Scirrhus or malignant disease of the rectum / by Alden March.

  • March, Alden, 1795-1869.
Date:
1868
Catalogue details

Licence: Public Domain Mark

Credit: Scirrhus or malignant disease of the rectum / by Alden March. 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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    hours, and two drops tincture aconite root at the same time through the day. She takes beef tea freely, and a tablespoonful of brandy every two hours. The skin was slightly moist in the forenoon. 10 p. M.—No change in the symptoms; pulse 120 ; she feels comfortable, except a slight pain in the bowels. Same treatment continued. January 10th, 9 A. M.—The patient has had a comfortable night. Pulse 111; is free from fever. The bowels are nearly free from tympanitis, and the tenderness has wholly subsided. Gas has escaped freely from the bowels through the tube. She has taken beef extract freely, one tablespoouful of brandy every two hours and a grain of opium at the same time. There is very little tume- faction of wound which begins to unite a little ; there is some dis- charge of bloody mucus from the vagina. Same treatment con- tinued. 9 p.m.—Patient quiet; has rested well all day ; pulse 114 ; gas escapes freely through the tube ; the bowels being slightly tym- panitic and tender, and the labia more swollen ; thirst moderate. She has taken gr. j. of opium every two hours, brandy four or five times, and two drops tincture aconite root twice, and beef extract freely ; no hemorrhage ; the wound suppurating slightly. January 11th, 10 A. m.—The patient was frightened by a fire in the town which made her nervous ; but has rested very well; pulse 110; symptoms as yesterday ; appetite good. She takes the beef tea with great relish, and has taken freely of it through the night, and one grain of opium every two hours, except, after the fright, when she took one grain every hour; has taken brandy three times. Same treatment continued. Whisky and water, equal parts, constantly applied to the wound and bowels. She has taken the tincture of aconite twice. 4 p. M.—Pulse 100. Same treatment contiuued. 10 p. M.—Pulse 110 ; wound discharging a little ; bowels mod- erately distended ; feels faint and exhausted, somewhat uneasy, but not very restless ; complains of being tired ; thirst moderate. Ordered her toast, milk punch, and beef extract freely ; opium one grain every two hours. There has been no hemorrhage since the operation. January 12th, 10 a. m.—Pulse 102. She has rested well and slept through the night. Labia more swollen ; wound discharg- ing a little bloody matter. The bowels are distended moderately