The surgery of the spleen / by J. Collins Warren.

  • John Collins Warren
Date:
1901
Catalogue details

Licence: In copyright

Credit: The surgery of the spleen / by J. Collins Warren. 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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    side on taking a long breath. Nothing, however, was found on careful examination. This symptom of pain was present, resem- bling pleurisy, in both of my operations of splenectomy. On the 27th, whites, 24,000; reds, 3,256,000; haemoglobin, 45 per cent.; polymorphonuclear-neutrophiles, 81 per cent.; large lymphocytes, 8.5 per cent.; small lymphocytes, 7.9 per cent.; eosinophiles, 2.6 per cent.; two myelocytes; no megaloblasts; ten mastzellen ; no normoblasts. November 1, whites, 16,400. November 5, whites, 17,000; reds, 4,496,000; haemoglobin, 45 per cent.; polymorphonuclear-neutrophiles, 76.8 per cent.; large lymphocytes, 9 per cent.; small lymphocytes, 7.8 per cent.; eosinophiles, 6.2 per cent.; myelocytes, .2 per cent. There was an evening rise of temperature during the rest of his stay at the hospital, which terminated November 21. On November 11, whites, 20,000; reds, 3,984,000; haemo- globin, 40 per cent.; polymorphonuclear-neutrophiles, 82.2 per cent.; large lymphocytes, 7.4 per cent.; small lymphocytes, 9 per cent.; eosinophiles, 1.4 per cent'.; no normoblasts or megalo- blasts. On November 18 there was a slight pain in the left ankle, foot was cedematous, and marked tenderness in the calf of the leg over the saphenous vein. Kept in bed and leg tied up on pillow splints. This tenderness and swelling eventually disappeared. On the 21st, the day of his return home, the blood examina- tion was as follows: Whites, 15,000; reds, 4,000,000; haemo- globin, 40 per cent.; polymorphonuclear-neutrophiles, 82.8 per cent.; large lymphocytes, 7.4 per cent.; small lymphocytes, 5.8 per cent.; eosinophiles, 4 per cent.; red shows a slight poikilo- cytosis. For a wpek or two previous to his departure from the hos- pital the patient was moved in a chair into the open air air, but, owing to the continued pyrexia, failed to regain his strength. This pyrexia continued for a week or two after his return home. Under careful nursing and plenty of fresh air, it presently disap- peared, since which time the patient has fully regained his health and strength and weight, and now (March 18) feels as well as he ever did in his life. Examination of the blood, December 10. Whites, 21,600; reds, 4,672,000; haemoglobin, 521/2 per cent.; polymorpho-
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