Further report on the treatment of phthisis by iodoform infusion / by Thomas W. Dewar.

  • Dewar, Thomas W.
Date:
[1905]
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Licence: In copyright

Credit: Further report on the treatment of phthisis by iodoform infusion / by Thomas W. Dewar. 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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    at the end of inspiration. Posteriorly left side dulness to the inferior angle of scapula, and crepitations all over this area below the angle of scapula, jerky breathing. Posterior right side over apex, impaired percussion, and a few fine crepitations. This patient has had not less than 250 injections. Except for a slight attack of laryngitis eight months ago, she has enjoyed excellent health for more than eighteen months. While very feeble at first and only able to crawl a few yards, she was allowed to go about all the time. She now walks miles, cycles, golfs, and sixteen mouths ago climbed to the top of Dumyat, nearly 1500 feet. The lungs are now quite dry and as well as they ever can be. A very considerable amount of expansion has been restored to the left lung, but the loss of volume is easily detected on inspection, and there is, of comse, still slight impaired percussion and prolonged expectoration. Weight, 10 stone. Tubercle bacilli a very few (Eoyal College of Physicians’ Laboratory).—[>Sir Thomas Fkaser.] CASE No. 4. [L. J. M. Deas, Captain I.M.S., and Dr. J. A. Taylor.] M., age 21; no appetite; marked tubercular history; mother died of acute phthisis, maternal aunt of tubercular ulceration of bowels, a maternal uncle has phthisis now, three brothers died of tubercular meningitis. Patient delicate as a child and difficult to rear; a splendid whistler as a boy, he lost the power at 17, not having breath for it. Ten months ago had a cough which lasted fourteen weeks; six months ago had diarrhoea for one week; five and a half months ago began to have remittent fever and night sweats, which have continued ever since,—malaria was suspected, but no plasmodium was found in the blood, and quinine did not affect the temperature ; one and a half months ago had pleurisy on right side; and one month ago was sent home from India with phthisis. Patient is 5 ft. 11 in.; weight, 9 stone; thin, sallow, and cadaverous, slightly cyanosed in lips, finger-tips, and point of nose; has a short continuous cough interrupting his speecli; swallows his expectoration; great debility; has rigors every afternoon. Temperature, morning, 98°; evening, 103°. Pulse, morning, 80-92; evening, 92-108. Eespiratioii, morning, 24; evening, 28. Sputum, large numbers tubercle bacilli (Eoyal College of Physicians’ Laboratory), few cocci, and little elastic tissue. Lungs, anterior right side, no action in the upper part, very little in lower, ribs falling in ; whole of upper lobe solid; cavernous breathing and a few large crepitations