Cerebral haemorrhage as a sequel to pneumonia / by G. A. Gibson.

  • Gibson George Alexander, 1854-1913.
Date:
[1884]
Catalogue details

Licence: Public Domain Mark

Credit: Cerebral haemorrhage as a sequel to pneumonia / by G. A. Gibson. Source: Wellcome Collection.

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

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    chest gave harsh breathing over the right lung, but no other sign of mischief could be made out either in the lungs or heart. Codeia was ordered for her. The next morning the skin was moist, the tongue was dry and brown, the temperature was I04'6°, and the pulse 120. The breathing over the upper part of the right lung was harsh, and at the base it was of the tubular type. There was no muffling of the percussion note. The urine was high coloured and deposited urates, but it was otherwise normal. A minim of tincture of aconite was ordered to be given every hour, and poultices to be kept to the right side of the chest. Only milk was allowed as food, in small quantities every second hour. In the evening of the same day the temperature had fallen to 102°. The pulse was 122. There was a vivid flush over each malar bone, and there was copious perspiration. The cough was softer. The percussion note over the base of the right lung was high in pitch, and over the dull area fine crepitations were heard. The poultices were continued, and small doses of chloral and spirit of chloroform every third hour were prescribed. On the following morning (3rd January) the temperature was 104°, and the pulse 124. There was a considerable amount of uncoloured sputum with the cough. The perspiration was copious. The dulness extended over the whole lower lobe of the lung, and crepitation was heard over all this region. The same treatment was pursued, but the diet was carefully arranged—a wineglassful of milk in an equal quantity of aerated soda-water, and a teaspoonful of Valentine’s Beef Fluid in water accom- panied by a wineglassful of champagne being given every hour alternately. In the evening the temperature was 103 and the pulse 124. The general condition was unchanged.