Examination for matriculation in the year 1841. / University of London.

  • University of London.
Date:
1841
Catalogue details

Licence: Public Domain Mark

Credit: Examination for matriculation in the year 1841. / University of London. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

    343/358 (page 7)
    MONDAY, November 2].—Aftebnoon, 3 to 6, COMMENTARY ON A CASE IN MEDICINE. CELSUS DE RE MEDICA. Examiners J Dr. Billing and Dr. Tweedik, CASE. A married woman, twenty-five years of age, came under observation on the 8th of June, and gave the following ac- count of her illness. About six months previously she felt pain in the cardiac region and vertigo, followed by loss of power in the left side of the body and loss of speech. On the following day she became insensible and remained so for about a week, but after the adoption of energetic treatment, recovered her consciousness and the power of the left side of the face, but the command over the left upper and lower ex- tremity was much impaired. She was in this state W'hen she applied for advice on the 8th of June, and continued without perceptible change for four weeks, when the pain in the car- diac region increased, accompanied with strong impulse of the heart, and a rough rolling murmur with the first sound. The measures pursued had the effect of diminishing the im- pulse of the heart so much that she unadvisedly went abroad, and exposed herself to cold. When visited a few days afterwards she exhibited the following symptoms: — the breathing was laborious, the lips livid; there was however so much consciousness that she recognised persons around her, but her articulation was indistinct and her voice feeble; the pulse became scarcely perceptible, the extremities cold, and she died in the evening. What was the nature of her disease? What treatment would you have suggested ? What appearances would you have expected to find on examination of the body after death ?