Clinical records from the Glasgow Royal Infirmary / by Geo. S. Middleton.

  • Middleton, George S.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Clinical records from the Glasgow Royal Infirmary / by Geo. S. Middleton. Source: Wellcome Collection.

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    admission, and which has been troubling him almost con- tinually since up to the present time. “Dismissed 1st May.” During his residence in the Western Infirmary his tempera- tures, taken twice daily, varied from 97° to 99°, but were generally just a little below or above 98°. His urine was somewhat variable in quantity, giving a minimum of 32 ounces and a maximum of 64 ounces. Ten consecutive days, taken at random in each of the months January, February, March, and April, gave as the average daily quantity 54, 44, 56, and 50 ounces. The urea appears to have been estimated on only one occasion, 29th January, when, in 54 ounces, there were 492 grains. As stated in the above report, albumen was noted on several occasions, and also a few tube-casts were seen. Judging from what I have seen of him since his admission to my ward, I should say that the urinary condition is much as it was, and the diagnosis of ordinary chronic Bright’s disease is probably somewhat doubtful. Since he left the Western Infirmary he has never been able to do any work at his trade, that of an iron-moulder, but up till two years ago, with the assistance of his wife, he carried on a small shop. After his wife’s death, in 1892, he gave the shop up, as, even with the assistance of his daughter, he was unable to carry it on. About four years ago, he became unable to walk without the assistance of a stick, and about the end of 1892 he had to replace the stick by a pair of crutches. Since October, 1893, he has been quite unable to walk, even with his crutches, and has been mostly confined to bed. During the past nine years his chief complaint has been of weakness, special symptoms not having been at all marked. Prior to his admission to the Western Infirmary, he suffered frequently from headaches, which he says is common among moulders from their stooping at their work. Along with headaches he frequently had epistaxis while engaged at his work. Since he gave up work as a moulder he has had no headache to speak of. Of other pains, such as those in the back which he formerly complained of, he has had very little