146
Date.
1882.
20th Aug.
4 P.M.
21st Aug. .
4 P.M.
Aug. 22nd .
12 noon ...
4 P.M.
8 P.M.
23rd Aug.,
7 A.M.
Symptoms.
tion cooing sound followed by coarse
crepitation in front of the chest below
the right clavicle ; also dry sounds on
the left side and on the back are audi-
ble. He is deaf and delirious, so could
not give any previous history of his
sickness. But his friends state that he
has been suffering from fever for the
last 15 days. Takes fluid nourishment
now and then only.
Temperature 99 6°. Pulse 108. Respira-
tion 44. He was delirious and restless
last night; purged twice during the night
but not since this morning. The stools
are not seen. The tongue is clean and
moist at the edges and tip, and behind
it is slightly covered with a white fur.
The tenderness on the abdomen and
tympanites are much the same.
Temperature 100 6° ; pulse 116, very weak.
Temperature 99 4°; pulse 106; respiration,
42. Slept a little during the night ; he
is still delirious ; the tongue is much the
same. Bowels moved once during the
night. The tenderness in the right
iliac region is just the same. The cough
is less, sputa scanty. Appetite is just
the same.
Temperature 103°; pulse 124, weak; purged
once, the stool watery and of a pea-soup
colour.
Temperature 101°; pulse 120; respiration
42. Slept for some time during the night.
Tongue is clean at the edges, and coated
and dry behind. Bowels moved once
this morning in bed and passed his
water. Says that the tenderness in the
right iliac region is a little less. The
cough is also less, sputa scanty, appetite
just the same; only asks for tea and rice
conjee ; says that he feels a little better
this morning. Complains of thirst.
Temperature 102 8°; pulse 120; purged
once; stool was of the same character.
Temperature 103 2°; pulse 124, weak; purg-
ed twice since 12 o'clock. Has taken
sago congee and milk. Tenderness is
just the same with tympanites. The
stool is liquid and of a pea-soup colour.
Temperature 101 8°; pulse 120.
Temperature 99 0°; pulse 120, very weak ;
respiration 44. He was delirious last
night. Bowels moved twice. The
stools are liquid and of a pea-soup colour.
Complains of pain in the abdomen.
The tenderness on the abdomen is just
the same, but tympanites is some-
what less. His pupils are dilated. The
tongue is clean and slightly moist. The
Prescriptions.
Large linseed poultice on
the abdomen.
Cont. mist. spt. vin.
gallici oz. 1. every 2nd
hour (6 doses).
Cont. poultice thrice daily
to the abdomen and to
the chest.
Cont. ext. carnis.
Warm water enema now.
Cont. brandy mixture 8
ozs., oz. 1. every3rd hour.
Cont. poultice.
E.
Quinine sulphas grs. 3.
Acid phosphoric dil. ms. 5.
Aqua
do.
oz. 1.
now.
R.
Mist. expectorans ozs. 1.
occasionally (4 doses).
R.
Potass chloras. dr. 1.
Aqua
pt. 1.
for drink with syrup q.5.
01. terebinthin dr. 3.
Yolk of an egg 1.
Aqua cinamonii ozs. 6.
M.ft. 1/6th part every 4th
hour.
Cont. stimulant mixt.
Cont. mixt. expectorans.
Cont. poultice.
R.
Brandy
. . oz. ½.
Aqua
... oz. 1.
Sugar
... q. 5.
M.ft. oz. 1½ every 2nd
hour.
Cont. brandy.
Cont. turpentine mixture
every 6th hour (4 doses).
Cont. enemata.
Diet.
Milk pt. 1.
Sago con-
jee pt. 1.
Tea pts. 2.
Milk pts. 2.
Sago con-
jee pt. 1
Tea pts. 2