124
"2/17th Regiment.
Regimental No. 2350.
Age last birth day.—27 years.
Station.—Asirgarh.
Name.— Private Edward Stamp.
Completed years of service.—5 years.
Time on the Station.—1 month.
Disease—'ENTERIC FEVER'.
Arrived with the Regiment from England in November 1876 ; admitted, December 16th,
with strong febrile symptoms ; pulse very full; tongue foul; complained of pain in the chest for
which a mustard plaster was ordered, and as his bowels were confined, the following draught
was given :—
O1.
Ricini
Drachms 3
Tinct.
Rhei
"
2
Aq. Menth Pip.
...Ounce
1 m.ft. stat.
Lime juice
Evening.
He was very thirsty and the lime juice was ordered as in extra column. Bowels open. To
have the following :—
E. Pulv. Doveri...
... Grains 7
Calomel
"
3
P. Jacobi Ver
"
6 m.ft. h.s.s.
(Signed) J. T. SHORTT, Surgeon Major, A. M. D.
December 17th, 2nd
day.
Next morning he seemed a little better, but there was still a good deal of fever. Pulse
108. Tongue foul and dry. Considerable heat of skin. To have P. Dov. grs. 3., p. Jacobi
grs. 3, calomel gr. 1½ m.ft. every 3 hours. Ordered also to have a warm bath, and as his
thirst continues, to have cream of tartar drink.
Diet L. M.
December 18th, 3rd
day.
Diet L. M.
December 19th, 4th
day.
Slight improvement. Pulse 100. Temperature 99°. Tongue still foul; slept badly last
night; continues the powders as ordered yesterday 1 ter die and also continues the drink
in the evening; he was ordered to have 3 grs. of sulph. quinia to morrow morning also.
Not better; had quinia last night and it seems to have had no beneficial effect on him;
his skin is hot and dry; he has had rather a bad night. Quinia grs. 3. to be repeated thrice
and cream of tartar drink.
Evening.
Omit quinia, habeat pulveres. P. Doveri grs. 7, p. Jacobi grs. 3, calomel grs. 3. m.ft
h.s.s.
December 20th, 5th
day.
Not any improvement. Temperature at 7 15 A.M. 100°. Slept pretty well last night;
feels no pain. Pulse 100 ; skin moist and apparently not too hot; takes his food pretty well ;
still very thirsty; tongue foul. To have—
P. Doveri
... Grains. 3
P. Jacobi
... " 3
Calomel
...Grain 1½ m.ft.
auch a powder every 4 hours.
Evening 5.
December 21st, 6th
Day.
Diet L. M.
Wine 4 oz., B. T.
2 pts.
Not any improvement. Pulse 102; temperature 102 6°; tongue foul and rather dry ; no
pain or soreness in abdomen.
Bowels confined now for 3 days. To have the following mixture :—
Sulph. Magnes
... Ounce. 1
Liq. Ammon. Acet. ...
"
1
Pot. Nitrat
Scruples 2
" Chlorat ...
. .
"
2
Tint. Hyosyami
... Drachms 2
Aqae. Camphoree ad 10 ozs. m.ft.
1 oz. 2ndis. horis.
Temperature 103 2° at 7 15 this morning. Pulse 104. No tenderness of bowels ; no pain in
head or chest; skin moist but hot; takes food well.
December 27th, 7th
day.
Diet L. M.
Wine 4 ozs., B. T.
2 pts.
Evening.
Last evening temperature was 104° at 5 P.M. ; bowels had been opened twice, and the
patient seemed a little better. This morning temperature is 104°, so that it seems there is no
remission; his strength seems to keep up very well; takes food well; bowels not tender; con
tmues saline mixt. every 4 hours instead of 2.
Dr. Wilkins visited him with me this evening; temperature 105° at 5 P.M. ; no pain in
bowels or elsewhere; tongue foul but moist and creamy; pulse 112; skin moist; bowels had
been opened again during the day, so the saline mixture was discontinued and the following
powder given :—
P. Doveri
... Grains 4
Quinia
"
4 m.ft.
December 23rd, 8th
day.
L M.
Wine 4 ozs, B. T.
2 pts.
December
24th,
9th day,
Diet L. M.
B. T. 3 pts.,
Wine 6 oza,
Seems better this morning; temperature lower for the first time—103 5° ; pulse 102 ;
slept well but his bowels are rather tender. He attributes this to his having drank too
much water during the evening ; skin moist and seems cooler; tongue creamy. Ordered
quinine grs. 3, acid nit mur. dil. ms. 5, aquæ oz. 1 m.ft. every 4 hours.
Last evening the temperature had risen again to 104°: pulse 118 and weak. The patient
was very weak and restless. P. Doveri grs. 5 was given and the quinia stopped for the
night. One watery stool was passed during the day, so as bowels seemed to be sufficiently
opened the cream of tartar drink was stopped and gruel and tea substituted as
drinks.