NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
during the 6 years, 1877—1882, and the Ratios per 1,000 of aggregate average Annual Strength.
No.
1
2
3
4
5
6
7
8
0
10
11
12
13
14
15
16
17
18
19
20
21
22
Stations.
Karáchi
Ghizree
Hyderabad
Bombay
Baroda
Ahmedabad
Deesa
Mount Abu
Tárágarh
Nasirabad
Neemuch
Indore
Mhow
Asirghur
Abmednagar
Purandhar
Wanowri ...
Poona
Kirkee
Khandála
Sátára
Kolhápur
Belgaum
...
Presidency ...
Aggregate
average
Annual
Strength.
3,768
268
1,293
2,772
896
497
1,927
386
161
2,937
1,701
529
5,925
520
1,633
653
4,976
4,845
638
203
908
57
4,191
41,684
Cholera.
A.
1
...
...
2
...
...
...
...
15
16
7
3
3
...
9
5
...
1
1
63
D.
1
...
...
1
...
...
...
14
14
6
3
2
...
6
5
...
...
1
53
Enteric Fever.
A.
22
2
10
2
4
8
3
1
36
8
4
25
7
3
4
11
5
3
10
168
D.
15
2
9
1
3
4
...
1
24
2
1
16
3
2
2
7
4
...
7
103
All Fevers
except Enteric.
A.
6,188
353
1,225
2,881
1,594
555
1,101
405
179
2,056
2,946
494
6,259
599
1,328
497
1,755
3,635
709
156
587
44
2,387
37,913
D.
19
2
1
3
1
2
4
...
...
9
5
1
1
2
2
3
6
...
2
1
...
1
65
Dysentery.
A.
195
31
27
113
38
4
33
13
21
109
27
8
65
2
114
7
41
88
15
22
21
3
75
1,072
D.
15
4
...
13
1
...
...
1
1
...
3
...
1
...
5
...
1
1
...
1
1
...
...
48
Diarrhoœa.
A.
434
36
36
204
97
33
106
26
21
195
226
44
276
23
87
34
156
273
30
12
27
...
181
2,557
D.
1
1
...
1
...
...
...
...
...
1
...
...
...
...
...
...
...
5
...
...
...
...
9
All Causes.
A.
9,330
664
2,099
5,459
2,842
1,013
2,508
713
409
4,821
4,594
1,223
12,037
1,034
3,213
1,252
4,378
6,464
1,212
347
1,665
89
5,517
72,883
D.
91
16
11
61
15
16
25
5
5
75
34
11
59
6
27
6
19
34
8
3
6
1
32
566
Cholera.
A.
0.3
...
...
...
2.2
...
...
...
...
5.1
9.4
13.3
0.5
1.8
...
1.8
1.0
...
1.1
0.2
1.5
D.
0.3
...
...
...
1.1
...
...
...
...
4.8
8.2
11.3
0.5
1.2
...
1.2
1.0
...
...
0.2
1.3
RATIO PER 1,000 ON ANNUAL AVERAGE STRENGTH.
Enteric Fever.
A.
5.8
7.5
...
3.6
2.2
8.0
4.1
7.8
6.0
12.3
47
7.6
4.2
4.3
4.6
0.8
2.3
7.8
33
2.4
4.0
D.
4.0
7.5
...
3.2
1.1
6.0
2.1
...
6.0
8.2
1.2
1.9
27
1.8
3.1
0.4
1.4
6.3
...
1.7
2.5
All Fevers
except Enteric.
A.
1,642.3
1,317.2
947.4
1,039.3
1,779.0
1,116.7
571.4
1,049.2
1,111.8
700.3
1,731.9
933.8
1,056.4
1,130.2
813.2
761.1
352.7
750.2
1,111.3
673.3
647.2
771.9
569.6
909.5
D.
5.0
7.5
0.8
1.1
1.1
4.0
2.1
...
...
31
2.9
1.9
2.2
...
1.2
3.1
0.6
1.2
...
9.9
1.1
...
0.2
1.5
Dysentery.
A.
51.8
115.7
20.9
40.7
42.4
8.0
171
337
130.4
37.1
15.9
15.1
11.0
3.8
69.8
10.3
8.2
18.2
23.5
108.9
23.1
52.6.
