Volume 2

St. Andrews Medical Graduates' Association : transactions, [1869-1871] / edited by W. Sedgwick.

Date:
1870-1872
Catalogue details

Licence: Public Domain Mark

Credit: St. Andrews Medical Graduates' Association : transactions, [1869-1871] / edited by W. Sedgwick. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

    339/368 (page 291)
    Case 23.—Apoplexy, dependent upon cerebral hemorrhage, not treated by blood-letting, symptoms in abeyance a fortnight, recurrence of them and speedy death. On January 22nd, 1858, I was summoned to see a gentleman of sliort stature and stout, £et. forty-one. Fourteen days previously he had been seized in the street with a fit, this was attended with vomiting' which persisted for two days after, together with head- ache and giddiness. He had remained at home ever since under the care of a medical man near whose house the illness occurred. Aperient and other medicines were administered, but no blood was taken. At seven a.m. this morning he had a fit attended with stertorous breathing and convulsions, he was cupped and somewhat recovered his consciousness. At noon he had another fit attended with convulsions, he was again cupped to twelve ounces, after which he recovered siifficiently to drink some medicine, and to say his head was bad. At four a.m., he again became insensible, with stertor, and he died at half past four. I had known this gentleman from boyhood, and he certainly never had a fit before. He was a moderate liver, but lately had been subject to anxiety. I can but think that if he had been treated at first by means of blood-letting and rest, his life might have been saved. Case 24.—Apoplexy from cereh'al haemorrhage, hemiplegia, free leeching, complete recovery in a week. W. S., a butler, a well grown man, eet. forty-five, on September 20th, 1868, while stooping to take some wine from the cellaret was seized with giddiness. He felt it more or less during the next two days. On the morning of the 23rd he went to bathe in the Serpentine, and swam across twice. He returned home to breakfast hurriedly, was then very hot and perspired freely ; he vomited during his walk home. Two or three times diu-ing tho day he fancied he was called by some one when such was not the case, and he replied. He vomited again at dinner time, and could eat nothing. During the afternoon he vomited again, and had a delusion that his fellow servants were disagreeable to him. He was seen about his duties until about half-past five, when he went to his room; from that time he remembers nothing. Between six and seven o'clock he was found sitting on the bed with his head leaning against the wall, in a state of insensibility, foaming at the mouth. At a quarter past seven I saw him, he was quite insensible, the pupils did not respond t2