. The Boston medical and surgical journal. I was called to her, and found her humming toherself, in a semi-delirious way. Pulse irregular injection of morphine was given. January 30th, 18th day. Patient better. Tem-perature °; pulse 80; no vomiting. At night,temperature rose to 105°. I found her. however,perfectly comfortable, and with a good pulse at the first time I began to realize that the casemight be one of hysteria. I had never heard of simi-lar cases, and had been constantly searching for evi-dences of sepsis, or some acute inflammatory w
. The Boston medical and surgical journal. I was called to her, and found her humming toherself, in a semi-delirious way. Pulse irregular injection of morphine was given. January 30th, 18th day. Patient better. Tem-perature °; pulse 80; no vomiting. At night,temperature rose to 105°. I found her. however,perfectly comfortable, and with a good pulse at the first time I began to realize that the casemight be one of hysteria. I had never heard of simi-lar cases, and had been constantly searching for evi-dences of sepsis, or some acute inflammatory week passed with much the same temperature constantly reached 104° °. She complained of all sorts of it would be pain in the side ; then nausea andvomiting would recur. Again she would feel keendistress in urethra. Once or twice tfiere was a littlepus, with a trace of albumen in the urine, and blad-der epithelium under microscope ; no casts. Vol. CXXII, No. 24.] BOSTON MEDICAL AND SURGICAL JOURNAL. 577. February 6th, 25th day. To-day, in conversation Iwith a friend, the idea of washing out the uterus wasurged. It was stated that, notwithstanding the lackof evidence of sepsis, the procedure, nevertheless,might be followed by a fall of temperature. I hadconsidered it before, but had been loth to take thestep, as os was so small, and uterus so well , I followed the advice, and gave very care-fully a hot uterine injection of a bichloride solution1-4000. Great care was taken to introduce a benttube gently, and to observe that the fluid returnedfreely from the uterine cavity. Almost immediatelyshe complained of intense pain in the uterine region,which was quickly relieved by one-fourth of a grainof morphine given subcutaneously. There was novisible effect from this injection. Temperature onthe sameevening was °. February 7th, 26th day. A little red flow followedthe uteriue injection, but soon stopped. Slept verywell through
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