G.D. Meadows
1844 The Lancet  
Solution of hydrochlorate of morphia, six drops Wuter, three ounces. A teaspoonful, and the same quantity of wine, alternately every fifteen minutes. 26, ten, a.m. Has spent a restless night, and, from the suffocative breathing, one of great suffering; bronchial respiration so loud as to obscure all other sounds; breathing less laborious ; expression of countenance improved ; pupils not dilated. R Sweet spririts of nitre one drachm; Solution ql acetate of ammonia, half an ounce; Solution of
more » ... achlorate of ammonia, six drops; Water, three ounces and a half. A teaspoonful every fifteen minutes. One, p.m. Continues in the same state ; large quantity of mucus in bronchise. R Ipecacuanha wine; ; Anticrzoniul wi e, of each, half an ounce. A teaspoonful every ten minutes till vomiting is produced ; to be followed by wine, half an ounce. A blister, three inches by two, to be applied under the clavicles. Nine, p.m. Vomited, by aid of emetic, a large quantity of mucus, clear, tough, and stringy. lic Suwet spirits of nitre, a dracbm Ipecacuanha wine, two drachms; Solution of acetate of zzmmouia, half an ounce Water, three ounces and a half. A teaspoonful every forty minutes, with the same quantity of wine at intervals. 27, ten, a..m. Slept between three and four hours; breathing less laborious; pulse quick; face flushed; thirst great. The medicine to be given less frequently. Five, p.m. Febrile symptoms somewhat subdued; continues otherwise in same state ; bowels loose. 28, ten, a.m. Slept during the greater part of the night; thirst gone ; much mucus in bronch'ae. Emetic ordered. 29. Restless ; abdomen rather tense and bowels confined. R Mercury with clrallc three grains ; Rhubarb four grains ; Ipecacumzlza half a grain. Five, p.m. Had a scanty stool; breathing rapid, otherwise natural. Powder repeated. 30. Spent a quiet night; sleeps calmly ; pulse slightly accelerated ; bowels free ; breathing natural. Dec. 2. Continues convalescent. Remarks. -The report of the 25th showed this case to be one of much danger, and in some circumstances would have called for operation. The disease having so recently succeeded measles, however, and from physical signs having extended to the bifurcation of the bronchise, tracheotomy did not hold out such probability of success as would have warranted the operation. The result goes to exhibit the impropriety of operating when there is doubt of its favourable termination. The case is interesting, likewise, from the circumstance of salivation having taken place in a child so young, an event the possibility of which is doubted by many and denied by some. I WAS called, April Rth, to attend Mrs. J. S., setat. 28, who complained of great pain all over the abdomen and the whole of the body, having been seized rather suddenly. Countenance pallid ; very faint ; had vomited a great deal, and still continued rejecting everything taken ; pulse very feeble, 66 ; great anxiety and restlessness. She supposed herself to be pregnant; was at this time nursing a healthy infant, above nine months old. Had been married nine years. Had borne two children before. General health had, during that time, been pretty good. On the same morning she had taken laxative medicine, which had acted. I immediately administered an opiate, and ordered that to be followed by a mixture of sulphuric ether and camphor mixture. Next morning I found that the symptoms had continued, unabated, through the night, the vomiting ceaseless, and a slight indication (show) had arisen per vaginam ; voice and pulse miserable; pain throughout abdomen continued, especially towards left lumbar region. Ordered sinapism to the abdominal region, and the following mixture :-R Infusion of roses, three ounces and a half; Tirrct. hyoscyamus, two drachms ; Diluted sulphuric acid, one drachm Syrup of blackthorn bet-ries, two drachms. Mix. Two tablespoonfuls every hour. Enemata were employed. Sickness, hours after, still continued; strength ebbing. Hydrocyanic acid, opiates, epispastics, to the region of the abdomen, were employed, till fifty-four hours after first being seen (viz., April 11, at two, a.m.) death ensued. Consciousness remained till nearly the last.
doi:10.1016/s0140-6736(02)71587-0 fatcat:lmgl6q5wwzhtvfqpzsqtubhlrq