A collection of cases of apoplexy : with an explanatory introduction / by Edward Copeman.

  • Copeman Edward, 1809-1880.
Date:
1845
Catalogue details

Licence: Public Domain Mark

Credit: A collection of cases of apoplexy : with an explanatory introduction / by Edward Copeman. 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.

    165/240 (page 137)
    thick blood in the sinuses and veins.—Portal, Obs. sur L'Apo- plexie, p. 37. 131. A mason was seized with apoplexy whilst in an ale- house ; he was carried home, void of sensation or motion, with stertorous respiration and considerable bleeding from the nose > the surgeon who first saw him, called me in on the third day; he had not bled this patient, although he had all the symptoms of plethora, from the dangerous notion that bleeding was not suitable for apoplexy coming on at the time of, or soon after, a meal. This man died and was examined. There was a lar^e quantity of blood extravasated between the membranes and in the ventricles of the brain; the cavities of the heart and the vessels of the chest and abdomen were also full of blood.— Portal, ibid p. 38. 132. M. D., stout and of full habit, was seized, after a meal, with great drowsiness and difficulty in breathing, without consciousness or feeling, or power of movement in the mus- cles of the trunk and extremities, and with great relaxation of the limbs ; his countenance, ordinarily full of colour, became very pale, his pulse small, hard, and labouring. The at- tendants, thinking it was only indigestion, were so persuaded that he should have an emetic, that they had sent for one before I arrived, in order that it might be given without delay; but after carefully examining the patient, I judged of him quite differently. I had him bled, in spite of the opposi- tion of his friends, who did not fail to remark even that I should kill the patient if I bled him after a meal. However after the bleeding, M. D. regained his consciousness, sensation’ and motion. At my morning visit on the following day, I found the pulse rising and hard ; the countenance, instead of being pale, was very red; I thought it right to advise a second bleeding, which was done; we removed the blisters from the legs, which had been applied after the first bleeding, and they had drawn well ; aperient medicines and injections were used