An Account of the Diseases which were most frequent in the British military hospitals in GermanyMonro, Donald
History
An Account of the Diseases which were most frequent in the British military hospitals in Germany
Monro, Donald
Medicine, Military; Military hospitals; Military hygiene; Seven Years' War, 1756-1763 -- Medical care
OF THE PERIPNEUMONY.
The Soldiers were subject at all Times to the Peripneumony, or
Inflammation of the Lungs, from doing Duty in cold wet Weather, and
from their irregular Way of living; but more particularly towards the
End of the Campaigns, and in Winter.
This Disorder was much more dangerous and fatal than the Pleurisy,
especially when neglected in the Beginning; for then Bleeding had
seldom any Effect; the Difficulty of Breathing encreased, the Patient
was seized with an Orthopnea, and such an Anxiety and Sense of
Suffocation, that he could not sleep; and the Pulse sunk; and in these
Cases Death only afforded Relief. This we experienced in many Men who
had lain neglected in Quarters, for two, three, four, or five Days,
before they were brought to the Hospital.
In most of the Bodies of those who died of this Disorder, and were
opened after Death; we found the Lungs violently inflamed, with livid
or gangrenous Spots on their Surface; and more or less of a watery
Serum extravasated into the Cavity of the Chest.
Three had Suppurations in the Lungs. In one, who had lain sick in
Quarters for ten Days or upwards, before he was sent to the Hospital,
the right Cavity of the Thorax was found full of a watery Serum; and
the Lobes of the Lungs on the same Side almost entirely wasted; and
what remained seemed as it were composed of thickened Membranes,
resembling those formed by the coagulable Lymph, or what is called by
some (though improperly) the fibrous Part of the Blood. The Lobes in
the left Side seemed to be in a sound State, or at most but slightly
inflamed. From the right Lobes of the Lungs being so much wasted, I
suspected that the Patient had probably laboured long under some
Disorder of the Breast; but I could not from Enquiry obtain any
Information in this Particular; nor did he ever mention such a Thing
during the few Days he lived after being brought into the Hospital; he
said, he had only been ill for eight or ten Days before; but Soldiers
afflicted with chronic Distempers, when they are seized with violent
Symptoms, or acute Diseases, are apt to reckon the Beginning of their
Disorder, only from the Time they are taken ill in a violent Manner;
and never to take any Notice of their former Complaints.
Another Soldier, about the Middle of _February_, 1762, remained in
Quarters five Days after being taken ill with a Pain of the Breast,
and a Difficulty of Breathing; the sixth Day he was brought to the
Hospital in the Morning, and I saw him about eleven o’Clock; he then
had all the Symptoms of the true Peripneumony, attended with a strong
hard Pulse. He was immediately blooded as freely as his Pulse would
bear, had Blisters applied, and other Remedies used; notwithstanding
which, on the eighth Day from that Time, he began to throw up a
purulent Matter in great Quantity, attended with a constant hectic
Heat, and Fever; which sunk him so fast, that he died the tenth Day,
after he first began to expectorate.
Public-domain text, read in full here on John Shaqi.
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