Notes on fetid bronchitis and other lung-diseases with fetid breath / by Thomas Laycock.
- Thomas Laycock
- Date:
- 1865
Licence: Public Domain Mark
Credit: Notes on fetid bronchitis and other lung-diseases with fetid breath / by Thomas Laycock. Source: Wellcome Collection.
Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.
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![admitted into the York County Hospital on 27th April. The following was her state:—She suckled her tirst child for twelve months, and weaned it six weeks ago; milk can be squeezed from the nipples. Complains of violent cough, attacking her in paroxysms, which continue from fifteen minutes to two hours, causing great pain in her head and accompanied with a profuse expec- toration of a muco-purulent fluid, having a distinctly faecal and highly offensive smell. Her bowels have not been moved for two days; she is pale, and has an anxious expression of countenance. Her friends suppose her to be in a galloping consumption. There is bronchophony in each upper and anterior region of the chest, most marked on the right; pulse 80, steady and feeble; tongue clean and moist; appetite impaired and fastidious ; thirst excessive, the patient drinking two or three gallons of fluid every day ; temper irritable and desponding. Apply a blister to the upper part of the right side of the chest. To take a dose of calomel and colocynth extract immediately ; and every four hours two tablespoonfuls of the following mixture :—'fy. Infusi. digitalis, liq. ammon. acet. a a J^i^., mist, camphorse, ^viij.—M. 21th April, Evening.—She is obliged to sit up in bed with her body slightly bent forward. Seeing her in this unusual position, and perceiving a strongly faecal smell, I concluded the purgative was operating, and walked away. I was much surprised, on returning for the purpose of inspecting the evacuations, to be informed that her bowels had not been opened, and that the stench 1 per- ceived was caused by the breath and sputa. 2Sth, Evening.—Cough still severe, dyspnoea great; and if she attempt to lie down, is so much increased as to threaten suff'ocation. Ordered R- ext. hyos- cyami, ext. conii., aa gr.iiss., pulv. ipecacu., pulv. scillse, a a gr. ss.—M.; fiat pil. tales xij. To take a pill with each dose of the mixture, and to have dilute nitric acid for common drink to any extent. 29th, Morning.—Breath and sputa have still the fa;cal odour; the sputa is of a whitish-gray colour, and muco purulent consistence. Cough relieved; pulse 78, full and steady ; tongue clean ; thirst excessive,—to allay it she has a gallon pitcher at her bedside, full of water acidulated with nitric acid, of which she constantly drinks; bowels constipated. There is an enlarged and painful gland near the right sterno-clavicular articulation. To have two or three leeches applied to the inflamed gland. Let her continue her remedies, take of the compound powder of senna, and have a solution of chloride of lime about her bed to destroy the offensive smell. Evening.—Bowels have been moved once, the faeces of the normal colour and odour; tongue moist, and moderately clean; appetite unproved ; thirst diminished ; pulse 96, round, incom])ressible ; cough much less frequent; sputa in small quantity, and very sliglitly offensive. To have a senna draught. ^Qth, Noon.—Slept last night, but coughed incessantly, in paroxysms like hooping-cough, from six to half past eight o'clock this morning, during which period she expectorated two pints ajid a half of a muco-purulent, dirty gray fluid, liaving a peculiarly offensive odour, like that of some kinds of discharges from the bowels. Breath not offensive ; otlier symptoms unchanged. Evening. —Blister irritable, and ordered to be poulticed. Sputa have the odour of decayed apple, and are in small quantity ; no fetor of the breath. 1st May, Evening.—Sputa of more fsccal odour, but cough and expectoration less. 2c?, Morning.—Pain in the right anterior and upper portion of the chest; in the same region puerile respiration and pectoriloquy. On the opposite side puerile respiration and bronchophony; no rattle on either side; sputa and breath of a more faecal odour; pulse 90, full and steady ; tongue clean ; appe- tite good; has slept tolerably well. Evening.—Has vomited to-day. Com- plains of being very weak, and sweats; pulse 104, small and soft; tongue moist and clean ; faeces of the natural odour. Has coughed very much to-day and the sputa are so offensive as to make the ward smeil like a foul privy ; her breath has a similar smell when she coughs; the sputa are copious, grav](https://iiif.wellcomecollection.org/image/b21481246_0022.jp2/full/800%2C/0/default.jpg)
