Report on the epidemic fever of Edinburgh : an account of the symptoms and treatment / by William Henderson. Analysis and details of forty-seven inspections after death / by John Reid.

  • Henderson, William, 1810-1872.
Date:
[1840-?]
Catalogue details

Licence: Public Domain Mark

Credit: Report on the epidemic fever of Edinburgh : an account of the symptoms and treatment / by William Henderson. Analysis and details of forty-seven inspections after death / by John Reid. 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.

    32/41 (page 30)
    ing life. One had cough before she was attacked by the fever, which continued during the disease, but with no great severity, but the breathing became much oppressed. In a second case the patient had cough and expectoration of long standing. He had been a stone-mason, and had dark hard tubercles disseminated through his lungs. In a third case, the patient had oppression of breathing with mucous rale, and moaning for six days before death. In a fourth case, the patient when admitted on the eighth day of the disease, and the seventh day before death, had cough and ex- pectoration. In a fifth case, the patient, on the seventh day of the disease, and the seventh previous to death, had cough and pain in the chest. In a sixth case, the patient two days before death had stupor, with tracheal rales. In a seventh case, (the case in which the recent pneumonia was observed,) the respirations were very hurried for more than twenty-four hours before death, but no cough was remarked. In an eighth case, the patient on the twelfth day of the disease, and the seventh before death, had some oppression of the breathing, with mucous rales, and the respiration continued oppressed up to her death. In a ninth case, there was cough and expectoration, attended by dyspnoea. In a tenth case, the patient on the second day of admission, and the twelfth day of the disease, was seized with cough, and catarrhal rales were heard in both .sides of chest. On the seventh day of admission, and the seventeenth of the disease, the respirations were hurried, the face livid, with loud mucous rales in chest. On the tenth, she ceased to expec- torate, and died on the twelfth day after admission, or the twenty- second day of the disease. This patient had been for some years liable to bronchitis on the slightest exposure to cold. It is per- fectly obvious that these lesions of the lungs are not the cause of fever, and are not even essential to it; yet they frequently oc- cur during its progress, complicate the disease, and render it more dangerous. We next proceed to state the result of the examination of the Abdominal Organs. These were examined in 41 cases out of the 4)7. In these 41 cases the elliptical patches of Peyer were appa- rent and distinctly defined in 24, and in 4 of these the solitary glands at lower part of ileum Avere also distinctly visible. In 6 cases out of the 41, they were indistinctly defined and scarcely vi- sible ; and in 11 cases they could not be distinctly recognized with the naked eye. In all the cases in which the elliptical patches were distinctly visible, except in 2, they were of a bluish colour, or rather of a grayish colour, dotted over with dark spots. In 4 cases only were these patches distinctly elevated; in 2 of them this elevation was to no great extent, and limited to a few patches. In 2 only were these elliptical patches very distinctly elevated, and presented any appearance of ulceration. The appearance of