Metastatic panophthalmitis / by Charles J. Kipp.

  • Kipp, Charles J. (Charles John), 1838-1911.
Date:
[1906]
Catalogue details

Licence: In copyright

Credit: Metastatic panophthalmitis / by Charles J. Kipp. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    small rales through both lungs; breath sounds roughened. Abdominal organs neg- ative. The left foot was badly crushed, a lacerated wound about two inches in length on inner side of foot which had been tightly closed by catgut sutures some days before by a surgeon outside of the hospital; foot and leg up to knee were swollen and dis- colored. Temperature 103 4-10, pulse 130, respiration 24. The sutures were removed and incisions made in foot and leg, wet dressing of bisulphite of sodium was ap- plied and the limb put in a right angle splint. The treatment failed to prevent the spread of the inflammation upwards and it was thought best to make further multiple incisions higher up on March 3. Brewer's yeast was substituted for the bisulphite of sodium dressing, but as it was apparently without effect the former dressing was again applied. By March 20 the disease had extended up to the left buttock and four days later it had spread to the right buttock. He was put under ether and extensive and deep incisions were made in the parts af- fected, which evacuated large quantities of - pus. During this period the patient had been rapidly losing weight and strength. Symptoms of endocarditis were first ob- served on or about March 24—about thirty- two days after the receipt of the injury. The left eye first showed signs of inflam- mation on April 7. There was not much injection of the ocular conjunctiva and no swelling of the lids. The cornea was de-