North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826 — John Shaqi
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
31st. The menorrhagia continues. Had last night epistaxis. Pulse small
and slow. Tongue furred and red. Eruption confluent with indented and
dark centres. Surface white and dry. Skin between, red and inflamed.
Very slight eruption on legs, and none on feet.
April 1. Menorrhagia continues. Pulse small and labouring. Respiration
laborious and hurried. Face swelled. Surface smooth, with white spots to
represent the pustules. On breast and arms the eruption is in confluent
patches which are nearly continuous--some pustules flat and indented,
others smooth, with appearance of radii, and some more elevated forming
blebs. Skin of the feet cold, and blue in spots; no elevated eruption on
lower extremities. Tongue furred and yellowish. Throat sore. Eruption
very copious on body, generally with blebs.
_Vespere_; pulse hardly perceptible. Anxiety and distress great. Dead at
10, P. M.
_Examination_ April 2nd, in the afternoon.--On opening the thorax, the
lungs and heart were found of the natural appearance and size. The
larynx and trachea being divided, exhibited all the way down to the
lungs an injected surface with whitish irregular spots, having nearly
the same appearance as the flat smooth eruption on the face: in parts it
was more evidently pointed, and showed, by the aid of the microscope, a
pustular appearance. In the lungs, the inner surface was still darker.
The root of the tongue was covered with large and rather hard papillae,
with open summits. The oesophagus was smooth and white. The stomach
near the cardia injected, and of a brownish-red in spots: the remaining
portion white, presenting no diseased appearance. The spleen was very
large and covered with copious miliary points. The omentum, to
appearance gangrened, was dark, and altered in texture. The peritoneum,
especially in the pelvis, was injected and inflamed, being of a
semi-opaque dark colour. The uterus, small and firm, contained some
bloody mucus in its cavity.
III. Joseph Foster, white, aged 22 years, unprotected, became sick on
Monday evening 8th of March. The eruption began to show itself on
Wednesday morning, 10th.
12th. Admitted and visited. Face covered with a red, dry, tubercular
eruption, with some few yellow pustules. Same on arms, but no pustular
appearance; partly tuberculous, partly vesicular. More sparse and
scattered on breast and legs: none on feet. Slight cough. Tongue white,
clammy, and loaded in middle--red at borders. Pulse rather frequent.
14th. Face covered with a pustulo-vesicular eruption, with whitish
summits, red and inflamed bases. Skin between, of same colour. Eruption
dry and hard; very red, copious on limbs; less so on trunk. Tongue moist
and less loaded. Pulse regular.
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