On the pathology of one form of encysted empyema / by Edward Latham Ormerod.

  • Ormerod, Edward Latham, 1819-1873.
Date:
1852
Catalogue details

Licence: Public Domain Mark

Credit: On the pathology of one form of encysted empyema / by Edward Latham Ormerod. 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.

    11/28 (page 9)
    POLYPUS OF THE URINARY BLADDP:R. iilliam Morgan, aged thirteen months, infant of sickly appearance, was ad- ttted into Lucas Ward, under the care ]Mr. Stanley, on Saturday, the 22ud ! March, 1851. llinmediately beneath, and partially rrrounding the umbilicus, is a firm tense telling, two or three inches in .dia- ‘Cter, but tlie limits are not well de- leed. To the touch is conveyed that cculiar feeling of induration which so it.en precedes suppuration. It is evi- iintly very tender, and the muscles are vcibly contracted when the abdomen ppressed. The pain is much increased all attempts to pass the urine, which !Drely dribbles away. It appears tole- bjly healthy, but is collected in small aantities only, with considerable diffi- Idty. The child is much emaciated, dd seems very ill. The countenance eexpressive of great pain ; the brows P! knit; face pale; skin dry and harsh ; Use 96, small, somewhat sharp, but sily compressed ; tongue red at the tes and tip where the papillae are pro- ment, and covered on the dorsum with IJiick, pale brown fur. The bowels act ::ularly. IThe child has been ill for eight weeks, lee mother first noticed that micttirition uised pain in the lower part of the ab- iunen, and this was soon followed by an most constant desire to void the urine. Hiring these attempts the stream was cquently interrupted, and after a mo- nitary pause would again flow. The illd was making frequent attempts to ssp the penis, as if to relieve some pain or uneasy sensation in that region. The body at this time was well nourished, and he appeared very healthy. The mother brought him to Mr. Stanley soon after these symptoms commenced, who, from their charactei’, suspected that a stone might exist in the bladder. A sound was introduced, and a careful ex- amination made, but no foreign body was detected. The surface of the blad- der, however, felt rough and rugous, a peculiar but not uncommon sensation being conveyed through the instrument when passed over its interior, well known to those who have had frequent occasion to search the bladder for a suspected calculus. Since that time the child has been brought as an out-patient to the hospital, but notwithstanding various plans of treatment, no relief has been ob- tained. He has continued constantly to complain, screaming during a greater part of the night, and always when the urine is voided, apparently from violent attacks of pain in the abdomen. The mother declares that both flesh and strength are rapidly disappearing. The swelling about the umbilicus commenced a few days ago. Mr. Stanley, now thinking that the bladder might be distended, introduced a catheter, but not more than two or three ounces of clear and healthy urine escaped. No medicine was ordered, but a poul- tice composed of equal parts of bread and linseed meal was applied to the swelling, and the child wa? ordered milk diet.