Cases of intermittent fever, in which bleeding was employed in the cold stage / by John Mackintosh.
- Mackintosh John, -1837.
- Date:
- [1828]
Licence: Public Domain Mark
Credit: Cases of intermittent fever, in which bleeding was employed in the cold stage / by John Mackintosh. 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.
32/42 page 30
![cased the thirst. Had no appetite. The bitter taste in the mouth had disappear- ed. A pound of blood was drawn from the arm ; the coagulum was almost soft; the serum was livid. At the return of the fever the cold only attacked the extremity of the feet. . . .. 7th day —The pain, worse and worse ; the difficulty of respiring still greater ; frequent eructations ; urine always the same. As the tongue was white and as he liad had no stools after the lavement, he took §i. of manna, which produced a bilious stool. In the night he had no sleep; delirium. 8th day —The patient felt the least return of the fever ; the pain of the right side became fixed in the hypochondriac region, and augmented in violence; the fomentations were found of no use in diminishing these pains, which every even- ing however presented a well-marked spontaneous remission; the brick-hke se- diment in the urine was more abundant. The patient havmg drank some soup, vomited a porraceous matter. • rf 9th day.—Pulse soft, weak; prostration; meteorism ; belly always consti- pated. The nourishment did not oppose the sinking of the strength ; he took for drink a solution of nitre. He could not support the touch of the hand upon the right side of the belly. In the evening he became delirious. No sleep dur- ing the night; he raised himself frequently to make urine. 10th day.-Severe pain in both hypochondriac regions so much so, that he could neither lie uponVis back, nor upon either side; he sat up in the bed ; he agSon produced sweating; he had no repose, but^when he= supported himself upon his elbows and knees, the back being turned upwards; but soon the couo-h destroyed this rest; passed a very painful night. Uth day-Same state ; urine clear and ready to putrify ; avements repeated j a blister applied to the right hypochondrium produced no relief. He could no eventuppon the weight of the bed-clothes. Delirium in the night; after a short ]S£tf^^SESZ&k in the extremities ; pulse small; anxie- t^ver, disagreeable nigh, l£h day in the morning.-He could not rest himself in any position, and as he was raising himself to speak to his confessor, he expired. Ssrection._.The body offered nothing remarkable but a tension of the belly. In ti eAbdomen, there Ls a sanious effusion mixed with a little blood. The 1 LrSdi and tuberculous ; this affection commenced towards the convex narvsize and of a black colour; the exterior surface of the right lung was covered wiui a white crust, the inferior part adhered to the pleura costal.. Case X.-Stay in the hospital from the 8th of July to the lOth—Autopsy; pic tertian fe.er .ince the 2441. J™ IBM. Onhe evem g rf ,,e -•ssei.ed, aceordmg to .... report of >u. parent,- ^ ^ m They made him swallow three ounces °f ^* ™ 8 x Ayt 2 o'clock-Pulse lW»J-K^tS& °' *• ■l'lsc 68 ; ' 9th, inthcmorn.ng.—Hcis .nas^ca , , , k two hours watchful coma : he hears but docs not answer altuoub later, pulse 92, very full; several Ounce.J^ar^ ^ of ^ Evening—Pulse full, strong. 9G ; prolo > I com > ^ ; with 8Weat right arm ; he cannot shew his tongue ; skin hot, and always mo](https://iiif.wellcomecollection.org/image/b21696925_0032.jp2/full/800%2C/0/default.jpg)


