Records of maculated typhus, or ship fever : with suggestions of treatment: being the result of a series of observations made ... at South Boston and Deer Island hospitals in 1847-48 ... / By J.B. Upham. M.D.

  • Upham, J. B. (Jabez Baxter), 1820-1902.
Date:
1852
Catalogue details

Licence: Public Domain Mark

Credit: Records of maculated typhus, or ship fever : with suggestions of treatment: being the result of a series of observations made ... at South Boston and Deer Island hospitals in 1847-48 ... / By J.B. Upham. M.D. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    clear—three stools ; bland, farinaceous diet given regularly in small quantities ; tepid sponging of arms and trunk—liq. acet. ammon. R. Vin. puri, sol. sulph. quinas aa §ss. every 4th hour ; morphia in minute doses at night. 10th.—Took gr. & morphia ; slept considerably after mid- night ; increased prostration ; decubitus mostly dorsal ; ten- dency to slip clown in bed.; delirious at intervals, manifested by low muttering; no pain complained of; face of leaden hue, dull and stupid ; eyes as yesterday; tongue has a dark brown stripe in middle, flanked by moist yellow fur; red at edges and tip—protruded with difficulty, breathing irregular, quicker —some cough ; chest natural on percussion in front, decidedly dull over whole back, more manifest inferiorly ; but little heat or dryness of surface—general sensitiveness ; slight tenderness at epigastrium ; abdomen full and soft—free from tympanites, tenderness, or pain ; spots more developed—more numerous— seen on abdomen, chest, extremities, and back ; pulse 100, of moderate volume, less compressible ; urine as yesterday ; two stools—character as yesterday; some subsultus among tendons of wrists and fingers. Blisters to nape of neck, and sinapisms to calves of legs ; porter in small quantities. In other respects same treatment as yesterday. Wth.—10 a. m. Has slept constantly since midnight, having taken previously from & to \ gr. morphia in divided doses ; increased prostration ; decubitus as yesterday ; no pain complained of; constant incoherent moaning ; no decided delirium ; countenance as yesterday; eyes much suffused and injected ; tongue protruded with difficulty^covered uniformly with a thick dark-yellowish coat, red on edges ; no sordes on teeth or lips ; breathing 40, short and laborious; cough less ; percussion dull on back, somewhat so on sides in- feriorly; slight tenderness at epigastrium; abdomen soft; no pain or tenderness on pressure; general surface of body sensi- tive, of darker hue than natural; spots more distinct, larger, darker in hue, more apparent on extremities ; urine very high- colored, and passed involuntarily, as are also the stools which are more liquid and.lighter ; no appetite; much thirst; pulse 104, very weak, small, compressible, regular; subsultus rather more marked than yesterday—confined to tendons of extremi- 2