17.9
25.7
D.
4.0
14.9
...
4.7
1.1
...
...
2.6
6.0
...
1.8
...
0.2
...
3.0
...
0.2
0.2
...
4.9
11
...
1.7
Diarrhœa.
A.
115.2
134.3
27.8
73.2
108.3
66.4
55.0
67.4
139.4
66.4
132.9
83.2
41.6
43.4
533
52.1
31.4
56.3
47.0
59.4
29.8
...
43.2
6V3
D.
03
3.7
...
0.2
...
...
...
...
...
0.3
...
...
...
...
...
...
...
1.0
...
...
...
0.2
All Causes.
A.
2,476.1
2,477.6
1,623.4
1,969.3
3,171.9
2,038.2
1,301.5
1,847.1
2,913.0
1,641.5
2,700.8
2,310.0
2,031.6
1,950.9
1,967.5
1,917.3
879.8
1,331.2
1,899.6
1,717.8
1,835.8
1,561.4
1,316.4
1,748.5
D.
24.2
59.7
8.5
22.0
16.7
32.2
130
12.9
31.1
25.5
200
20.8
10.0
11.3
16.5
9.2
3.8
70
12.5
14.8
6.6
17.5
7.6
136
B 357.30
119
Africa and had accompanied it to India, his opinion that the disease was pneumonia
remained unaltered.
The death has been entered by the Statistical Officer with the Government
of India as having been caused by enteric fever.
"Regimental No. 1930.
Age last birth day.—23 years.
Station.— Mhow.
Name.—Private Ben Hands.
Completed years of service.—3 years.
Time on the Station.—2 days.
Day of Month.
1879.
21st Nov.
22ad Nov. .
23rd Nor. ..
21th Nov. ..
25th Nov. ..
Particulars of Case and Prescriptions.
Disease.—' REMITTENT FEVER'.
Was admitted on the 15th November
1879 with the above. His temperature has
been steadily rising since admission, and
it is now 103° ; pulse 85; tongue clean
at the edges with fur in the middle.
The attack probably originated in South
Africa, as patient states that he suffered
from it soon after embarking. Treatment
has been quinine grs. 10 daily and dia-
phoretics three times daily.
(Signed) A. ANDErSON, Surgeon Major,
Army Medical Department.
He feels somewhat better. Morning tem-
perature under 108°, evening over 103°.
Treatment after morning visit yesterday
was quinine grs. 10 and Warburg's
tinct. drachs. 2 three times.
Had also a hot bath which for a time
lowered temperature.
Complained of cough yesterday for
which expectorants were ordered and a
sinapism to chest; had also the usual
dose of quinine ; not feeling BO well to-
day, states that cough is more trouble-
some ; on examination found there was
crepitation of the right lung with
dulness on percussion. Ordered the
constant application of jacket poultices
to the right lung and mixt. expect.
with amm. carb. grs. 5 every four or five
hours. Ordered also dry cupping. Morn-
ing temperature 103 2°; pulse 98,
tongue fair.
Much worse to day, both lungs being
now congested. Countenance is blue and
his breathing is difficult. Temperature
104 2° at 7 A.M.; pulse 102; tongue much in
the same state as yesterday ; sputa are
not yet tinged with blood.
Treatment.—Poultices are constantly be-
ing applied. The mixture for the pre-
sent to be discontinued.
Much in the same state as yesterday. Tem-
perature yesterday at 7 P.M. 104 6°, at 7
A.M. to day 103 4°; pulse 100 ; tongue re-
mains unaltered. On examination heard
distinctly cooing rales all over chest
with moist crepitation at the base of
both lungs, chiefly on the right. There
are well marked rose coloured spots on
abdomen, with tenderness on pressure
over the right iliac region. Bowels dur-
ing the last 24 hours were moved seven
times. Ordered ol. terebinth ms. 15
with mucilage three times daily. A
blister to be applied to base of right
lung and the poultices to be continued.
Diet.
L. M. ...
L. M.
L. M. ...
L. M. ..
L. M. ...
Extras.
