Miscellaneous contributions to the study of pathology / by John W. Ogle, M.D.

  • Ogle, John W. (John William), 1824-1905.
Date:
[1868], [©1868]
Catalogue details

Licence: Public Domain Mark

Credit: Miscellaneous contributions to the study of pathology / by John W. Ogle, M.D. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    right side of her body. These then gradually affected the other side of the body and increased. Some days before admission she bad had no sleep, and had dysphagia. Tor a long period she had had haemorrhage for a week at a time every fortnight. When admitted the face was flushed and hot; jactitations were violent all over the body equally, and she could hardly speak or swallow. She was quite sensible, and complained of pain in the head; the pupils acted readily ; the pulse was frequent, but almost imperceptible. The tongue was coated; the bowels open. Tetid gums were ordered, and ordinary diet and porter given. On the day following pain in the head was very bad. Calomel and opium were given every four hours, and a turpentine enema administered; the head was shaved and ice applied. The bowels acted twice after the injection. She slept in the night a quarter of an hour, and then the jactitations ceased; they again came on when she awoke. The calomel and opium were repeated. On the 10th the pulse was 140 ; she slept in the night, and on the following morning (the 11th) she was noticed to be drowsy. The calomel and opium were omitted; she became exhausted, and the pulse much slower and weak. She sank and died the same day. Post-mortem examination.— Cranium.—The seal]) vessels were gorged with blood, as also the meningeal veins. The cerebral mem- branes were healthy. The grey substance of the brain was dark, and the puncta large and numerous. The pons Varolii and medulla oblongata were very congested. Their substance was firm. Thorax.—The lungs were congested posteriorly. Slight fibrinous deposit existed round the mitral orifice of the heart on the auricular surface. Abdomen.—The uterus was large and hard, and its cervix could hardly be cut, but no scirrhous deposit was met with. The neck and lips of the uterus were much, but superficially, ulcerated. Extra- vasated blood existed in the ovaries, in cysts. The other organs were healthy. Remarks.—Notice in this case the pains in the head, to which treatment was directed, the existence of dysphagia, and the previous existence of rheumatic fever. After death the congestion of the nervous centres (the spinal cord unfortunately being not examined), the state of the heart’s valves, and the condition of the uterine organs are noticeable (10). Case 5.—Chorea; areolar tissue inflammation and erysipelas; abscess of the mediastinum, and empyema. Anne M—, set. 17, was admitted October 15th, 1845. Six or seven months previously she had had a fright, which deprived her of move- ment or speech for a quarter of an hour, and afterwards she had