nourishing soup, and firmly believe that milk acts as a purge. This maybe from their habit of drinking sour milk. Fever is less high among the Egyptians than with the coloured races, for while the average hectic temperature among the former was 99° in the morning and 101° in the evening, the averages among the Soudanese ranged from 99*5° to 101*4°, and among Nubians from 99'4° a.m. to 101*8° p.m. Weight.—All patients who could leave their beds were weighed once a week, and the results were naturally very disappointing. All the Nubians lost weight, but half the Egyptians and a few of the Soudanese gained a few pounds, owing chiefly to the better fare of the hospital diets. Post-mortem Notes. Autopsies on nearly all cases were conducted by native students in my presence, but the stress of other work pre- vented much time being given to them, and precluded nearly all investigation by the microscope. I have already shown that most of the cases of phthisis occur among slaves and Nubians, and that the disease kills them in a very short time. I have now to point out the
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