Cases of croup and acute bronchitis / [William Henderson].

  • Henderson, William, 1810-1872
Date:
1850
Catalogue details

Licence: Public Domain Mark

Credit: Cases of croup and acute bronchitis / [William Henderson]. Source: Wellcome Collection.

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    Case IX. A girl, aged 12 months; fat and usually healthy; getting her teeth, but not troubled at present with irritation of the gums. April 3rd, 1850. 5 p.m.—Yesterday was observed to have cold in the head, some cough, and hoarseness. During last night, and while asleep to-day, had repeated attacks of suffocative difficulty of in¬ spiring. Cough not very frequent; is of a hard, deep, croupy sound, and very characteristic. During inspiration there is constantly a dry laryngeal stridor, which, however, is not loud or strong. Voice sharp, puling, and cracked. Respirations accelerated. Pulse 135, sharp. Skin very hot. She has had Aconite 1, and Spongia 6, at frequent but irregular intervals since morning till about two hours ago, when Spongia 1 was substituted for the 6th dilution. To have Aconite, 1st decimal attenuation, and Spongia 1 (centesimal), until the decimal attenuation can be got from town, alternately every 10 minutes for four hours, afterwards at longer intervals. 4th, 10 a.m.—Got the stronger tincture of Spongia at 7 o'clock last night. The medicines were given as directed till 9 p.m. After that she was allowed to sleep one hour, and towards morning two hours, between the doses. No attack of difficult breathing. Cough croupy only at times, at times looser, and not very frequent. Pulse 120. Skin hot and dry. Was very thirsty in the night. The laryngeal wheeze occurs only occasionally. Voice still cracked and hoarse. Breathing much slower. Continue the medicines every quarter of an hour while awake, every half hour if asleep. 10 P. M.—Medicine given regularly every quarter of an hour till she fell asleep in the aft( rnoon, when the}' were interrupted for three hours. Pulse 108, soft and moderate. Skin moist. Breathing quite easy and moderate, and rarely any laryngeal wheeze. Cough sometimes loose and harsh, sometimes diy and croupy, and pretty frequent. Continue medicines every quarter of an hour. 5th, 10 a.m.—Got the medicines as directed till morning, and since every half hour. Voice still hoarse, and cough harsh and ragged. Breathing easy and noiseless. Has perspired little. The skin has been hot, and there has been a good deal of coryza still. Is up and dressed. Pulse 110. Aconite, Spongia, and Hepar Sulphuris, all of the 1st decimal attenuation, every half hour. * v