Report on the clinic for diseases of children : held in the New York Medical College session 1860-61 : with essays on some of the more important points of infantile therapeutics / by A. Jacobi.

  • Jacobi, A. (Abraham), 1830-1919.
Date:
1861
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Licence: Public Domain Mark

Credit: Report on the clinic for diseases of children : held in the New York Medical College session 1860-61 : with essays on some of the more important points of infantile therapeutics / by A. Jacobi. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    ueq. vj. D. S.: A powder every morning. After a week, the patient was again presented. Very few mucous rales; a few sibilant rales. Dull- ness in right subclavicular region as distinct as before; respiratory mur- mur vesicular, and diminished; respiratory murmur in left subclavicular region, puerile; expiratory murmur prolonged. Nowhere bronchial respiration. Moreover, right subclavicular region sunk, and right thorax of less circumference than left, by half an inch. From this time, the case was considered to be one of tuberculosis, and an appro- priate diet, animal food, fresh air, gymnastic and other exercise, and cod-liver oil, ordered. No. 113 was a very anaemic boy, who had suf- fered from the first attack of scarlatina five weeks before. Thus he had scarcely gone through the whole process. This pneumonia was in the left lung, lower lobe, and probably small lobuli had taken part in the inflammatory process in other places, as there were sibilant and mucous rales spread over the lungs to a large extent. Treatment: Pulv. Dov., gr. ijss., every night; sulphat. quin., gr. vj., every morn- ing. . No. 114 was a very instructive case, inasmuch as it distinctly showed the relation of bronchitis and pneumonia in the infantile lung. When first seen, the child had bronchitis in the right lung, and a hep- atized upper lobe of the right. Treatment: R.-—Sulphat. quin., 9ij.; acid, tannic, gr. viij. M. f. pulv. Div. in p. a3q. No. xvj. D S.: Two powders a day; and pulv. Dov., gr. ijss., every night. A week afterwards the hepatization had disappeared, no dullness be- ing perceptible any longer; but where there was bronchitis before, hepatization had now taken place. Under a similar treatment, the boy soon recovered, but some time elapsed before his anasmic and general weakness was overcome. All the time, no sequelae of scarla- tina were observed. Still better than in this case, the relation be- tween bronchitis and pneumonia, and the normal course of this latter disease, was illustrated by No. 115, a boy of fourteen years, in whom the disease had the peculiar lobular character of infantile age. He was presented on April oth, with pneumonia, (hepatization,) in right lung, upper lobe, anteriorly, and bronchitis on left side. Treatment: Generous diet, and R.—Sulphat. quin., gr. xij.; ac. benzoic, 3j.; gum-arabic, 3ss. M. f. pulv. Div. in p. aeq., No. xvj. D. S.: A powder every two hours. April 9th.—Dullness over right lung, up- per lobe, diminished; some mucous rales. Bronchitis on left side ap- parently in the same condition. Same treatment, with the addition of some daily doses of bismuth, subnitrat., gr. v., as his digestive pow- ers were very low in consequence of an inveterate gastric catarrh. Aprjl 12th. No more dullness on percussion over the right lung; some mucous rales; some also in the lower lobe, right lung, where no