Haemophilia / by Wm. Clark.

  • Clark, William.
Date:
[1895]
Catalogue details

Licence: Public Domain Mark

Credit: Haemophilia / by Wm. Clark. 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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    Was called to see him August 3d, at 4 p. m., and found him r suffering from persistent hiemorrhage of the nose of four days’ (duration. He gave a history of being overworked and having tresorted to alcoholic stimulation to keep “braced up.” He was ’very nervous, like a man on the verge of delirium tremens, and ’was much blanched from the loss of blood. Plugged bis nose with ipledgets of absorbent cotton saturated with Monsell’s solution, ordered him to bed and to refrain from the use of any intoxicants. .At 7 p. m. was hurriedly called again and learned that the patient lhad a haemorrhage from the stomach and had passed quite a quan- Itity of blood through the bowels. His epistaxis was controlled by tthe plug, which still remained. Ordered plumbi acetatis gr. i, <ergotin gr. ss, codeia gr. and ac. gallic gr. ii, every three hours jper orera. Small pieces of ice were to be swallowed and food of iany description whatever interdicted. Called next day and found I all bleeding had stopped. Removed plug from his nose, ordered jipatient still to be confined to bed, with the same general directions 1<except he was to be allowed a small quantity of milk during the '(day. Was hurriedly called to see him next morning and found I patient vomiting large amounts of blood, but no haemorrhage from tthe nose or bowels. On inquiry found that patient had been feeling very well during the previous day, with no signs of a haemorrhage, Ibut that during the night he got up to drive supposed burglars .away. Owing to excitement he slept but very little, and in the I morning, feeling the need of a stimulant, he, unknown to the nurse, I drank four glasses of whiskey. Shortly after, the hsernorrhage from the stomach started and never ceased until his death at 5 p. ra. Ice was applied over stomach and small pieces of ice given him to swallow. Ergotin ^ gr. was given hypodermically every three hours. Absolute quiet imposed. No medicine could be given by the stomach without being immediately rejected. Gallic acid and ' ergotin were given, therefore, by tbe rectum. Morph, sulphatis gr. ^ was also given twice hypodermically. The foot of the bed was raised, his head lowered and he was given an occasional enema of hot water. While in the first htemorrhages from the stomach he would vomit but from four to five ounces of blood at a time, and that