A case of severe haemocytolysis / by G.T. Wrench and J.H. Bryant.

  • Guy T. Wrench
Date:
[1903?]
Catalogue details

Licence: In copyright

Credit: A case of severe haemocytolysis / by G.T. Wrench and J.H. Bryant. 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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    usually about three times a day, .was very thirsty and complained of her tongue being rough and dry. There was no evidence of haemorrhage and she had no rash. She was constipated for three days. She had neither headache nor mental symptoms. Her parents are strong and healthy. She has six brothers and sisters, all of whom are living and well. On Friday, April 19th, she was admitted into Miriam ward. Condition on admission.—Temperature 98°, pulse 96, respira- tions 24. She was a well-nourished child but markedly anaemic. The skin, however, had a curious yellowish-brown tint more like that of Addison’s disease than of simple anaemia. She was very restless and was continually yawning. She had a wild look about the eyes although she was not delirious. Circulatory system. — The impulse was seen and felt in the fifth left intercostal space, just beyond the nipple line. There was no thrill. The superficial cardiac dulness commenced above in the third left space and externally extended just beyond the nipple line. At the apex there was a systolic murmur which could be heard all over the front of the chest, but which was best marked in the pulmonary area. It was also traceable into the carotids and along the abdominal aorta and external iliac arteries. During a full inspiration the heart-beat was much slowed. There was a doubtful bruit de diable just above the clavicle but it was difficult to dissociate it from the systolic bruit. Abdomen.—The abdomen was not distended. It was supple and there was no tenderness. The edge of the liver could be felt just below the costal margin in the right nipple line. The spleen was enlarged. It could be felt half an inch anterior to the left nipple line, and below, it extended to within a linger s breadth of the level of the umbilicus. It was not tender, i e edge was regular, sharp, and well defined. Skin.—No rash present. Respiratory and nervous systems— There were no a nonna signs. The urine was acid and contained neither blood, sugar, pus nor tained no blood and no free hydrochloric acid. albumen. The comit contained no
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