Opera minora : a collection of essays, articles, lectures and addresses from 1866 to 1882 inclusive / by Edward C. Seguin.
- Edward Constant Seguin
- Date:
- 1884
Licence: Public Domain Mark
Credit: Opera minora : a collection of essays, articles, lectures and addresses from 1866 to 1882 inclusive / by Edward C. Seguin. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
653/708 page 639
![The specimen I present to-night was removed from the body of a sailor, 36 years of age, who died on the third of May, in the New York Hospital. On admission, April 30, he gave 'the following history : Two months previously he began to suffer from rheumatic pains in the legs, arms, and left side of body, which pains had been decidedly nocturnal. The pain in the abdomen he located in the epigastrium, going through to the lumbar region, around the left hypochondriac space ; and he described it as very sharp and severe. He stated that until one month ago he never had any dyspnoea ; that he never had suffered from acute rheumatism or received any injury. Five years previously he contracted syphilis, and since has had secondary skin and throat symptoms. He had continued the duties of an able seaman during the first month of illness, but had after that time taken to his bed. He noticed about three weeks ago that lying on his back caused increased pain. On being examined in the ward, he was found lying upon his right side, his knees drawn up, his face being pale and expressive of pain and anxiety. The tibiae and ulnse were found swollen and tender ; and the glands about the elbows and neck enlarged. Great tenderness was found in the abdomen over the left hypo- chondriac region, the epigastrium, and over the lower ribs near the spine. In the epigastrium a pulsation was distinctly visible, and on applying the hand a little firmly, a distinct aneurismal thrill was perceived. Ausculation showed the heart and arch of aorta free from abnormal sounds, but about 8. cm. above the ensiform cartilage in the median line, a loud, hard systolic murmur was heard. On tracing it downwards, it appeared loudest at the apex of the sternal appendix, getting fainter below that point until lost midway between the umbilicus and * A specimen presented to the New York Pathological Society, May S, 1867. Reprinted from the New York 3Iedical Record, July 15, 1867. This article is inserted here out of chronological order, being overlooked at the proper time, because it narrates a rare case and is on a kindred topic with the fore-, going article.—[R. W. A.]](https://iiif.wellcomecollection.org/image/b21077435_0653.jp2/full/800%2C/0/default.jpg)
