125
Evening 6 p.m.
Extra Wine 3 ozs.
25th
December,
10th day.
3 p.m.
6 p.m.
He passed a quiet night, and slept a good deal. This morning his temperature is 102 5°,
but pulse rapid—120, but still pretty strong. No cough ; respiration easy ; tongue dry; sordes
thick and brown on lips and tongue. Quinia to be continued with acid as ordered yesterday.
More wine and beef tea ordered. Temperature 104°; pulse 130 ; respirations 36. To have p.
Doveri grs. 4 made with nit. pot. instead of sulph. pot. h.s.s.
Temperature 102 5° ; pulse 104; respirations 28. Slept for 4 or 5 hours last night; seems
much the same, though the pulse and temperature show that he is better. Ordered to have
the same amount of wine and beef tea as yesterday ; also the quinia grs. 3 and acid nit. mur.
dil. ms. 5 in water thrice daily; also to be sponged all over with tepid vinegar and water ;
takes his food well; no pain or tendernesss of abdomen, no spots, no diarrhœa; bowels opened
last at 8 30 A.M. on the 23rd, urine rather scanty, no albumen (pulse 104). Temperature 102 8°;
pulse 104; he was sponged all over with tepid vinegar at 12 to day; his temperature before
and after this operation was the same— 102 5°. Ordered same powder as last evening 4 grs.
26th December,
11th day.
L. M.
B. T. 3 pts.,
Wine 12 ozs.
Better this morning; temperature 101 8°; pulse 104; slept well for 8 or 9 hours last night;
tongue brown and dry; skin cool; no maculss and no diarrhoea; bowels not opened since 23rd
(A.M.). Some question as to propriety of enema, but decided to defer it, as there are no symp-
toms of its being necessary; urine plentiful, no albumen.
27th December,
12th day.
L. M.
B, T. 3 pts.,
Wine 12 ozs
Last evening temperature was 101 8°, same as in morning, and pulse was 104; was
sponged all over at noon with vinegar and water (tepid) and the temperature was unaltered
thereby; had 4 grs. of same powder as on last two nights.
This morning temperature 101°; pulse 104 ; tongue moister and not so brown; slept well
nearly all night; the bowels were moved while patient was in sound sleep; evacuations very
fluid, but do not look like blood ; this is the first motion for 86 hours; he says himself that,
he is better this morning; no maculœ; no headache or pain anywhere; tenderness of abdomen
but very slight. To have the acid and quinia as usual; to be sponged as before and to
have the juice of oranges. Temperature 103 6°; pulse good, 104; wandering in talk ; seems
weaker. To have no opiate powder at night.
Evening 5 p m.
9 p.m. 102 5°.
December
28th,
13th day.
L.M.
Wine 12 ozs.,
B. T. 3 pts.
Had a bad night; bowels twice moved involuntarily ; urine also passed in bed ; not the
evacuation of enteric fever ; merely the fibre of the beef tea; no maculœ; tongue is this morn-
ing moister and not so foul by any means ; head and hands tremulous; pulse 126 ; tempera-
ture 102°; has been troubled with cough all the early morning; no sputa. Ordered to have a
hot linseed poultice to chest and continue the nourishment and acid as before. On this
his temperature was 105°; pulse 130; no cough since linseed poultice was applied to
chest; he is undoubtedly weaker; bowels moved once, but he was quite aware of it, and called
for bed pan in time; motions seemed to be nothing but beef tea; no blood, and no maculæ;
tongue dry and brown. Ordered to have grs. 4 of same powder as before (Dover's powder
with nit. pot. instead of sulph potass).
Dec, 29th, 14th day.
L. M.
Wine 12 ozs., B. T.
3 pts.
6p.m.
This morning temperature 102 8°; pulse 130; has been more or less delirious all night
No sleep; not so now quite sensible; bowels not moved since yesterday; no spots; no
tenderness in abdomen or pain there or anywhere else; continues nourishment and acid and
quinia mixture. Temperature 104°; pulse 130.
December 30th, 15th
day.
L.M.
Wine 12 ozs., B. T.
3 pts.
Temperature 102°; pulse 104 and soft; had no sleep the orderlies say last night, but he
seems to me to be drowsy; bowels moved once between 11 and 12 last night; stool fluid, just
the beef tea altered by the stomach and bowels, no blood therein. There are no spots discer-
nible on his body; no tenderness of abdomen and no pains there or elsewhere. On the whole
I think he is a shade better to day. Yesterday at 9 A.M. he had a dose of 5 grs. of quinine
in addition to the 1½ gr. in his acid mixture, and at 6 P.M. 5 grs. were given him with 4 grs.
of the powder ipecac., opi., and nit. potass. He takes all his food well and it seems
to agree with him.
Ordered to have 6 grs. quinia at once with the acid mixture and to continue the nourish-
ment all day as before.
December 31st, 16tk
day.
L.M.
Wme 12 ozs., B. T.
3 pts.
Vesper 6 p.m.
January 1st.
Last evening at 5 P.M. his temperature 102 6°; pulse 104; had had no sleep all day; he was
ordered chloral hydrat. grs. 15. h.s.s.
Slept well all night; his temperature this morning is 103°; pulse 100 and soft and natural
To continue grs. 6 quinia ter die, and his food and wine as yesterday, that is, frequently.
Temperature 104 5°; pulse 120, weak; takes all food well; tongue brown and dry; no
chloral hydrat. to night.
He died last evening at 11 P.M. ; his attendants noticed him breathing rather fast and
in a few moments he had ceased to breathe.
Post mortem Examination held at 11 30 this day.
Body well nourished.
Lungs much congested and the larger passages were almost filled with frothy mucus ;
the posterior portion of both lungs was almost solidified and was of dark purple hue, so
intense was the congestion.
Pericardium contained a very small quantity of fluid.
Heart was pale and flabby and contained two clots of colourless fibrine, one at the aortic
valves, the other in the right ventricle; the valves were healthy,
Liver rather large but he \?\lthy, not congested; gall bladder full,
B 357—32