Discovery of the cause, nature, cure and prevention of epidemic cholera / by M.L. Knapp.

  • Knapp, M. L. (Moses L.), 1799-1879.
Date:
1855
Catalogue details

Licence: Public Domain Mark

Credit: Discovery of the cause, nature, cure and prevention of epidemic cholera / by M.L. Knapp. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Case 17.—John Donohue, of middle age—admitted on Friday last—choleric symptoms mild from the first, and soon disappeared—at present there is a universally icteric state—tongue furred in the centre and pale laterally—gums very red and puffy—no mercurkil odor—no petechias on arms or legs—hack not inspected. Jaundice and scurvy are all that are visible, and the former is not more characterized by the pathognomony of the skin, than the latter of the gums. Case 18.—George Brandstatter, a German immigrant of about 50 years of age, just arrived in this country—admitted on yesterday—objective signs of scurvy very prominent in this patient’s mouth, as seen in the livid spongy gums, and pale flabby tongue—no petechise on arms or legs, back not inspected. This patient is vomiting and purging still, and is sinking rapidly into the stage of collapse—would be gra- tified to put him under the administration of the hot punch and hot soups, or the rational treatment, to staunch the hemorrhage and afford materials for new and healthy blood, but cannot interfere. I must here pay a merited tribute to the Choir Sisters who officiate in this hospital. One or other of the three, all evi dencing the highest order of intelligence, insists on accom- panying me at the bed of every patient, to give the history of the cases, uncover the limbs and back for inspection, and in every way facilitate my investigations. Case 19.—John Wheely, aged 21—a German immigrant just arrived—admitted on yesterday—still vomiting and purging—gums very red and puffy all over—tongue furred centrally and pale laterally—no petechise discernible. Case 20.—C. J. Smith, a young man from New York— admitted over a week since—he is now in the convalescent ward, having surmounted the hemorrhagic tendency of the disease that gives rise to vomiting and purging, yet is in no other s*ense cured—his gums are frightfully abnormal in ap- pearance—look as if beaten and bruised and puffed up from the injury—the tongue is clean and red, the mouth through- out modified by treatment—general appearance very ansemic. The dietary allowed the convalescents is milk and bread, and soups, with rice, but without succulent vegetables. This