On a case of tapping the pericardium, and on tapping of the pleura in the treatment of cardiac disease / by T. Grainger Stewart.

Date:
[1885?]
Catalogue details

Licence: Public Domain Mark

Credit: On a case of tapping the pericardium, and on tapping of the pleura in the treatment of cardiac disease / by T. Grainger Stewart. 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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    ON A CASE OF TAPPING OF THE PERICARDIUM, AND ON TAPPING OF THE PLEURA IN THE TllEATMENT OF CARDIAC DISEASE. BY T. GEAINGEK STEWAET, M.D, r.E.C.P. Ed, F.E.S.E, PHYSICIAN IN ORDINAIIY TO THE QUEKN IN SCOTLAND, PROFESSOR OF PRACTICE OF PHYSIC IN THE UNIVERSITY OF EDINBURGH. {Read before the Medico-Cliimrgical Society of Edinburgh, 4th February 1885 ; and reprinted from the Edinburgh Medical Joiirnalfor Aiigust 1885.) In this communication I purpose to brinw under the notice of the Society two subjects, which, although neither novel nor recon- dite, seem to me of considerable practical importance. I. A Case of Pericakditis. On Monday, 12th May 1884, I found in Ward XXIII. of the Eoyal Infirmary a young man who was evidently dangerously ill. He was very pale, his lips somewhat livid, his face covered with perspiration, his respiration was rapid and shallow, his pulse extremely quick and feeble. On examination of the heart, slight bulging was observed, while the area of dulness was markedly increased in all directions. On auscultation the sounds were indis- tinct, but no friction could be made out. On examining the lungs, I found marked dulness at the left base posteriorly, with diminu- tion of vocal fremitus and of respiratory sound, and ray resident jjliysician, Dr Cliarles Brown, informed me that he had introduced an exploring needle, but failed to get any fluid from tlie pleura. I found that the patient had been admitted on lOUi May, with a note from my friend, Dr Longmuir of liatligate. The I'amily history was favourable. Tlie young man was 17 years of age, em-