Analysis of cases from the cliniques of Drs. Little and Glascott, including tracings taken by Dr. Dixon Mann / by A. Hill Griffith.

  • Griffith, A. Hill.
Date:
[1886]
Catalogue details

Licence: Public Domain Mark

Credit: Analysis of cases from the cliniques of Drs. Little and Glascott, including tracings taken by Dr. Dixon Mann / by A. Hill Griffith. 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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    Onset of symptoms. Came on 3 years ago gradually after severe i liver complaint; he had jaundice Projection of eyes 6—9 months, with un- comfortable pricking sensation like sand in them Symptoms came on 12 months ago; no particular illness, only a cold, and has been treated apparently for conjunctivitis Symptoms came on 3 years ago; no par- ticular illness, but for last 2 or 3 years has often vomited, especially after severe coughing, to which she is subject Twelve months ago after gastric fever diarrhoea and vomiting; was in bed 8 weeks; goitre not noticed so soon as the eye symptoms i|Eyes projecting for 8 months; menstrua- | tion scanty for some time before this; no gastric symptoms ; throat been much relaxed <,'ame on after severe vomiting and pros- tration General health. Poor health for 11 months. 4 children— 2 died young, aged 2 and 3 years; 2 alive and strong, aged 16 and 17. Urine 1020, no albumen. Pale, anxious expres sion; apex-beat diffuse, strong; rough aortic systolic bruit, best heard at aortic carti- large; urine normal Anaemic murmur pro pagated along vessels; often feels as if she would be choked Mitral systolic murmur Anaemic murmur; apex- beat heaving; green- ish pus hanging on back of throat Heart's action tumult- uous ; pulse 133; no valvular lesion; has 2 children Treatment and progress. Bromide of potassium In over 3 years the injection had gone; eyes much as before; caruncle of left eye swollen, red, and pro- minent; still Stellwag's but no Graefe's sign present. Pot. Brom. In 3 years wrote to say her eyes were nearly quite well. (1) . Iron for 3 years; got much worse. (2) . Hydrobromic acid; in 41 months wrote her eyes were no better. (1) - (2) . Iron. Blisters, quinine, and iron. (3). Liq. arsenicalis. In 13 months eyes more prominent than ever. Iron and digitalis. Mar ried 18 months after first visit. Iron and digitalis. In 20 months marked im- provement in goitre and eyes, and in 3 years and 3 months she wrote to say her eyes had been quite well for some tim(.