On bronchitis and the morbid conditions connected with it : being clinical lectures delivered at the Middelsex Hospital / by Edward Headlam Greenhow.

Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: On bronchitis and the morbid conditions connected with it : being clinical lectures delivered at the Middelsex Hospital / by Edward Headlam Greenhow. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    appeared upon both the back and the abdomen; the tem- perature ranged from 102-6° to 105-0°, but was only on two or three occasions under 103-0°; the pulse varied from 100 to 120, and the respirations from 28 to 36 in the minute; vomiting often recurred, but there was scarcely any diarrhoea and not much distension of the abdomen; the stools were of the typhoid character; the patient was delirious at night and often drowsy by day ; the cough continued troublesome, and the sputum consisted of a clear, viscid, ropy mucus; rhonchus and sibilus, though chiefly the latter, were heard all over the chest; the urine presented at every examination a distinct trace of albumen. November 22.—1-30 p.m. pulse, 120; respirations, 36; temperature, 103-8°; tongue dry, rough, and fissured ; abdo- men slightly tympanitic, but free both from tenderness on pressure and gurgling; several fresh rose spots had appeared upon the back; the cough was still troublesome ; the sputum was now a scanty, viscid, tenacious mucus of a grey colour streaked with bright blood ; dry sounds were heard over the front of the lungs ; small moist crepitation in the posterior bases. November 27.—Pulse, 112; respirations, 30; tempe- rature, 103-0°; there was much muttering delirium; pupils dilated; tongue dry and fissured; abdomen soft; bowels open once only in the day ; several fresh rose spots upon the back; chest everywhere normally resonant; abundant large crepitation and rhonchus heard in the bases of both lungs ; cough less troublesome; sputum consisted of an opaque, gelatinous, grey mucus slightly streaked with blood. December 4.—Patient much improved. 10 a.m. pulse, 90; temperature, 98-8°; the cough was now paroxysmal, with long intervals of immunity ; rhonchus and sibilus were still heard over both the front and back of the lungs, and a few crackles in the posterior bases.