Cases of diffuse inflammation of the cellular texture : with the appearances on dissection, and observations / by Andrew Duncan jun.

  • Duncan, Andrew, Jun., 1773-1832.
Date:
[1824]
Catalogue details

Licence: Public Domain Mark

Credit: Cases of diffuse inflammation of the cellular texture : with the appearances on dissection, and observations / by Andrew Duncan jun. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    14th.—It is reported that he had slept very lit- tle from pain. His arm, on inspection, was very much swoln, both above and below the elbow, with great tension and acute pain, which seems to follow the course of the vein, hut no red lines, like those ascribed to inflamed absorbents, were visible. The disease in this report was intentionally said to seem to follow the course of the vein, because we were not certain of the observation; and, indeed, if we had not formed a previous opinion that his symp- toms were owing to inflammation of the vein, the appearances probably would not have suggested its taking that course. I remember he complained at this time chiefly of the back of the WTist, at the proximal end of the metacarpal hone of the thumb, where it was very much swelled and tense. The disease, in fact, consisted in exquisite pain and very great uniform swelling and tension, from the points of the fingers to the highest part affected. He had also severe headache, and his diabetic symptoms continued. By direction of the surgeon twelve leeches were applied to the elbow, and the warm emollient cataplasms were continued; hut in the evening these were exchanged for cold saturnine lo- tions. 15th.—The leeches had procured some relief from pain, and he slept better during the night. The inflammation of the arm now seemed less, but was advancing towards the shoulder. Pulse 104; fever not high ; heat 99°; tongue whitish ; drink ftxxyi.; food tti. Jxii.; urine ibxxiii.; specific gravity 1033; - 3