Ulceration of the Intestines — Enormous Discharge of Pus from the Bowels

1852 Boston Medical and Surgical Journal  
tell you that the leader of the opposition was put down (or, more properly, exalted in being shown the truth) by the interposition of that mysterious power, which had moved you, many years ago, much against your will and the advice of your friends, to make your discovery of the motive power of the blood known. But I must leave you in suspense here until you look over the report of the experiment, and to-morrow you shall hear the sequel. Very respectfully your ob't serv't, To Mrs. Sir,-If you
more » ... Mrs. Sir,-If you think the following communication will be of interest to the numerous readers of your valuable Journal, you will please give it an insertion. Dr. Moses L. Atkinson, of Lawrence, aged 37 years, of good general health, of sanguine and rather scrofulous temperament, was on the 10th of April, 1851, while at Springfield, taken with frequent bloody discharges, attended with severe pain, griping and tenesmus. He remained there from Wednesday until Saturday, without doing much for himself, and then took the cars and came home, a distance of 125 miles. He arrived home about 6 o'clock, P. M., much fatigued and exhausted from his journey and the effects of heat, the weather at that time being extremely warm. I saw him immediately upon his arrival. Found him suffering with severe pain in the bowels, frequent muco-bloody discharges, attended with griping and tenesmus ; his pulse 86 and feeble. There was tenderness of the abdomen and a little distension. I prescribed opiates and sub-muriate hydr.,with mucilages, warm fomentations to the bowels, together with injections of starch and morphine. This relieved the pain and lessened the frequency of the discharges for a time, and he got a little rest during the first part of the night. Before morning the pain and discharges returned, with all their former severity. Dr. Huse, of Methuen, was called. We applied leeches to the abdomen, continued the opium and sub-muriate in increased doses, with morphine injections, so as in some measure to control the pain and the frequency of the discharges. There was a haggard look of the countenance, and both physicians and friends felt the greatest solicitude and anxiety from the beginning. During the first week, Drs. Dalton of Lowell, and Bowditch of Boston, were called in consultation. The patient continued extremely sick, and on the 18th had a very distressed day; severe pain, great prostration of strength ; discharges of bile, mucus and blood, were frequent and painful-fainting, with great general debility, attending. At this time it was thought by us all that he could not survive the acute or active stage of the disease. His appetite was gone, stomach irritable, with retching and occasional vomiting. The anodyne and mercurial
doi:10.1056/nejm185208180470302 fatcat:2balmn4bozhkpkcxfadll36g7e