A remarkable extra-uterine case / by Josiah Bartlett.

  • Bartlett, Josiah, 1759-1820.
Date:
[between 1810 and 1819]
Catalogue details

Licence: Public Domain Mark

Credit: A remarkable extra-uterine case / by Josiah Bartlett. 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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    urine in the forenoon, and was able to lay on both sides* which had not been the case for a long period. Her diet was light and nutritive; the tinctura opii was directed to be taken in the evening, if necessary, with orders to administer a dose of calcined magnesia early in the morning. 29th. She took the magnesia about twelve o’clock, and passed a comfortable night without; the anodyne. At six, A. M. I received information that the medicine had passed by the wound. On visiting her, I found that the discharge was greater, and as offensive as ever, and I feared that it was in part from the intestines. Directed a strong decoction, and the compound tincture of cinchona officinalis to be taken, as freely as she could bear. At three, P. M. there was a sudden and copious discharge from the wound, which was similar to that in the morning. Having renewed the dress- ings, l directed an injection; before evening she had four evacuations from the bowels, in which the magnesia was no- ticed, and she discharged urine freely, though accompanied with a bearing down, which she said resembled labour pains. She bore the medicine and nourishment, which consisted of wine-whey, punch, broth, &c. and was directed to take an anodyne if she was restless. Her pulse and countenance greatly improved, she was moved without difficulty, and re- peatedly stood on her feet-. 30th. She took the anodyne in consequence of another discharge from the bowels, and passed a good night. The wound was dressed twice, the discharge as yesterday, but less in quantity ; she had evacuations from the bowels and bladder, took the cinchona, wine, &c. regularly, ate mode- rately of animal food, and passed a good day. July 1st. She took an anodyne the last evening; her bowels in good order. The matter from the wound, which was dressed twice, less in quantity and much better. At evening she sat up half an hour. The medicine, &c. con- tinued. 2d. She had two evacuations from the bowels ; the bear- ing down, at the discharge of urine, lessened; the appear- ance and discharge of the wound much improved; dressed morning and evening ; she sat up twice this day, and conti- nued the prescriptions. Sd. She took an anodyne last evening, and appeared ra- ther more feeble than yesterday. The state of the wound improving, and the discharge much lessened. She had as usual two alvine evacuations, took animal food more freely, and increased the quantity of cinchona and wine. 4th. She passed the last night and this day very comfort- ably; the bowels in a good state; the pressing with the dis-