Researches on phthisis: anatomical, pathological and therapeutical / by P. C. A. Louis.

  • Pierre Charles Alexandre Louis
Date:
1844
Catalogue details

Licence: Public Domain Mark

Credit: Researches on phthisis: anatomical, pathological and therapeutical / by P. C. A. Louis. 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.

    154/616
    October 38th. Present state. Pallor of the entire surface, lips, and tongue; prostration of strength; rather frequent cough; the spitting-vessel partly filled with blood of more or less spu- mous appearance, fluid, and blackish; percussion of the chest produces a clear sound; respiration distinct, somewhat less strong immediately under the clavicle than elsewhere; pulse 90, small; heat of shin natural; thirst rather urgent; appetite very sHght; abdomen free from pain and tenderness; bowels confined. V.S. to nearly eight ounces [240 grammes'] ; light emulsion; mustard foot-bath. The hemoptysis ceased completely on the 30th, and did not return. During the three following months, or up to the 5th of February, the day of the patient's death, the cough was gene- rally very troublesome in the night, the sputa abundant, com- posed of a clear fluid, with, towards the end of November and during the following month, a few others somewhat opaque and occasionally nummulated. They were slightly grayish, semi- vitreous, and small in quantity, almost all the month of January. December 2d. Respiration harsh, without rhonchus, under the clavicles.—January 9th. This condition still more marked; on the left side the respiratory murmur mingled with rather fine crepitation in the lower half of the side anteriorly and over the whole surface posteriorly; the percussion-soimd continued clear.—25th. Percussion-sound very dull over a surface of three inches and seven lines [9 centimeters] under the left clavicle; manifest pectoriloquy here.—From the middle of January there was considerable dyspnoea; no pain ever either in the laiynx or in the region of the trachea; no affection of the voice occmTed till the closing eight days. The pulse, by no means frequent during the months of November and December, subsequently became so; and from the 15th to the 20th of January beat from 95 to 110 times in a minute. The cutaneous temperature rose with the pulse; there were almost constant night-sweats, nearly always limited to the upper part of the body, and occasionally irregular rigors during the last month. Shortly after the patient's admission, the appetite improved, and his allowance of food was gradually increased, so that at the