Medical and surgical report of the Presbyterian Hospital in the City of New York . made out; there is some tension andthickening of vessel wall. Lungs: Normal. Liver: Normal. Spleen :Not made out. Abdomen : Negative. On Admission, pulse, 84; respiration, 20; temperature, 98°. Urine:Normal. January 29. Last night patient had three convulsive seizures, withfrothing at the mouth, followed by stupor. Catheterized specimen ofurine shows fifteen per cent, of albumin, by volume. Each attacklasted about fifteen minutes. The patient this morning is irrational,pulse irregular, of increased tension, and
Medical and surgical report of the Presbyterian Hospital in the City of New York . made out; there is some tension andthickening of vessel wall. Lungs: Normal. Liver: Normal. Spleen :Not made out. Abdomen : Negative. On Admission, pulse, 84; respiration, 20; temperature, 98°. Urine:Normal. January 29. Last night patient had three convulsive seizures, withfrothing at the mouth, followed by stupor. Catheterized specimen ofurine shows fifteen per cent, of albumin, by volume. Each attacklasted about fifteen minutes. The patient this morning is irrational,pulse irregular, of increased tension, and the aortic second sound isloud and sharp. There is no oedema. Blood-pressure, 130 mm. hg. February i. Patient is very noisy and delirious. Blood-cultureshows pure growth of streptococcus pyogenes aureus. He lies withhead much retracted and neck apparently stift. DeHrium is activeand noisy. Kernigs sign is present. Heart: Apex is in fifth spacejust within mammary line, left limit of dulness corresponds. There isno increase of dulness to right. Endocardial sounds normal. Over a. 2 74 A REPORT UPON MALIGNANT ENDOCARDITIS. small area in the parasternal line at third space is a harsh systolicsound, apparently extracardial. Lungs : Normal, except for fine, moistcrepitation at bases. Leucocytes : 10,000 per February 2. Neck is less stiff. Pericardial friction rub is stillheard. Kernigs sign is still present. Pulse, 120. Urine contains redblood-cells; otherwise normal. February 9. Patient is quiet and conscious, is much weaker andis evidently in extremis. Signs same as before. Blood examination:No Widal reaction. The temperature rose irregularly to 107° on the6th, 106° on the 7th, and then fell to 103°, where it remained. Therewere no chills. Autopsy.—Heart: Weight, nine and a half ounces. Pericardium :Normal. Valves : Very small, white, soft vegetations on mitral. Muscle:Normal. Lungs: Congested. Spleen: Normal. Kidneys: from the spleen and brain showed sta
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Keywords: ., bookcentury1800, bookdecade1890, bookpublishernewyo, bookyear1896
