Haemophilia : read before the New Orleans Medical and Surgical Association, May 2d, 1884 / by J.H. Bemiss.

  • Bemiss, J. H. (John Harrison), 1856-1897.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Haemophilia : read before the New Orleans Medical and Surgical Association, May 2d, 1884 / by J.H. Bemiss. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    of digitalis. 1 had previously put him to bed on his back with his head slightly elevated. In addition I applied the Monsel solution occasionally, but about its only effect seemed to be to discolor the parts so as to make examina- tion all the more difficult, and to increase the nausea. After this he spat up two mouthfuls more of blood, but save a little oozing apparently from the wound, the hem- orrhage ceased. Ergot, brandy and digitalis were given in small and frequently repeated doses, and milk and beef tea were ordered to be prepared at once. As soon as I could do so I took Dr. T. G. Richardson and my father, Dr. S. M. Be miss, to see the case. After a careful ex- amination they were convinced that the hemorrhage was not due to a wound of any large vessel, but was either pulmonary or due to a hemorrhagic tendency. An exam- ination of the lungs, however, was negative. At Dr. R.’s suggestion I administered gr. x/\ morphia, hypodermically, puncturing with a needle the biceps muscle. The general treatment above indicated was continued. The patient was seen again at about seven that evening, and was com- paratively easy and taking nourishment. Next morning the patient was better, but complained of pain in his aim where the puncture had been made. It was somewhat red in that locality and looked as if an abscess was forming. In the evening his arm was very painful and much swollen, having an erysipelatous appearance. Warm applications were made to the arm and morphia was given internally. General treatment, except ergot, continued. Next morn- ing the arm was swollen throughout, the shoulder being involved. It was red and very painful. The patient died suddenly at io A. M. When examined some two hours before death his pulse had been found to be weak, iitegu- lar and intermittent. His heart when listened to at the same time was very irregular and laboring greatly. I must add here before proceeding to the next case, Dr. Brewer's statement that he had known the boy lor some time, and had to attend him on several occasions. One in particular being a hemorrhage for which there was no as- signable cause.