Compressed air illness, or, So-called caisson disease / by E. Hugh Snell.

  • Snell, E. Hugh.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Compressed air illness, or, So-called caisson disease / by E. Hugh Snell. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    before reaching the elevator. He was then assisted home by his brother ; went to bed, and vomited blood (? less than a teacupful) ; giddiness, noises in the ear, and deaf- ness remained. He did not send for medical advice before the morning of March 29th. He was then found in bed. The vertigo came on when sitting up or walking ; there was a tendency to fall to the right. On waking on the morning of the 28th he had had pain in the right knee, which persisted more or less for twenty-four hours. Pulse 72 ; pulse pressure (measured by Batten's clinical pulse mano- meter) 9 ozs. Soft-ticking watch heard by the left ear at a distance of i inch; not at all with the right ear. Slight tenderness under the right external auditory meatus. Watch on right frontal eminence heard only in left ear. Only subjective noises heard in the right ear ; right drum normal. By holding nose and blowing, air is forced into left tympanum, but not into right. Knee-jerks active. Constipation. [Pil. colocynthidis et hyoscyami gr. x. st.] The noises in the right ear began as soon as he came out of the lock ; the giddiness commenced when he was half way towards the lift (z.^., he had walked about 100 feet). No ataxy. Optic discs normal. March 30th : There is a .subjective feeling that the head is moving to the right. Loud-ticking watch just heard when touching the right ear and when 5 inches from the left ear. March 31st: Loud-ticking watch—left ear, i yard; right ear, i inch. Gardiner Brown's tuning-fork on bridge of nose is heard for five seconds longer than the vibrations are felt by the finger, indicating middle or external ear disease on the left side. [Potass, brom. gr. vii. ter die.] April 2nd : Soft-ticking watch—left ear, I yard ; right ear, \ inch. Gardiner Brown's tuning-fork test of left ear = o. The giddiness is brought on by quick movements, and