Medical and surgical report of the Presbyterian Hospital in the City of New York . albumin,two per cent, by volume. Microscopical Examination: Epithelium;no casts. January 21. Patient had a chill last night with a rise of temperatureto 105°. Heart and lungs as before. There is more retraction andrigidity of the neck. Neither Kernigs nor Babinskis signs are shows growth of diplococci which look like pneumococci. January 22. Lungs : Posteriorly below and internal to right scapulais an area the size of a mans hand which is dull on percussion, andover which there is bronchial
Medical and surgical report of the Presbyterian Hospital in the City of New York . albumin,two per cent, by volume. Microscopical Examination: Epithelium;no casts. January 21. Patient had a chill last night with a rise of temperatureto 105°. Heart and lungs as before. There is more retraction andrigidity of the neck. Neither Kernigs nor Babinskis signs are shows growth of diplococci which look like pneumococci. January 22. Lungs : Posteriorly below and internal to right scapulais an area the size of a mans hand which is dull on percussion, andover which there is bronchial voice and breathing; no rales. Blood:Differential count: Polymorphonuclear, 865; large mononuclear, 8;small mononuclear, 5; eosinophiles, ; red cells show pallor of centres. January 25. Blood-culture: One tube shows mixture of pneu-mococci and larger cocci, probably staphylococcus pyogenes aureus;one shows cocci resembling pneumococci. Culture from eyes showstaphylococci; culture from nose shows pneumococci. January 27. For past forty-eight hours condition has been rapidly.
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