Enoch Hale, M.D, M.M.S.S., A. A. S., &c

W. Channing
1848 Boston Medical and Surgical Journal  
has passed a more quiet night; wound discharges freely a turbid serous fluid ; bowels have been relieved by enema. Tongue white ; pulse 120 ; suffers from spasmodic twitching« of body. Abdomen very tender over the whole surface, and slightly swollen. To continue the sedative draughts, each containing sixty minims of the solution of morphia, every three hours, with siarch enema, with six drachms of solution of opinai at night. 'May 1st.-lias gone on favorably up to this date; the opiate enemata
more » ... the opiate enemata have been omitted, hut the opiate draughts continued, with occasional small doses of calomel, which have greatly controlled the sickness. She has been allowed as much nourishment as she will take, but her appetite continues bad. She has also had wine, brandy, and bottled stout from time to lime, the discharge being large in quantity, thin, watery, and very offensive ; the abdomen has become soft and painless on pressure. To-day she is not so well, suffering great pain about the wound, which is inflamed, and the edges sloughy. Ordered warm fomentations to be of the kind, under the circumstances detailed. He should not argue, or draw general conclusions from a solitary case, but he thought that it, at all events, would justify us in having recourse to such a procedure in cases of peritonitis, when all other means had failed, and without which death was inevitable. He contended that the typhoid condition into which patients affected with peritoneal inflammation fell, did not depend upon the violence of tho disease, but upon the acrid nature of the effused fluid, the removal of which be thought the only chance of saving tho patient, Lancet.
doi:10.1056/nejm184811220391703 fatcat:wekyhptzmjc3xgbhj3cqvwxxji