Atonic dilatation of stomach : gastrorrhaphy / by F.C. Shattuck, C.B. Porter and James H. Wright.

  • Frederick Cheever Shattuck
Date:
[1897]
Catalogue details

Licence: Public Domain Mark

Credit: Atonic dilatation of stomach : gastrorrhaphy / by F.C. Shattuck, C.B. Porter and James H. Wright. 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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    Enemata every three hours, beef-juice, peptonized milk, salt solution, aa 5ij. ■zxst. Took nourishment well during night. Nauseated but slightly on two occasions. This morning doses increased to gj every half-hour. Did not retain the 9 a.m. enema. Enemata discontinued on two occa- sions, and after that to contain laudanum n|^v. Dressing done this morning. Incision looked well. Moist corrosive dressing. 22d. Had trional gr. xx. last night for sleeplessness. No nausea. This morning, 9 o’clock, enema, not retained. Twelve o’clock enema omitted, and nutritives to be continued only every six hours. In the evening, whiskey, and beef-juice omitted. 23//. During the night feeding gradually increased, so that this morning patient is getting §ij of liquids every hour. For a short time has been spitting up yellow extremely foul smelling sputum. Seen to-day by Dr. Shattuck, who finds trouble in bases of both lungs behind. Dulness and whispered bronchophony. Whiskey gj every three hours. Abdominal wound looks all right. Codeia gr. ^ every four hours p. r. n. for cough. 26//L Nine days after operation, says he feels 70 per cent, better today. Expectoration about the only thing of which he-complains. Scrambled eggs and scraped beef added to diet list. Liquids increased to giij every hour. 2^th. Ten days after operation, examined by Dr. Shattuck, who finds bronchial breathing in bases of both backs more marked on right than left. Raw oysters and gruels added to diet list. Sputum has become dark-colored, rusty. March \st. Temperature subnormal in morning, quite high in even- ing. Whiskey increased to giss every three hours. Dip toast; rice boiled; thin Irish moss blanc mange added to list according to pa- tient’s taste ; blood: whites, 14,100. 2d. Urine: albumin, very slight trace; sugar none; 1027; acid; no bile; color high. Few polynuclear cells; small mediumsized round cells. Occasional blood globules. One or two dubious hyaline casts. 3</. Sputum decreasing somewhat in amount; still rusty. Dr. Shat- tuck finds that consolidation is unchanged. Whiskey increased to .gij every three hours. Some distinctly bloody expectoration. Blood, 4 P.M.: whites, 23,900. 4//i. Temperature going up. For some days evident that pulse steadily rising. Today probable that patient will die. Codeia
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