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
In _May_ 1761, a great many of the Patients, who had been in Hospitals
the preceding Winter, had Tumours formed on the external Part of the
Breast, which they shewed me at _Osnabruck_. They began in the Form of
indolent Tumours, and came slowly to Suppuration. For the most part,
the Suppuration was only partial, and the Tumour, on being opened,
discharged a very small Quantity of Matter. Some of them, though they
felt soft, and seemed to contain Matter, yet, upon being opened,
discharged only a small Quantity of black Blood. None of them melted
down entirely into Pus, or came fully to Suppuration, and healed
kindly as Abscesses which succeed acute Inflammations. But after a
small Quantity of Matter was discharged, for the most part, there
still remained a hard Tumour, which felt as if it was a Swelling of
the Bone, or Cartilage below; and in some the Surface of the Bone was
found rough at the Bottom of the Abscess.
These Tumours seldom rose high, and were most of them situated at the
lower Part of the Sternum, or a little to one Side of it, commonly on
the left Side, above the _cartilago ensiformis_. Some Patients had
only one, others two, and some three such Tumours. The first of them I
saw was on the left Side, which, on being felt, gave exactly the same
Sensation as when the Cartilages of the Sternum are begun to be raised
by an Aneurism of the Aorta; only no Pulsation was to be perceived;
and most of them had the same Appearance.
The Patients, who had such Tumours, commonly complained of Pains of
their Breast. One or two, after these Tumours came to Suppuration,
seemed to recover their Health, and to feel no Uneasiness, tho’ some
of the Swelling remained: But many of them were inclined to be
hectic, and seemed likely to grow consumptive.
Being ordered up to the flying Hospital in _June_, and the Sick going
down to _Bremen_, I had no Opportunity of seeing the Event of these
Tumours, or of examining the Bodies of those who died with them. One I
accidentally met with the following Winter at _Bremen_, who died of a
Consumption and Diarrhœa. He had a large Abscess, which penetrated
into the Cavity of the Chest, and discharged a great Quantity of very
fetid Matter, at the Part where one of these Tumours had been seated,
and the Sternum and Ribs were carious all round the Abscess.
OF PARALYTIC COMPLAINTS.
Some of the Soldiers, from lying out in the Nights on the wet Ground,
and from doing Duty in cold rainy Weather, were seized with a Pain and
Numbness all over, and lost the Use of their Limbs, which in some was
succeeded with a Palsy of these Parts: But the greatest Number of
those afflicted with Paralytic Symptoms were seized with them either
in Fevers, or after feverish and other Disorders. The Number, who were
attacked with Complaints of this Kind, were but few.
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