4 Ozs. Brandy.
2 Pts. Milk.
4 Eggs.
2 Bottles Soda.
3 Ozs. Lime juice.
4 Eggs.
2 Pts. Milk.
6 Ozs. Brandy.
2 Ozs. Sugar.
1 Pt. Beef Tea.
'
4 Eggs.
2 Pts. Milk.
6 Ozs. Brandy.
2 Ozs. Sugar.
1 Pt. Beef Tea.
5 Eggs.
2 Pts. Milk.
6 Ozs. Brandy.
2 Ozs. Sugar.
,
120
Day of Month.
1879.
26th Nov.
27th Nov. ..
28th Nov. .
29th Nov.
30th Nov
1st Dec. ...
2nd Dec. ...
3rd Dec ...
4th Dec .
5th Dec ..
Particulars of Case and Prescriptions.
Somewhat better. Ordered ol.. tere
binth to be increased to 20 minims
every four hours. Poultices to be con-
tinued. Ordered also the inhaler to
be used.
Not so well; was delirious during the
night, and tongue is getting dry. Coo-
ing rales are to be heard distinctly all
over the chest, but no dulness now on
percussion ; passed a large quantity of
blood yesterday once.
Last night had two healthy stools. Tem
perature last evening rose to 105°, to day
(7 A.M.) 104 2°; pulse 100.
Temperature is lowering gradually (103·4°a
t 7 A. M.), but his condition in other
respects is not so good. Tongue is now
typhoid in character and he continues to
pass blood. Treatment to be continued.
Much worse this morning ; is the subject
of low muttering delirium. Sordes
collecting on lips, tongue and teeth.
Pulse weak and frequent (108). In ad-
dition to the treatment ordered yester
day he is to have amm. carb. grs. 5
three times daily and a sedative draught
at bed time.
Worse if anything. Treatment to be simi
lar to that of yesterday.
Much better in every respect. Tempera
ture at 7 A.M. 101·4°. Bowels have not been
moved at all. The draught liq. morph.
hydrochlor. min. 30 acted very well.
Not so well. Temperature rose last night to
103°, tod ay at 7 A M. 102°. Ordered
quinine grs. 5. to be given with the
amm. carb. three times daily. The tur
pentine applications, &c., to be continued.
His breathing is somewhat more difficult
and pulse is weaker. Temperature
however continues to decline. Treatment
to be continued with the exception of
the draught.
Somewhat better; changed treatment
to have the following : Amm. carb. grs
8, infus. seneg. oz. 1, aq. oz. 1.
every 4 hours. Ordered also spongio
piline to be applied to chest and back
with lin. camph. co. sprinkled on it
Temperature is normal.
Improving. Ordered a simple enems
as it is now over two days since bowels
have been moved. Remainder of treat.
ment to be continued. Temperature is
normal ; pulse 104 sordes not collecting
so much.
Diet.
L. M. ...
L. M. ..
L. M. ...
L. M.
L. M. ..
L. M. ...
L. M. ..
L. M.
L. M.
L.M. ..
Extras.
6 Eggs.
2 Pts. Milk.
6 Ozs. Brandy
2 Ozs. Sugar.
Ditto.
6 Eggs.
2 Pts. Milk.
8 Ozs. Brandy.
2 Ozs. Sugar.
Ditto.
Ditto.
Ditto.
Ditto.
Ditto.
6 Eggs.
2 Pts. Milk.
4 Ozs. Brandy.
2 Ozs. Sugar.
6 Eggs.
2 Pts. Milk.
6 Ozs. Brandy.
2 Ozs. Sugar.
RECORDS OF TEMPERATURE, PULSE AND RESPIRATION.
Regiment – 17 Lancers, Regimental No. 1930, Rank and Name Private B. Hands, age 23, service 3 years, Station Mhow.
Disease – Remittent Fever, Date of Attack 15-11-79, Result Died, Date of Result 30-12-79.
B. 357.
Govt. Photozinco: Office, Poona 1883.
121
Day of Month.
1879,
6th Dec. ...
7th Dec. ...
8th Dec. ...
9th Dec. ...
10th Dec. ...
11th Dec....
13th Dec....
14th Dec....
15th Dec.
16th Dec...
17th Dec...
18th Dec....
Particulars of Case and Prescriptions.
Doing well. The above treatment to be
continued and to have also this morn-
ing quinine grs. 8.
Not so well. Treatment to be continu-
ed. Ordered also a sedative draught at
bed time.
