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 XXXVI. Mrs. Pope, æt. 40, was delivered, on the 26th of Oct., of
her fourteenth child, and appeared to recover favourably until the 3rd
of Nov., when she was suddenly attacked with a severe rigor. This was
followed by intense head-ache, vomiting, general soreness of abdomen,
and suppression of lochia. Nov. 6th. Great prostration of strength;
laborious respiration, with pain at the bottom of the sternum, and
frequent hacking cough; pulse 135, extremely feeble; skin hot and
dry.... Occasional retching and vomiting. Several hard, lumpy cords
were found running up in the inside of the thigh, in the direction
of the superficial veins. 7th. Delirium; general debility greatly
increased; the surface of the body was covered with a yellow suffusion;
the middle finger of the left hand was much swollen around the second
joint, and the skin covering it was of a dusky red colour.
CASE XXXVII. Mrs. Edwards, æt. 35, was suddenly attacked, three weeks
after delivery, with pain in the calf of the right leg, and loss of
power in the whole right inferior extremity. On the 5th day from the
attack, a considerable swelling, without induration, had taken place
from the ham to the foot, and great tenderness was experienced along
the inner surface of the thigh to the groin. The extremity became
universally swollen, painful, and deprived of all power of motion.
The temperature along the inner surface of the limb increased; the
integuments were pale and glistening, not pitting upon pressure. The
femoral vein, from the groin to the middle of the thigh, was indurated,
enlarged, and exquisitely sensible; pulse 80; tongue much loaded;
thirst; bowels open. On the 23rd day from the attack, the disease was
apparently declining. The femoral vein could no longer be felt, but
there was still a sense of tenderness in its course down the thigh,
and she experienced considerable uneasiness between the umbilicus and
pubes, as well as in the loins. She now, for the first time, began
to have rigors, accompanied by a quick pulse, loaded tongue, and
thirst. From this period to the 31st day, the swelling of the limb
and tenderness in the course of the femoral vessels subsided, but she
experienced attacks of acute pain in the umbilical region, loins, and
back, which assumed a regular intermittent form. Every afternoon there
was a rigor of an hour's duration, followed by increased heat, and
profuse perspiration: the skin was hot and dry; pulse 125; tongue brown
and parched; bowels open. These febrile attacks gradually declined in
severity, and she appeared to recover till the 43rd day, when she had
a long and violent fit of cold shivering. The countenance now became
expressive of great anxiety, and the pulse extremely weak and feeble.
45th day. Vomiting; pain upon the left side, increased upon taking
a deep respiration. 46th day. Another severe and prolonged rigor;
skin hot and dry; pulse 140; tongue brown and parched; diarrhoea;
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