Illustrations of typhus fever in Great Britain : the result of personal observations made in the summmer of 1853, with some remarks as to its origin, habits, symptoms, and pathology : to which is appended a brief account of the re-appearance of typhus in Boston in the winter of 1857-58 / by J.B. Upham.

  • Upham, J. B. (Jabez Baxter), 1820-1902.
Date:
1858
Catalogue details

Licence: Public Domain Mark

Credit: Illustrations of typhus fever in Great Britain : the result of personal observations made in the summmer of 1853, with some remarks as to its origin, habits, symptoms, and pathology : to which is appended a brief account of the re-appearance of typhus in Boston in the winter of 1857-58 / by J.B. Upham. 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.)

    18/52
    face less flushed; respiration 44; some cough and expectoration at night; resonance good; bowels a little tympanitic; no stool; urine free, light, deposits a slight sediment; the skin is not very hot; spots fainter on arms and chest, more marked on abdomen; pulse 116, soft, compressible, regular. There is approaching stu- por manifested on withdrawal of attendance and questions; some twitching of the tendons at the wrist. To continue treatment. 8th.—Patient is reported to have slept but little during the night; moaned and talked incoherently aud incessantly; at times intractable. Was sensible when roused for her medicine. She is now lying on her back, breathing heavily, with marked stupor; can be readily roused, but immediately relapses into a doze. Eyelids not quite closed; cheeks have assumed a dusky hue; tongue dry, fissured, its middle hard, thick, swollen, shiny at tip; respiration 24, inclining to stertor; skin very hot, but moist, tawny; spots fading, still abundant, most apparent on abdomen; pulse 116, soft, regular, compressible. Treatment, ut heri. 9th.—Is reported to have been in a state of high delirium from 7 o'clock till 11, last night, since which has slept at intervals; pow- er completely prostrated, lies as she is placed, unresistingly; is now dozing, with eyes half closed, showing a segment of the white ; conjunctivae (as much as can be seen) injected; tongue dry, thick) swollen; teeth and lips loaded with foul, black sordes; face dusky, fuliginous; respiration, which during the night is stated to have been quick and gasping, is now easy and quiet, 32. She had taken, this morning, ol. ricini, § ss., which has produced a copious evacuation. Urine free, sedimentous; spots generally diffused, but faint, do not wholly vanish under the finger, most abundant on ab- domen. There is very marked stupor, patient being roused with difficulty; thirst urgent; throat very dry, she breathes only through the mouth; pulse 112, a little harder to the feel. Strong fever-mixture ; wine, § iv. per diem; beef-tea, milk and water ad libitum. 10th.—Slept the greater part of the night; talks and moans a little in sleep; intelligence better; some deafness; eyes clearer, less suffused; complains of no pain; decubitus dorsal; face clear- er ; tongue dry, cracked and swollen, covered with thick crust, edges and tip clean; less sordes on teeth and lips; respiration 40, regular, accompanied by some moaning; no chest symptoms; abdomen natural; three stools, scanty, passed sensibly; skin hot