Much worse this morning. Temperature
at 7 A.M. 101 6°. Pulse weak and frequent,
numbers 108. He is delirious occasion-
ally and tongue is becoming more tre-
mulous. Treatment to be continued.
Last evening temperature rose to 103 2°;
this morning his temperature is nor-
mal and he is in every respect very
much better. Ordered spiritus ætheris
min. 30 to be added to each dose of the
carb. am. and senega mixt. The qui-
nine to be continued. Ordered also the
inhaler to be used.
Doing fairly. Bowels have not been moved
for 2 days. Ordered a simple enema.
Not so well ; has contracted a fresh cold
Slight dulness on percussion of the right
lung, and large moist rales to be dis-
tinctly heard ; in both sputa are tinged
with blood. The treatment with the
exception of the quinine to be continued
The enema ordered yesterday acted well
Temperature last evening 101 8°., this
morning 100°.
Very little change since last entry
Temperature last evening 101 6° at 6
A.M., to day 99 6°. Tongue is dry, but
no sordes collecting. Mixt. quinine and
applications to be continued.
Temperature last evening rose to 103 6°T
reatment to be continued ; 10 grs.
quinine were yesterday administered
morning and evening. To be repeated
to day.
Improving somewhat.
The dulness on precussion of the right
lung is more marked than it was. Ordered
the constant application of poultices
instead of the spongio piline. Mixt.
quinine, &c., to be discontinued. Tem-
perature this morning 102°.
Somewhat better. Perspired a good deal
and is expectorating freely. Temperature
last evening 102 6° at 6 A.M., to day
100 6°; no change in treatment.
Improving slightly. He continues to
perspire freely and states that he is
feeling much better. Temperature at 7
A.M. 100 4°.
Diet.
L.M. ...
L. M. ...
L. M. ...
L. M. ...
L. M. ...
L. M. ..
L. M. ..
L. M. ..
L. M. ..
B. B. ..
Extras.
6 Eggs.
2 Pts. Milk.
6 Ozs. Brandy.
2 Ozs. Sugar.
6 Eggs.
2 Pts. Milk.
2 Ozs. Brandy.
2 Ozs. Sugar.
Ditto.
1 Pt. Champagne.
6 Eggs.
3 Pts. Milk.
6 Ozs. Brandy.
2 Ozs. Sugar.
2 Lbs. Ice.
1 Pt. Champagne.
Ditto.
Brandy 2 Oz. less than
the above.
Ditto.
Ditto.
Ditto.
6 Eggs.
3 Pts. Milk.
4 Ozs. Brandy.
2 Ozs. Sugar.
4 Lbs. Ice.
1 Pt. Champagne.
6 Eggs.
4 Pts. Milk.
4 Ozs. Brandy.
2 Ozs. Sugar.
4 Lbs. Ice.
1 Pint Champagne.
B 357—31
122
Day of Month.
1879.
19th Dec....
20th Dec...
21st Dec...
22nd Dec...
23rd Dec...
24th Dec ..
25th Dec...
26th Dec...
27th Dec...
28th Dec...
29th Dec...
30th Dec..
Particulars of Case and Prescriptions.
Ordered a simple enema as bowels were
confined. Treatment to be continued.
Improving. Changed champagne to por-
ter at his own request.
Improving steadily. Morning and evening
temperature yesterday 100 2°. Tempera-
ture this morning 99°. Ordered quinine
grs. 5 morning and evening. Poultices
to be continued.
Continues to improve
To continue treatment. Doing well
Doing well
Idem ...
Somewhat feverish. To continue treat-
ment.
Temperature yesterday at 4 P.M. rose to
104°, this morning at 7 A.M. 98 4°. Or-
dered an expectorant three times during
the day and sinapisms to chest.
Quinine to be continued.
Large crepitation is still to be heard all
over chest. He is however very much
better in every respect. The expect. and
quinine to be continued. Ordered also
the inhaler to be used and spongio piline
to be applied instead of the poultices.
Not so well ; he had several attacks of
very severe coughing ; feels weak in
consequence. Treatment to be continued
He is expectorating plenty of pus, which
has a very offensive odour.
