On Some Forms of Disease Arising from the Retention of Decayed Teeth

J. C. Clendon
1858 BMJ (Clinical Research Edition)  
ORIGINAL COMMUNICATIONS. [BRITISH MEDICAL JOURNAL. the purpose of reaching a polypus situated in the pharynx and attached to the base of the skull. The patient's present condition is in all respects most satisfactory. The wounds have healed, leaving comparatively little deformity, and (as far as we had the opportunity of observing) no paralysis of the face. The large gap in the hard palate has contracted to a hole large enough to admit the point of the finger. This, of course, makes the
more » ... tion at present imperfect, but can be easily closed by an obturator. It seems to occasion no other inconvenience, and the patient is well niourished, and appears quite cured. LONDON HOSPITAL. DELIRIUMI TREMENS TREATED WITH CHLOROFORM. Under the care of P. FRASER, M.D. [From Notes by JOIIN CLEWIN GRIrFvTn, B.A., Acting Resident Medical OftTier.] B. G., aged 32, a japanner by trade, residing in Stepney, was admitted o01 May 8th, under the care of Dr. Fraser, suffering from deliritunm tremens. He was immediately sent into the attics; and on account of his extreme violence, male attendants were providled for him. About 8 o'clock, chloroform was administered. It took a very small quantity to bring him under its influence. Its action was kept up for an hour, after which he continued in pro. found sleep. The attendant was ordered to send for the medical officer if he woke; this, however, was unnecessary, as the patient did not wake till Dr. Fraser's visit at 1 P.x. He still suffered from many delusions. After he was left, he fell asleep without the administration of chloroform, and slept for two hours, when he wok-e and partook of some beef-tea and brandy. He had also a powder, consisting of five grains of calomel with fifteen grains of jalap. At 8 P.m., he was restless, with no delusions; complained of pain in his head. At 11 P.M., he was still restless, and said he felt no tendency to sleep; his bowels had been relieved. Chloroform was again administered; a large quantity being required this time to remove the stage of excitement. He continued to sleep for four hours. May 9th. The delirium has entirely left the patient, and he has made a very tolerable breakfast of bread and butter and milk. He was ordered milk diet and beef-tea, three ounces of brandy, and a pint of porter. He slept in the evening. May 10th. He waas ordered to bave middle diet and a pint of porter, and to omit the brandy. He slept well. May 11th. He was ordered three grains of calomel and a scruple of jalap. In the evening, he was removed from the attics to the wards, and slept well. May 12th. He was ordered decoction of cinchona with five grains of sesquicarbonate of ammonia three times a day. May 15th. He was discharged cured, and left the Hospital.
doi:10.1136/bmj.s4-1.75.447-b fatcat:7sf56dr72zh3lo4xqrbxcfjuxy