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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    From this day until the loth of January there was but little change in the state of the patient. Her strength was well kept up. The temperature varied between ior6° and io2'8°. The pulse began to lessen in frequency on the 7th, but it was not until the 9th day of the month and of the disease that the temperature began to fall. The subsidence was by lysis; on the loth, the morning temperature was ioo’6° and the pulse 88, while in the evening the temperature was 99‘6° and the pulse 86. The daily registration of the temperature and pulse can be seen on the accompanying chart, and it is unnecessary to dwell on the details of the case. The tongue became clean, the lung was clearing up in a satisfactory way, and, convalescence having been reached, the poultices were stopped as well as the chloral. The patient was wrapped in cotton-wool, tonic doses of quinine with dilute sulphuric acid were ordered, and chicken-soup and beef-tea were allowed with some simple farinaceous food. On the nth the pulse increased in frequency and became somewhat harder. On the evening of the 13th it was 100, the temperature howevei remaining steady. The following day, the evening temperature had risen to 99‘6° and the pulse was 104. The patient complained of slight headache with considerable discomfort, and she was perspiring profusely. On the morning of the 15th the temperature was I02‘8° and the pulse 108. The patient was much flushed, bathed in perspiration, and still complained of her head. Examination of the chest showed that there was no relapse so far as the pulmonary condition was concerned, and no sign of mischief could be found in any of the tho- racic or abdominal organs. It seemed probable that the unfavourable change depended on some cerebral complica- tion. The symptoms however, were entirely negative save