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
On the 15th of November, 1790, I was called to visit the daughter
of William Webb, aged four years, who was indisposed with a cough, a
pain in her bowels, a coma, great sensibility of her eyes to light,
costiveness, and a suppression of urine, a slow and irregular, but
tense pulse, dilated pupils, but no head-ach. I found, upon inquiry,
that she had received a hurt on her head by a fall, about seven weeks
before I saw her. From this information, as well as from her symptoms,
I had no doubt of the disease being the internal dropsy of the brain. I
advised the loss of five ounces of blood, which gave her some relief.
The blood was sizy. The next day she took a dose of jalap and calomel,
which operated twelve times. On the 18th she lost four ounces more of
blood, which was more sizy than that drawn on the 15th. From this time
she mended rapidly. Her coma left her on the 20th, and her appetite
returned; on the 21st she made a large quantity of turbid dark coloured
urine. On the 22d her pulse became again a little tense, for which she
took a gentle puke. On the 23d she had a natural stool. On the 24th her
pupils appeared to be contracted to their natural size, and on the 30th
I had the pleasure of seeing her seated at a tea-table in good health.
Her pulse notwithstanding, was a little more active and tense than
natural.
CASE II.
On the 24th of the same month, I was called to visit the son of John
Cypher, in South-street, aged four years, who had been hurt about a
month before, by a wound on his forehead with a brick-bat, the mark of
which still appeared. He had been ill for near two weeks with coma,
head-ach, colic, vomiting, and frequent startings in his sleep. His
evacuations by stool and urine were suppressed; he had discharged three
worms, and had had two convulsion fits just before I saw him. The pupil
of the right eye was larger than that of the left. His pulse was full,
tense, and slow, and intermitted every _fourth_ stroke. The symptoms
plainly indicated an internal dropsy of the brain. I ordered him to lose
four or five ounces of blood. But three ounces of blood were drawn,
which produced a small change in his pulse. It rendered the intermission
of a pulsation perceptible only after every tenth stroke. On the 25th
he lost five ounces of blood, and took a purge of calomel and jalap. On
the 26th he was better. On the 27th the vomiting was troublesome, and
his pulse was still full and tense, but regular. I ordered him to lose
four ounces of blood. On the 28th his puking and head-ach continued;
his pulse was a little tense, but regular; and his right pupil less
dilated. On the 29th his head-ach and puking ceased, and he played
about the room. On the 4th of December he grew worse; his head-ach and
puking returned, with a hard pulse, for which I ordered him to lose five
ounces of blood. On the 5th he was better, but on the 6th his head-ach
and puking returned. On the 7th I ordered his forehead to be bathed
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