Notes on the medical topography of the interior of Ceylon : and on the health of the troops employed in the Kandyan Provinces, during the years 1815, 1816, 1817, 1818, 1819, and 1820 ; with brief remarks on the prevailing diseases / by Henry Marshall.

Date:
1821
Catalogue details

Licence: Public Domain Mark

Credit: Notes on the medical topography of the interior of Ceylon : and on the health of the troops employed in the Kandyan Provinces, during the years 1815, 1816, 1817, 1818, 1819, and 1820 ; with brief remarks on the prevailing diseases / by Henry Marshall. 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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    creased by compression; respiration considerably impeded; pulse quick; was bled to the extent of lb ij; towards even- ing the pain was much abated'; had several watery stools through the day; pulse very quick; great restlessness; pulv. ipecac, comp. repeated at bed-tin.e. g3d, Passed a restless and uneasy night; had several watery stools; throughout the whole of this day suffered much from the pain in the abdomen, the seat of which he referred chiefly to the hypogastric region. From this date the most prominent symptoms were frequent watery dejections; was scarcely ever free from pain and ten- derness of the abdomen, pai-ticularly at the lower part. Very great restlessness and anxiety; pulse quick and small; to- wards evening had an accession of fever, which continued through the night. The treatment consisted in the exhibition of the pulv. ipecac, comp. in doses of x gr. three times a-day, with an occasional dose of ol. ricini; the abdomen was again bUstered. On the 2d May he had become quite exhausted; stools passed involuntarily. Expired the following morning. Dissection Report. CraniuTn.—Cerehrum and its meninges apparently na- tural : 3j of fluid in each lateral ventricle. Thwax.—Viscera natural: ^fs of liquor pericardii. Abdomen.^Omentum inflamed; increased vascularity of the peritoneum and of the bladder; peritoneal coat of the liver inflamed. In the right lobe of the liver, and towards its posterior edge, an abscess was found, containing ft j of thick purulent matter: remaining structure of the organ apparently sound: 3j of viscid bile in the gall-bladder; increased vascu- larity of the mesentery and meso-colon; stomach natural; small intestines inflamed; large intestines thickened ; mucous membrane considerably thickened and tuberculated; the sur- face of the tubercles ulcerated and sloughy; remaining viscera natural. .. Liver weighed 3lb 105^ not including the pus: spleen, 123.. N. B. Body examined four hours after death.