On local asphyxia and symmetrical gangrene of the extremities / by Maurice Raynaud ; translated by Thomas Barlow.

  • Raynaud, Maurice R., 1834-1881.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: On local asphyxia and symmetrical gangrene of the extremities / by Maurice Raynaud ; translated by Thomas Barlow. Source: Wellcome Collection.

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    fingers liad disappeared, wben after the death of her busband (Jau. 6) this woman bad violent convulsions followed by nervous delirium. Tbe fingers resumed temporarily tbeir cyanotic tint, wbicb however was not maintained. Tbe delirium vras cured in tbree days by simple draugbts of syrup of narcotine in strong doses. Subsequently a very pronounced cblorotic State was noted witb analgesia in almost tbe wbole of tbe body, witbout anæstbesia. Sbe is in our wards, wbere sbe is under treatment by Vallet’s pills. April 22.—Tbe woman bas not yet been delivered ; sbe appears to be in tbe nintb montb. Her general State is not improved. Tbe analgesia and ail tbe signs of cblorosis persist ; tbere is a loud murmur at tbe base of tbe beart beard in tbe carotids ; sbe bas gastralgia, erratic pains, &c. For some time sbe bas been frequently seized witb complété apbonia, with absence of cougb, pain in tbe neigbbourbood of tbe larynx, expectoration, or trace of inflammation in tbe back of tbe tbroat. Tbis often bappens to ber suddenly, and lasts some bours, or some days. No otber nen’ous symptoms accompany tbis apbonia, and tbe patient prétends tbat it is from feebleness tbat sbe cannot speak, altbough tbere is notbing to indicate tbat lier general feebleness is more marked at tbese times tban at any otber times ; tbere bave been no more convulsive attacks. Tbe fingers bave a tendency to become blue, but witbout pain. Tbe Vallet’s pills are to be continued, and also 2 grammes of magnesia at each meal. Tbe patient’s accoucbement took place în June. For some time tbe analgesia bad disappeared in part. After the labour tbere was considérable bæmorrbage. Tbe patient is very pale and wasted. The analgesia reappeared everywbere. Sbe left tbe hospital in June in order to go into tbe country. October 11.— Tbis woman returned from tbe country a few days ago, fresh, stout, and in excellent condition, sbow’ing none of tbe old nervous symptoms ; no analgesia. Very slight palpitations ; tbere is just a sligbt murmur with the first sound of tbe beart. Sbe résumés ber work as a hospital servant at tbe Beaujon. November 7.—After baving cleaned tbe métal vessels with potasb, contraction occurred almost instantaneously of the fingers of the rigbt band, W'bicb are strongly flexed into tbe palm, tbe patient being unable to straigbten tbem voluntarily.