Much weaker this morning and is unable
te expectorate freely. Pulse is weak and
frequent and numbers 124. Temperature
much the same as it has been during the
last few days, at 7 A.M. 100 8°.
Died at 8 30 A.M.
(Signed) A. ANDEKSON, Surgeon Major.
Post mortem Appearances
(7 hours after death).
Body was emaciated and there was very
little rigor mortis.
Lungs.—Found the apices of both lung
hepatized and the lower half of the right
in a state of purulent infiltration, adheren
behind. On tearing through the adhe
sions the lung was broken into and a
cavity exposed, from which over a pint
of pus escaped. The bronchial tubes
small and large, contained frothy mucus
throughout.
Diet.
B. T. ...
B. T. ...
B. T. ...
B. T. ...
B. T. ...
B. T. ...
B. T. ...
B. T. ...
B. T. ...
B. T. ...
B. T. ...
Extras.
6 Eggs.
4 Pts. Milk.
4 Ozs. Brandy.
2 Ozs. Sugar.
1 Pt. Porter.
4 Lbs. Ice.
Ditto.
Ditto.
Ditto.
Ditto.
Ditto.
Ditto.
Ditto.
Changed Porter to Cham-
pagne.
Ditto.
1 Pt. Champagne,
6 Eggs.
4 Pts. Milk.
4 Ozs. Brandy.
2 ozs. Sugar.
4 Lbs. Ice.
Ditto.
,
123
Day of Month.
Particulars of Case and Prescriptions.
Post mortem Appearences — continued.
Liver and Spleen were both congested
and enlarged.
Kidneys. — Congested.
Intestines. — Ulcers were found near the
ileo ceecal valve and for some distance
up the ileum in various stages, the
majority being in a state of cicatrization.
There were no entozoa.
(Sd.) A. ANDERSON, Surgeon Major,
Army Medical Department.
'True Copy.'
A. ROBINSON, Surgeon Major,
Army Medical Department.
No. III. District
Mhow, 26th September 1882.
N.B. — This man embarked from South Africa, 19th
October 1879 ; arrived in India, 14th November
1879 ; enjoyed good health in South Atrica and
during the voyage ; first taken ill on day of disem
barkation at Bombay.
This man's disease was changed to pneumonia three
days before his death."
Diet.
Extras.
The next case is that of Private Stamp of the 2/17th Regiment, for which
I am indebted to Surgeon Quill, A. M. D. It is of great interest as the only case
of enteric fever which has been known to have occurred at the fortress of Asirgarh.
The only information I can learn is that the Regiment arrived in Bombay
harbour on November 7th, 1876, landed next day the 8th, and left Bombay for
Devláli the same evening; left Devláli on 10th and 11th; left Khundwa for
Mhow 12th and 13th.
The deceased probably got out of the train at Chandni Station before reaching
Khundwa. He was attacked with fever on December 16th, one month after
arrival at Asirgarh.
The Medical Officer says this was an obscure case, and I agree with him
During life and even after the post mortem examination the disease was considered
to be simple continued fever, but was changed to enteric fever because a few
small circular ulcers, which were very small and shallow and not surrounded
by vascularity or congestion, were found in the ileum about a foot or 18 inches
from the cæcum. Peyer's patches were neither indurated or inflamed. Was this
a case of specific enteric fever ? I very much doubt it. If it was, it is most satis-
factory to observe that the germ, or contagium, died apparently with the patient,
for during the six years that have followed not a single case has subsequently
taken place, although there have always been some men in the detachment pre-
disposed to enteric fever by young age and recent arrival; and the interesting
problem arises, Why has it not appeared ? I cannot help thinking that the
isolated position of the fortress, the great care taken in its sanitary arrangements,
the absence of a Sadár Bázár, the exceptional method of the disposal of night soil,
have a great deal to do with the exemption.
RECORDS OF TEMPERATURE, PULSE AND RESPIRATION.
Regiment 2/17, Regimental No. 2350. Rank and Name Private Edw. Stamp, Age 27 years, Service 5 years, Station Asirgarh.
Disease – Enteric Fever, Date of Attack 16-12-76, Result Died, Date of Result 31-12-76, Case Book No ........, Folio 94.
B. 357. Govt. Photozinco: Office, Poona 1883.
RECORDS OF TEMPERATURE, PULSE AND RESPIRATION.
