Medical Inquiries and Observations, Vol. 2: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
Science
Medical Inquiries and Observations, Vol. 2: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
He discovered no dread of water, except in one instance, when he turned
from it with horror. He swallowed occasionally about a spoon full of
it at a time, holding the cup in his own hand, as if to prevent too
great a quantity being poured at once into his throat. The quick manner
of his swallowing, and the intervals between each time of doing so,
were such as we sometimes observe in persons in the act of dying of
acute diseases. Immediately after swallowing water, he looked pale, and
panted for breath. He spoke rapidly, and with much difficulty. This
was more remarkably the case when he attempted to pronounce the words
_carriage_, _water_, and _river_. After speaking he panted for breath
in the same manner that he did after drinking. He coughed and breathed
as patients do in the moderate grade of the cynanche trachealis. The
dog that had bitten him, Mr. Todd informed me, made a similar noise
in attempting to bark, a day or two before he was killed. We proposed
making an opening into his windpipe. To this his parents readily
consented; but while we were preparing for the operation, such a change
for the worse took place, that we concluded not to perform it. A cold
sweat, with a feeble and quick pulse, came on; and he died suddenly, at
12 o'clock at night, about six hours after I first saw him. He retained
his reason, and a playful humour, till the last minute of his life. An
instance of the latter appeared in his throwing his handkerchief at
his father just before he expired. The parents consented to our united
request to examine his body. Dr. Griffitts being obliged to go into the
country, and Dr. Physick being indisposed, I undertook this business
the next morning; and, in the presence of Dr. John Dorsey (to whom I
gave the dissecting knife), and my pupil Mr. Murduck, I discovered the
following appearances. All the muscles of the neck had a livid colour,
such as we sometimes observe, after death, in persons who have died of
the sore throat. The muscles employed in deglutition and speech were
suffused with blood. The epiglottis was inflamed, and the glottis so
thickened and contracted, as barely to admit a probe of the common size.
The trachea below it was likewise inflamed and thickened, and contained
a quantity of mucus in it, such as we observe, now and then, after
death from cynanche trachealis. The [oe]sophagus exhibited no marks
of disease; but the stomach had several inflamed spots upon it, and
contained a matter of a brown appearance, and which emitted an offensive
odour.
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