Statistical and pathological report of the cases of fever treated in the Royal Infirmary of Edinburgh in the year ending September 30, 1842 / by Thomas B. Peacock.
- Peacock, Thomas B. (Thomas Bevill), 1812-1882.
- Date:
- [1843]
Licence: Public Domain Mark
Credit: Statistical and pathological report of the cases of fever treated in the Royal Infirmary of Edinburgh in the year ending September 30, 1842 / by Thomas B. Peacock. 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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![head before her seizure, and some puffiness of the integuments was found, on admission, over the left eye. Sd, In the case in which 7)Vi. of fluid were found in the ventri- cles, the patient, a man of very intemperate habits, 41 years of age, was admitted on the 5th day of fever, he complained of pain and weight in the head, and prostration of strength; the tongue was brown and dry; the pulse 100, and soft; the bowels had been re- lieved by medicine; the eruption was beginning to appear on the skin. Two days after, the pulse was slow and weak, and the surface cold; he had slight subsultus tendinum, with contraction of the pupils, and muttering delirium lapsing into coma, and he died on the 10th day. In addition to the large amount of fluid in the ventricles, no marked change was apparent in the brain; there was little or no increased vascularity; very slight sub-arach- noid efflision, and very little fluid at the base. 4^A, The case where ^ss. of fluid was found in the ventricles, was characterized by great restlessness and irritation, torpor and coma; the patient, a male, 42 years of age, died on the 8th day. The brain was firm, but on section, more blood exuded than usual; the sub-arachnoid effusion was in small quantity. 5ih, In the case of a female, 52 years of age, who had been seized with the disease in the Infirmary, there was great pain in the head, moaning; delirium at first high, then low muttering, and lastly coma; she died on the 14th day. The red dots were more numerous than usual, but the substance of the brain was firm; there were found 3iii- of fluid in the lateral ventricles, much sub-arachnoid eff^usion, and a thin layer of coagulated blood lin- ing the arachnoid on the dura matter over the hemispheres and at the base. 6tk, In a man, 86 years of age, who died on the 11th day, there was also found .^iii. of fluid in the ventricles, but httle or no sub-arachnoid effiision or fluid at the base; the pia mater and choroid plexus were injected, and the brain soft, though not more than usually vascular. This case was characterized during life by pain in the head, active delirium, and coma. The softness of the brain was probably from decomposition, as fifty-two hours had elapsed after death before the examination took place. Thus far the symptoms present during life were borne out by the condition of brain after death. In the cases which follow, while the symptoms were equally well marked, the appearances after death were slight, or altogether negative. ]st, In a male, 40 years of age, who died on the 14th day of fever, characterized by subsultus tendinum, and contraction of the pupils, and terminating in convulsions, there was found little or no fluid beneath the arachnoid, in the ventricles, or at the base the substance of the brain was firm, and there existed no other](https://iiif.wellcomecollection.org/image/b21475787_0016.jp2/full/800%2C/0/default.jpg)
