On diseases of the hip-joint : with observations on affections of the joints in the puerperal state / by William Coulson.

Date:
1841
Catalogue details

Licence: Public Domain Mark

Credit: On diseases of the hip-joint : with observations on affections of the joints in the puerperal state / by William Coulson. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    229/252 (page 209)
    heat of skin, flusliing of the face, uneasiness in the head, rapidity of pulse, and some pain in the lower part of the abdomen. This latter symptom was relieved by the abstraction of eight ounces of blood fi'om the arm, and the application of twenty leeches. But the general constitutional disturbance continued unabated. On the 5th the tenderness had almost vanished; but diarrhoea and irritability of the stomach had supervened. She was altogether very much sunk; the pulse was rapid, the tongue of a dark-red colour, the eyes glassy, the skin of a dirty hue. She complained of oppression about the chest; there was an anxious expression of countenance and circum- scribed redness over the malar bones. Ammonia with opium and decoction of bark was ordered to be given every four or six hours. On the 6th she appeared much the same, had passed a very restless night, complaining of some pain in the whole of the left lower extremity, worse in the mass of muscle forming the calf and in the knee- joint. These parts were found upon examination to be hot, tender, and of a dark-red colour. She next complained of similar pains in the left arm, aggravated on motion and by pressure, but here the skin was not discoloured. She was at this time in a state of extreme prostration. Soon afterwards became insensible, and died early on the morning of the 8th. Post-mortem. The cavity of the peritoneum p