Author: Publisher:
ISBN: 9781330898376
Category : Medical
Languages : en
Pages : 338
Book Description
Excerpt from Annual Reports on Diseases of the Chest, 1876, Vol. 2 Unfortunately, having eaten too freely of fruit, she was attacked with "cholera," which proved fatal on Aug. 7th. Case 3, male, aged 19. The attack followed a relapse of typhoid fever. May 3rd, had a severe rigor and acute pain in left side, and for the next week had all the symptoms of an attack of acute pleurisy. Dulness complete from the clavicle down. Heart pulsated on the right side of the sternum. On the 26th the aspirator was introduced, and 3 pints of sero-purulent fluid drawn off. In five days the fluid had re-accumulated, and a permanent opening was made, a rubber tube inserted, and 3 pints of pus removed. June 7th, about 3 ij. of pus discharged daily. July 25th, heart beats nearly in the normal position; 3 ij. of pus discharged daily; large tube replaced by smaller one. Aug. 3rd, tube removed. Aug. 24th, the side has been healed some days. Resonance on percussion good; respiration heard almost as well on left side as on right; apex beat of heart in normal position. It is interesting to note that several of the brothers and sisters of this patient died of phthisis. Dr. Hornibrook, of Mitchell, Ont., records in the same journal for Nov. two cases: - Case 1, male, age not stated. First seen in July, and patient had had pleurisy for four or five weeks. Left side distended with fluid, apex beat of heart to right of the sternum, great dyspnoea, and intense pain over the side. An opening was made with a large trocar, and 6 pints of offensive pus drawn off. On removing the dressings next day 5 pints of pus escaped, and from that date until the 8th of Jan. following, about 2 pints of pus was discharged in the twenty-four hours in spite of daily washings with solutions of carbolic acid, silver nitrate, and dilute nitric acid. The patient would not allow the introduction of a drainage tube. After thoroughly cleaning the cavity with water, 5 j.of tincture of iodine was introduced, and, as no pain was complained of, allowed to remain. The next day there was slight fever, tenderness in the intercostal spaces, and the smell of iodine was perceptible in the breath and urine. From this date there was no discharge of pus, the external opening healed in three weeks, and health and strength were rapidly recovered. Case 2, female, aged 9, seen June 21st, and then had cough, dyspnoea, great emaciation, and pain in side - said to have existed seven weeks. Left side distended, apex beat to right of sternum. Twenty-five ounces of pus were removed with the aspirator, and m xx. of compound tincture of iodine in 3 ij. of water injected through the needle. June 24th, improving, cough better, about the same quantity of pus removed, and (the iodine having been forgotten) m v. of carbolic acid in 5 j. of water was injected. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.