Regiment 2 nd B. N. S., Regimental No. 1183, Rank and Name Private David Copeland, Age 23, Service 3, Station Karachi.
Disease - Remittent Fever, Date of Attack 6-11-81, Result Died, Date of Result 11-11-81, Case Book No. 1, Folio 82.
127
" Regimental No. 1183.
Age last birth day.—23 years.
Station.— Karáchi, S. D.
Name.—D. Copeland.
Completed years of service.—3 years.
Time on the Station.—1 year 2 months
Day of Month.
1881.
7th Nov...
10th Nov...
11th Nov ...
Vesper ...
Particulars of Case and Prescriptions.
Disease— 'REMITTENT FEVER'.
Admitted into hospital with febricnla; has
had several attacks since arrival in India
in 1880. He appears to have suddenly
got into a debilitated state ; tongue
brown and dry ; pulse weak and com-
pressible ; had large doses of quinine and
mixt. diaphoretic. Temperature 104°.
(Sd.) H. M. MACBETH, Surg. Major,
Army Medical Department.
No better this morning ; was delirious all
night ; tongue moist since taking the
brandy ; pulse 140, weak and compres-
sible ; skin moist and slightly clammy.
Mistura ammon. c æther sulphuric, blis-
ter to head. Appears very weak and
is quite unconscious ; pupils slightly di-
lated ; tongue dry ; temperature 102°.
Continue mist. ammon. c æther sulphuric
and pot. bromid. grs. 20. h.s.s.
Appears no better ; was very restless all
night ; took all his nourishment, still re-
mains unconscious and does not appear
to be easily roused from the collapsed
condition ; pulse 140 ; temperature rose
to 104 8°. Cont. mistura ammon. and
stimulants.
Appears sinking ; pulse 160 ; breathing
stertorous ; skin cold and clammy ; tem-
perature 105°; died comatose at 9 15 P.M.
(Sd.) H. M. MACBETH, Surgeon Major,
Army Medical Department.
Post mortem Appearances 10 hours
after death.
Body well nourished, rigor mortis well
marked.
Head. —The membranes of the brain were
abnormally congested. At one spot
opposite the junction of the parietal and
occipito parietal sutures there was a
considerable effusion of serum which
had partly become organized and caused
adhesions between the membranes.
Brain substance slightly congested,
choroid plexus much swollen and
distended. A small quantity of serum in
lateral ventricles.
Thorax.—Both lungs healthy, but exhibit-
ed hypostatic congestion posteriorly and
inferiorly.
Right Lung 16½ ozs., left 16 ozs.
Heart healthy, weight 11½ ozs.
Abdomen.—Liver enlarged but otherwise
healthy; weight 67 ozs.
Spleen very much enlarged, congested
and very friable ; weight 27 ozs.
Kidneys healthy, right 7 ozs., left 8 ozs.
The whole of the intestinal tract from the
pyloric orifice of the stomach to the rec-
tum was highly congested and in some
places of a dark purple colour. There was
no infiltration or ulceration of Peyer's
patches. Other glands normal. No en
tozoa were found.
(Sd.) H. M. MACBETH, Surgeon Major,
Army Medical Department."
Diet.
Low
L. M. ...
Tea
Extras.
Beef Tea 2 pts.
Milk 2 pts.
Brandy 2 ozs.
Eggs 2.
Lemonade 2 pts.
Beef Tea 2 pts.
Milk 2 pts.
Brandy 6 ozs.
Eggs 4.
Oranges 4.
Omit Lemonade. Extras
the same as on the 10th.
128
"Regimental No. 1162.
Age last birth-day.—21 years.
Station.—Karáchi.
Name.—Thomas Cleasby.
Completed years of service.—3 years.
Time on the Station.—10 months
Day of Mouth
1881.
June 22nd..
June 23rd,
7 AM.
June 24th
7 A.M
3 P.M.
5-30 P.M. ..
10-30 P.M .
Particulars of Case and Prescriptions,
Disease—'REMITTENT FEVER'.
