An abstract of the medical cases in the wards of King's College Hospital, during the year 1863 / reported by Morris Tonge.

  • Tonge, Morris.
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: An abstract of the medical cases in the wards of King's College Hospital, during the year 1863 / reported by Morris Tonge. 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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    Se»quichlm'ide of iron. Liq. ammon. aa-tatis and carbonate of ammonia, iisote ami muriate of morphia. Dilute hydrocyanic acid and Hamt. efferv. iindtj to 12 02. DiABKTES Mellitus.—F. S„ jet. 32. Chimney Sweep. Adm. July 16. Disch. I v28. In H. 12 days. Relieved. Dr. Garrod, vol. 1, p. 177. Very intem- iite. Prev. ill. 6 months. Tliii'st very troublesome, loss of strength, ravenous ■etite, skin dry, legs slightly oedematous, ulcers inside lips, bowels relaxed, -ing 13 pts. urine in 2-1 hours, sp. gr. 1035, e.\tremely saccharine. Slight iicss, harsh broathing, and prolonged expiration under right clavicle. Quantity urine fell to 32 oz. Non-saccharine diet. Dilute phosphoric acid. DiABKTES Mellitds.—E. G., aat. 19. Silk Sewer. Adm. Oct. 23. Disch. lc. 2 In H. 40 days. Relieved. Dr. Johnson, vol. 19, p. 123. Ill 6 weeks, ihirst, emaciation, and copious urine. Now rather thin, very thirsty, appetite iGod, skin dry, bowels and cata. regular. Passes 8 pts. urine daily, sp. gr. 1035, sry saccharine. Gums spongy. Slight cough and morning expectoration. Dul- «8S, prolonged expiration, increased vocal resonance, and slight click at right loex. Urine decreased. On Nov. 26, passed 32 oz. sp. gr. 1028. Quinine and sesquicJdoride of iron Cod-liver oil. Non-saccharine diet. Diabetes Mellitus.—A. G., aet. 52, Picture Frame Maker. Adm. July 7. hHed Aug. 21. In H. i5 days. Dr. Beale, vol. 6, p. 222. Always epileptic. LiQss of strength 2 years. Frequent micturition and intense thirst 6 months. 2^ tionths ago was passing 5 pts. urine daily, and had cough and expectoration, jrith crepitation under right clavicle. Now has intense thirst; good appetite ; Dngue t'uiTed and dry; skin dry; bowels much confined; edge of liver felt at 'ubilicus. No cough; slight crep. under clavicle sometimes. Urine 8J pts. iaily ; sp. gr., 1036-1045, very saccharine. Apthre formed on tongue and fauces. crop of boils appeared about Aug. 16. A large boil on right wrist was followed 7 phlegmonous erysipelas of right arm, exhaustion and death. P.M.—Old adhe- iions of pleurse. Scanty tubercle at right apex. Pericardium everywhere firmly inherent. Liver large, 71b8. 2 oz., chocolate coloured, and firm ; capsule opaque, i.idneys congested. Right supra renal capsule very large (\ oz). Excess of iibarachnoid fluid. Basilar and postr. cerebral arteries very atheromatous. Cysts 'id chalky bodies in choroid plexuses. Non-saccharine diet. Typhus.—Mary A., set. 18, Servant. Adm. Dec. 5. Died on Dec. 18. In '.. 13 days. Dr. Johnson, vol. 18, p. 123, Prev. ill. 4 days. Shivering and prostration of strength. Sleepless and delirious on 3rd and 4th nights On kh day P. 108, K. 24; rubeoloid eruption on trunk well marked on 7th .'vy; tongue yellowish brown. On lOih, rhonchus and sibilus all over chest. . 112, 11. 40, win not protrude tongue. On 11th unconscious, subsultus, lumerous pelcchise, tongue dry, brown, and cracked. On 16th day only slight blirium. Two sm.all sores on back. P. 96, R. 24 ; lungs clear. Afterwards 'irotid sweUine; and abscess. Conscious till shortly before death on 18th day. Dilute nitro^nuriatic acid and bark. Qvinine enemala. Brandy to 12 oz: 'Morphia. Back dry cupped. Abscess opened. Typhus.—H. L., set. 25, Printer. Adm. June 29. Died on July 13. In H. I days. Dr. Garrod, vol. 1. p. 157. Prev. ill. 3 days. Shivering, loss of opetitc, vertigo, sleeplessness. Diarrhoea on 3rd day. On 5th day very weak, liin hot; tliick, white fur on tongue; urine albuminous. Indistinct rubeoloid xah on 6th day. On 9th day crepitus and .'flight dulncss at right base. On 10th ty, P. 112, R. 56. On 11th day crejiitation, and on the 13tli br. br. over both 'wes, up to angle of scapula. On 14th day three loose motions. P. 140, R. 92. -eath on 17th day. P.M.—Right lower pulmonary lobe hepatized, and left V»x\y 80. Upper lobes gorged. A little fluid in pleurte and pericardium. 9 2