142
History fifteen days previous to admission into hospital.
Habits.—Temperate.
Oaste.—Hindu, bub meat-eafcer. He was always to be seen in the lines when not on
duty and messed with two others living in the same hut with him. Was never known to
have gone out shikaring or fishing or dining out with others, but used to bathe in the
river every day.
Age.—22 years.
Physique.—Fair.
Was in hospital very seldom and not for six months previous to this admission.
Length of service.—Three years.
As he reported himself sick on 27th March the previous history has been traced up to
12th March.
12th March.—Was not on any duty and was in the lines whole day.
13th March.—Was on Police-guard close to the lines whole day.
14th March.—Not on duty, but in the lines.
15th March.—Attended the Commanding Officer's parade as usual in the morning; no
other duty.
16th March.—Was with the working party for an hour or two in the Regimental
garden, which is close to the lines. There is a well in the garden, but on inquiry there wag
nothing to show that he drank water from that well, for all those who were working with
him did not see him drinking water there.
17th March.—Was present at Commanding Officer's inspection in the morning.
18th March.—Being not on duty was in the lines whole day.
19th March.—Attended Commanding Officer's parade as usual.
20th March.—
Do.
do.
21st March.—Was on duty at the Quarter-guard whole day.
22nd March.—Was in the lines.
23rd March. —
Do.
24th March.—Attended Commanding Officer's parade as usual.
25th March.—Was on Police-guard.
26th March.—Was with the working party pitching tents in the lines.
27th March.—Reported himself sick this morning in hospital, but as it is necessary to
guard against deception, I generally only admit those patients with fever who show a rise
in temperature by thermometer; and as in this case the thermometer only stood at 98 4, I
sent him back with instructions to come back at the time when he had actually fever on.
28th March.—Though he was in the lines the whole day, being not on duty, he did not
go back to hospital, but I believe he had no attack of fever, for if he had, he would have cer-
tainly done so, but did so the next morning (29th March), stating that he got fever last night
(28th March).
29th March.—Thermometer in the axilla registered 102 2° and he was admitted.
Evening temperature was 102 8°.
30th March.—Bowels moved twice yesterday; complains of slight headache; tongue
furred but moist; no pain in the abdomen. Temperature at 6 A.M. 99 2°; temperature at 6 P.M
102 4°.
It should be admitted that the diagnosis was ague.
31st March.—Bowels moved five times yesterday. Morning temperature 100 6°, evening
102-4°.
Treatment was diaphoretics and cinchona alkaloids.
1st April.—Did not sleep last night; bowels moved four times.
2nd April.—Bowels moved five times yesterday, on looking at the stool this morning
which he had passed I was struck with the colour and it was exactly like pea-soup, which
threw doubt in my mind as to the nature of the disease, and I commenced examining the
abdomen and there was tenderness over the right iliac fossa but no gurgling. Tongue was
red at the tip and furred in the centre. I ordered turpentine ins. 5 with a little sugar and
water every 3 hours. As I send the chart along with this I do not see the necessity of
writing temperature here. The temperature shown in the chart was always taken at 6 A.M.
and 6 P.M.
3rd April.—Bowels moved four times during the day yesterday and twice during
night. Pulse 115. Ordered potass bromide and chloral hydras at bed time.
4th April.—Bowels moved five times during day and four times during night. Ordered
acid hydroch. dil. ms. 20, tinct. digitalis ins. 10, aquæ oz. 1, every 3 hours.