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
Some at first were inclined to be costive; others had a Sickness and
Purging; and several of those who were costive in the Beginning, were
in the Course of the Disorder attacked with a Purging; and others,
after some previous Complaint of the Stomach, were seized with both
Vomiting and Purging. In general, after the Sick continued some Days
in the Hospital, they were inclined to be loose; which was a
favourable Circumstance, when this Evacuation was not so great as to
be in Danger of sinking the Patient. Some were attacked with a
Dysentery.
In this, as well as in most other Fevers, the Sick frequently passed
by Stool Worms of the round Kind; and sometimes they vomited them up,
or the Worms came up into their Mouth or Nostrils while they lay
asleep in Bed; and some towards the Height were afflicted with
Deafness, which was commonly a favourable Symptom.
Most of those ill of this Disorder had a yellowish Colour of the
Countenance, which went off with the Fever. It was more observable in
some than in others; in general, it was slight; some few became yellow
all over[72]; particularly one Man, in the Hospital at _Munster_, who,
after being seized with violent Vomiting and Purging, Convulsions, and
Twitchings of the Tendons, and Hiccup, became yellow, as in the
deepest Jaundice. This Symptom of Yellowness arises from a Redundancy
and Absorption of Bile; and is sometimes observed in other Fevers as
well as this[73]; for while we were at _Paderborn_ in _February_
1761, two Men were brought to the Hospital in Fevers, attended with
this Symptom. They were both delirious, with parched dry Tongues,
slight Twitchings of the Tendons, and other bad Symptoms; and one of
them had a continual Vomiting and Purging. They both died, and the
Body of him who had the Purging was opened. All the Bowels, especially
the Colon, were tinged with a yellow Bile, and had a slight Degree of
Inflammation all over their Surface; the Gall-Bladder was distended
with a very dark-coloured Bile; but no Concretions were found in its
Cavity, or in the bilious Ducts; nor Mucus, or any other Thing
obstructing these Passages. The Surface of the Lungs seemed slightly
inflamed; and there was a small Quantity of greenish Serum in the
Cavities of the Thorax. I could not learn the Histories of these two
Mens Disorders, before they were brought to the Hospital; but, from
the Symptoms, was inclined to believe, that the Fevers had been of the
malignant or petechial Kind; and that the yellow Colour was only an
accidental Symptom of it; for on one of the Men we could perceive
obscure Traces of dun petechial Spots on his Breast and Arms; and the
malignant Fever was frequent at this Time among the Troops, and the
bilious autumnal Fevers had ceased long before.
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