On the origin of inflammation of the veins: and of the causes, consequences, and treatment of purulent depositsLee, Henry, M.D.
History
On the origin of inflammation of the veins: and of the causes, consequences, and treatment of purulent deposits
Lee, Henry, M.D.
Blood; Veins -- Diseases
CASE XXXII. A woman, twenty-two years of age, of a nervous temperament,
miscarried at the expiration of the first month. She was almost
immediately afterwards attacked by rigors and bilious vomiting,
accompanied by pains in the loins and in the hypogastrium. On the
following day, there was coma, with indications of extreme debility.
On the third day, consciousness returned. There was difficult
articulation, and moaning. The extremities became cold, the pulse
imperceptible, and death occurred upon the same day.
[45] This, and the two following cases, are taken from Tonellé. The
author is responsible for the accuracy of all the preceding cases.
_Post-mortem appearances._ The peritoneum was slightly injected, and
contained a small quantity of reddish serum. The cervix uteri was
covered with a layer of pus. Semi-transparent lymph was found in some
of the uterine veins. The brain, and other organs, were found healthy.
CASE XXXIII. A feeble girl, 21 years of age, was confined at the
expiration of the eighth month. On the fourth day, there was shivering
and prolonged fainting. The following morning, she had acute abdominal
pain, fever, and diarrhoea. On the seventh day, the symptoms had all
subsided, but on the eighth the abdominal pain returned, accompanied by
syncope. She died two days afterwards.
_Post-mortem appearances._ The peritoneum was slightly injected, and
contained about a pint of red-coloured serum. The uterus was large,
white, and firm, its veins half filled with fluid blood; its lymphatics
natural; its inner surface lined with a layer of fetid brown blood, but
otherwise healthy; the cervix covered with a grey, thin exudation. The
lungs, heart, brain, and other organs, were quite sound.
CASE XXXIV.[46] Anne Biggs, æt. 39, confined March 18th, 1830, eighth
child. On the evening of her confinement, her manner was much excited.
On the 19th, she was incoherent, and complained of pain in the calf
of the right leg, which was tender on pressure. The pulse being hard,
she was bled to eight ounces. On the 28th, the leg was swollen and
white; the pain in it much increased: towards evening the calf of the
limb became black, while, at the tendo-achillis, the skin was hot,
tender, dry, and mottled. The bowels were much opened, the head giddy,
the pulse quick and strong. She was again bled, to twenty-six ounces,
and twelve leeches were applied to the temple. On the 21st, there
was nausea, vomiting, and diarrhoea. On the 23rd, she complained
much of the confusion in her head, the leg was tolerably easy, but
the upper and inner part of the thigh was very tender. On the 24th,
the diarrhoea continued, and there was increased weakness. A hard
swelling, about half as large as an egg, appeared at the wrist, and one
of the orifices made by venesection was black and painful. She died in
the evening.
[46] Dr. Ferguson.
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