Cases of diphtheria, with some remarks on the treatment of croup and of the throat affections in scarlatina / by G. Hamilton, M.D.

  • Hamilton, George, M.D.
Date:
1863
Catalogue details

Licence: Public Domain Mark

Credit: Cases of diphtheria, with some remarks on the treatment of croup and of the throat affections in scarlatina / by G. Hamilton, 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.

    18/34 (page 16)
    fn-anular-lookmg. Sponged as before, and gave a teaspoonful of solution iod. pot. every fifth hour-. In the evening, better;— throat sponged. 24th.—Quite well. Shortly before this, another child in the same house was similarly seized, and treated with the sponging and an emetic, and was quite easy next day. On 21st Feb., was called to Mrs F., who had been visiting a family where there was diphtheria, and who was feverish; pulse full and quick; throat inflamed. Emetic,—to touch throat with powdered alum. 22d.—Pulse 94, soft; throat inflamed ; tonsils somewhat swollen, and their surface coated with transparent lymph. Touched lymph with caustic and sponged fauces. Sol. iod. pot. three times daily. 23c?.—Pulse 120, rather jerky; throat less injected; less thin lymph on tonsils, but some of a yellow coloui on under and back part of soft palate. Throat touched with caustic. Iod. pot. four times daily. 24:th.—Pulse 96; yellow lymph on back of uvula; voice rather husky. 1^'ouched lymph, sponged fauces, and dropped solution into larynx. Iod. pot. every fifth hour. 25th.—Pulse 98, soft; inflammation of throat and huskiness less. Touched, etc., as yesterday. 2Qth.—Pulse 104, soft; nares very red; huskiness gone; throat free from inflammation, and looks now only relaxed, with tonsils slightly swollen, and a very little watery-looking lymph adhering. Treatment as before. 27th.—Pulse 90 ; throat clean, and free from inflammation. Convalescent, though still weak. This case was of a decided and pretty severe character, but, tliroughout, it seemed to me that I had a complete conti-ol over the symptoms as they occurred. The following case was still more severe:— On the evening of 25th February, Mr F. brought his son, five years old, to my house. I found he had been complaining during the day, and was rather feverish. The throat was very much inflamed, the tonsils very much swollen, and the papillae of the tongue very red and prominent. I sponged the throat, gave the sol. iod. pot. to be taken every five hours, and ordered the boy liome imniediately. I saw him again in three hours, found him very feverish, and repeated tlie sponging. 2Qth.—Eestless, and very feverish during night; pulse 124, jerky; breathing thick, but not croupy, being evidently fi-om the throat; tonsils very much enlarged and inflamed, and lymph came up after sponging. Touched with caustic and sponged. Cont. iod. pot. u. a. ^vemnff.—Pnhc 120, softer, but the breathing from enlarged tonsils very alarming, especially when the child is