Cases of aneurism of the aorta, treated by the iodide of potassium / by Byrom Bramwell.

  • Byrom Bramwell
Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: Cases of aneurism of the aorta, treated by the iodide of potassium / by Byrom Bramwell. 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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    Appendix. Since tlie foregoing paper was read, I have met with a case of cystic tumour in the anterior mediastinum simulating aneurism; a case of aneurism simulating solid tumour; and a case of aneurism of the left auricle of the heart. The notes of these cases are as follows:— Case of Cystic Tumour in the Anterior Mediastinum sinndating Aneurism. A. C, set. 50, single, a drayman, formerly a soldier, was first admitted to the Newcastle-on-Tyne Infirmary, under my care, on 17th February 1876, suffering from acute albuminuria of three weeks' duration. Twenty years previously he had suffered from syphilis. For several years past he had been a liard drinker. On examining the thorax, visible and tangible pulsation was perceived in the second rig]it interspace (see Plate vii. Fig. 1). A slight systolic thrill could be felt when the hand was placed over the same spot, and there was well-marked and limited percussion dulness. A systolic murmur and somewhat accentuated second soimd were heard on auscultation. (The thrill, systolic murmur, and accentuation of the second sound were perhaps better marked over the mid sterniim at the level of the fourth costal cartilage than over the area of pulsation.) There were no pressure signs ; it was particxilarly noted that there never had been any pain. Shortness of breath and cough Avere complained of, but were evidently due to the presence of bronchial catarrh. The heart was of normal size, the apex being situated an inch immediately below the left nipple. The diagnosis, as regards the thoracic lesion, was an aneurism of the aortic arcli. On 6th April the patient discharged himself. The urine still contained a trace of albumen, the physical signs at the seat of the supposed aneurism being the same. On 5th October he was again admitted, suffering from a relapse of the renal dropsy; and after remaining in hospital for a month was again disci larged. The tlioracic physical signs were still luichanged. He continued well until September 1877, when he began to suffer from pain in the region of the stomach and from difficulty in swallowing. On 14:th November 1877, he was re-admitted under my care. He was now greatly emaciated, his expression was haggard and anxious, and he presented a remarkably cachectic appearance.