The Sun.
London, England, 1827-09-08 00:00:00

BROWN STOUT.

(Extract from the Lancet.)
ST. THOMAS'S HOSPITAL.—J. Smith, aged
61, a brewer's servant, of bloated and sottish ap-
pearance, was admitted into Isaac's Ward on the
18th of August, under the•care of Mr. Travers.
He stated, that three days before admission,
whilst at work, he -was attacked with pain in the
stomach and chest, and he felt as if swollen.
He was seen by a medical man, who gave him
some medicine that afforded him much relief,
but on the following day he found the right leg
to be cold, benumbed, and painful, and conti-
nuing in this state, he came to the hospital.
He readily acknOwledged that he had been in
the habit of drinking three quarts or more,
daily, of Calvert's stout : he was, in fact, the
very prototype of brown .stout in appearance.
On examining the right leg, it was found to be
very cold, and had a blue mottled appearance ;
the foot was cold ; the pulse at the wrist was
feeble, the breathing thick and difficult. Mr.
Travers not being at the hospital, Dr. Williams
saw the patient, and simply directed warmth to
the limb, with the exhibition of a small quantity
of port wine.
20th. To-day Mr. Travers saw the patient,
and found him with a livid countenance, and lips
of a purple colour ; the breathing, difficult, and
accompanied with a mucous rattle. The pulse
at the wrist and heart's beat, very feeble. The
whole of the right leg presented a dark appear-
ance, from the distention-of small subcutaneous
veins, and varicose enlargements here and there.
But the skin of the foot had a shining appear-
ance; it was much puffed and livid, in blotches,
at the same time cold and devoid of sensation.
On its sarface there were numerous small reins,
the blood in which was not coagulated, but
moved on pressure. The whole limb was very
painful, shooting and throbbing -violently ; there
was less pain felt in the toes than at first. Mr.
Travers directed half a pint of port wine daily,
and the following draught every four hours :
Carbonate of ammonia, six grains ;
Aromatic confection, one scruple;
Laudanum, five minima;
Infusion of cascarilla, ten drachms. Wit.
The limb to be wrapped in flannel, and a bottle
of hot water laid at the foot. Five grains of
rhubarb pill, and a like quantity of compound
extract of colocynth to be taken at night.
22d. Much the same. The numbness ex-
tends to about a hand's breadth above the ancle ;
the foot continues livid and very cold, and the
limb painful. The pulse very feeble, and bron-
chial affection unrelieved : the bowels relieved
freely yesterday morning. Ordered to repeat
the pills, and continue the draught.
24th. No amendment. He is very restless;
the appearance of the leg and ,foot is Inuch as
before. On the outer side of the foot there are
numerous small yellow vesicles. Ordered to take
a dose of castor oil, and the following draught,
every four hours, in lieu of the former :
Spirit of nitric tether, one draebm;
Laudanum, five minims;
Camphor mixture, ten drachms. mix. ---
The patient continued inuek illetaatne--sfuring
the following day, 25th, but expired itudiienly on
the 26th, early in the morning.
POST MORTXX IeXAMINATION.

This was conducted by Mr. Solly, on the iia",
after the patient's decease.
The lungs were found to be gorged. with
sed
blood, and the bronchial passages abounding in
viscid phlegm. There was a considerable quan-
tity of serum effused in each aide of the thorax,
but the lunge were in no part condeA ,
though it had existed lag : it therefore proba-
bly took place shortly before his death. In the
heart, the left ventricle was dilated, and some-
what thickened, and there was slight disease
about the mitral valve. The right side of the
heart was healthy. There were a few yellow
spots to be observed, here and there, beneath
the lining membrane of the aorta, but, consider-
ing the age of the patient, it might be regarded
as pretty free from disease. The vessels of the
right limb were carefully examined, and found t..r.
be healthy ; no deposition of mei& matter had
taken place in the arteries, as was anticipated.
At the commencement of the right eeternal iliac,
there was a rmall fleshy body attaehcd to its lin-
ing membrane by a peduncle. It appeared to
be a small piece of lymph, which had beeorue or'
ganised, but it was not of sufficient magnitude
to arrest the circulation through the vessel, al.
though it is particularly worthy of notice, that
to some extent above there was coagulated blood
in the vessels.

MEETINGS OF CREDITORS.
COUNTRY DlARY.—Tussoiv, Sm. 11.
Addis, J. Abergavenny—Angel, Abergavennyii
Ashton, E., Ashill, Somersetshire—George, Ilminster
Bell, T., Liverpool—Clarendon-buildings. Liverpool
Braithwaite, J., Leeds—Royal hotel, Birmingham
Bryce, D., Liverpool—Clarendon-buildings, Liverpool. .... . . I
Hs'gate' W., Stainton-Coles, Gargrave, Yorkshire—Golden
Lion, Settle ll
Isaac, N., Marshfield—White Hart, Bath
Lacon and Dale, Liverpool—Clarendon-buildings, Liverpool 1
Pasheller, C. and Co., Huntingdon—Fountain, Huntingdon LI
Partridge and Hancock, Kingewood, Wilts—Commerelal
room., Bristol. lt