This is the case of a man admitted into
hospital yesterday under observation
there being no marked symptoms at the
time; the temperature at 7 A.M. this
morning was found to be 100 6°; the
tongue was dry and white, its motion
tremulous; the pulse was rapid, 120 per
minute, but full and bounding; the face
was rather flushed and the body dry and
hot; the bowels were regular, and the
patient complained of a slight headache;
had 20 grams of quinine on admission
and to have 10 grains night and morning
and the wet sheet packing.
(Sd.) J. PERCIVAL HUNT, M.D., Surgeon,
Army Medical Department.
The temperature rose from 100 6°y
esterday morning to 105 4° in the
evening; the man has had the wet sheet
packing. Bach time it was used the
temperature fell slightly and at 6 P.M. it
was 104° P. This morning at 8 A.M. the
temperature is found 103° and the pa-
tient feels a little better; while in the
pack bath the skin acted freely. Ordered
to continue the quinine; he is drowsy
and constantly in sleep, from which,
however, he can easily be roused; he
anwers questions well, but appears
stupefied; there is considerable thirst;
there is no delirium. Consultation with
Dr. Macbeth at 7 A.M., 24th.
Morning temperature 103 6° but rapidly
rising, at 8 A.M. is 104°. Ordered 15 grains
of quinine at once and continued the
use of cold wet sheets in order to reduce
the temperature if possible.
Temperature 104 8°; the patient has pers-
pired freely; the tongue is slightly more
moist but white and creamy; there are
sordes on lips; he has had a slight deli-
rium in his sleep; he continues drowsy
but answers all questions well; has slight
headache; the pulse is good but slightly
flickering. Ordered frequent 2 drachm
doses of brandy and to have 15 grains of
quinine at once, and the use of the wet
sheets to be continued.
The patient has just been seen by Dr.
O'Sullivan who thinks he is much in the
same condition, but reports to me there
are no urgent symptoms or any that
point to a fatal termination.
Have just arrived at hospital and found the
man dead; he died at 10 15 P.M.; the tem-
perature rose at 9 P.M. to 106°, rapidly
leaving that point and reaching 108° at
9 30 P.M.
Diet.
L. M. ...
L. M. ...
L. M. ...
Extras.
Lemonade 4 pts.
Beef Tea 2 pts.
Lemonade 2 pts.
Barley water 2 pts.
Beef Tea 2 pts
Lemonade 2 pts.
Brandy 2 ozs
Regiment 98th Regimental No. 1162, Rank and Name Private Thomas Cleasby, Age 21, Service 3, Station Karachi.
Disease - Remittent Fever, Date of Attack 21-7-81, Result Died, Date of Result 24-7-81, Case Book No. 3, Folio 129.
B. 357. Govt. Photozinco: Office, Poona 1883.
129
Day of Month.
Particulars of Case and Prescriptions.
The fatal termination being on the 3rd
day of the disease.
(Sd.) J. PERCIVAL HUNT, M.D., Surgeon,
Army Medical Department.
Post-mortem Appearances 8 hours
after Death.
Body well nourished.
Brain.—Weight 3 lbs. 3 ozs., perfectly
healthy, no congestion on surface, vessels
of dura mater slightly congested, subs-
tance normal, ventricles in a normal
condition.
Thorax—Right Lung.—Weight 1 lb. 9
ozs. Hypostatio congestion of all poste-
rior surface.
Left Lung.—Numerous adhesions to costa
pleura. Both lungs otherwise healthy.
Heart.—Weight 11½ ozs., healthy but
flabby; valves and substance normal.
Abdomen—Liver.—Weight 4 lbs. 15 ozs.,
enlarged butno appearance of any abnor-
mal condition ; no reaction with iodine
Spleen.—Weight 1 lb. 13 ozs., enlarged,
soft and friable, adherent to capsule all
over the posterior surface ; no reaction
with iodine.
Kidneys—Eight and Left—5 and 6 ozs.
respectively. Perfectly healthy and nor-
mal ; no reaction with iodine.
Intestinal Canal.—Marked congestion
of the entire bowel ; for about 12 inches
in length and situated about 2 feet from
the anus, the color presented, both out
and inside the gut, a dark purple hue;
also considerable venous congestion;
no attempt at ulceration nor enlarge-
ment of the glands. Bowels otherwise
healthy. No entozoa present.
(Signed) J. P. HUNT, M.D., Surgeon,
Army Medical Department."
Diet.
Extras.
B 357—33