Indurative mediastino-pericarditis / by Thomas Harris.

  • Harris, Thomas.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Indurative mediastino-pericarditis / by Thomas Harris. Source: Wellcome Collection.

    41/78 (page 35)
    Records op Temperature, taken evert Four Hours, between July 5th and July 18th, 1894. Date. 12 noon. i p.m. S p.m. 12 mldn't. 4 a.m. 8 a.m. July 5 97'G 97-0 97-6 98-6 98-0 98-2 0 98-2 99-4 98-0 98'4 98-0 97-0 7 98-0 97-G 97-0 98-0 98'2 97-8 8 98-2 97'0 97-4 98-0 98'2 98'0 g 98*4 97*8 Jo u Jo o 98'0 98 '0 10 97-6 97 0 98-8 98-0 97 ■« 97-G 11 9S-C 99'0 98-4 98-6 97'0 98-0 12 98'8 97-i 97-0 97-G 13 98-2 98'2 97-0 97-6 97-6 97 0 14 9S-6 97-4 98-0 98-0 98-4 07-0 15 97-S 97-0 98-0 98-0 98-(i 97-0 16 97-0 98-4 97'6 97-S 98-0 98-0 17 97'6 97-0 98-0 97-4 97-4 98-2 IS 97-0 98-0 98-4 97-2 97'4 July 13, 1894. Patient is now 12st. 81bs. in weight as compared with 12st. 51bf>. on admission. (See note of weight and the condition of anasarca on July 30th, 1894.) One of the two guinea-pigs inoculated on June 12th, 1894, although apparently in good general health, was killed yesterday by the administration of chloroform. The post-mortem examination of this animal showed:— A small thickened patch forming a small nodule at the seat of inoculation. Two of the superficial inguinal glands of the left side were enlarged. One of these was firm, but just beginning to caseate. The other was diffluent with a creamy caseous material. The left sub-lumbar gland was enlarged, but not caseous. The corresponding gland of the right side was not affected. There was also no affection of the other lumbar glands. Spleen large, and contained a few distinct tubercles. Liver, kidneys, heart, lungs, and other lymphatic glands other than those mentioned above healthy. Microscopical examination of the caseous material from the larger of the two left inguinal glands showed the presence of a large number of tubercle bacilli. July 30th, 1894.—The dyspnoea is somewhat better, and the expectoration even a little less than formerly. Since the 9th inst. patient has passed more urine than before that time, and although for the past ten days the quantity of urine has somewhat diminished, the bowels have been more frequently moved. (See table.) The anasarca has quite disappeared from the legs, but the left arm is distinctly larger than the right, although no pitting can be obtained. There are marked silvery (distension) marks at the bend of the left elbow, showing previous dis- tension of that arm. Weight, now that all anasarca has gone, is list, lllbs., showing a diminution of 91bs. since admission, when anasarca of the lower extremities was present. The urine is now high-coloured and clear ; it contains one-third albu- men, and a large number of hyaline casts, The physical signs over the chest remain