Tropical dysentery and chronic diarrhoea : liver abscess, malarial cachexia, insolation with other forms of tropical disease and on health of European children and others in India . sist of soft fa3culence, withbranny mucus and blood. August 8th.—Thirteen stools in last twenty-foiu* homs;abdominal tenderness increasing; urine scanty. Temperature100° Fahr. 9th.—Several dark sloughs passed to-day, and the timiom--like swelling in the abdomen is diminishing. 12th.—Seven to eight stools in twenty-foiu- hours; nomore sloughs; a little feecidence and blood. 14th.—Patient weak; fever increasing. Twel
Tropical dysentery and chronic diarrhoea : liver abscess, malarial cachexia, insolation with other forms of tropical disease and on health of European children and others in India . sist of soft fa3culence, withbranny mucus and blood. August 8th.—Thirteen stools in last twenty-foiu* homs;abdominal tenderness increasing; urine scanty. Temperature100° Fahr. 9th.—Several dark sloughs passed to-day, and the timiom--like swelling in the abdomen is diminishing. 12th.—Seven to eight stools in twenty-foiu- hours; nomore sloughs; a little feecidence and blood. 14th.—Patient weak; fever increasing. Twelve stools to-day ; fseculent and bilious. loth.—To-day the stools contained a few more pieces ofslough and gelatinous mucus; nine stools during the night;pain in abdomen much less. Evening : Has had ten evacua-tions during the day ; countenance very worn and anxious ;pulse small and weak ; extremities cold. The tumour hasentirely subsided; gm-gling on pressm-e in the right iliacfossa. 16th.—Sub-normal temperature 9G*4° to 97°; pulse stools dming the day ; contained sloughs. Bodybathed in sweat. Sank gradually, and died at 845 LECTURE II. 91 Treatment.—Piilv. ipecac, sod. bicarb., bismuth., aa gr. die. Anodjoie enema bis die. Equal parts of iodineand belladonna liniment rubbed over thickened bowel; hotfomentations over abdomen. The ipecacuanha was replacedby Dovers powder after a day or two ; then acetate of leadgr. v., opii gr. j., in pil.; lastl}^, diffusible stimulants. Post-viorton Examination (August 17th, 1880 ; twelve homsafter death).—Body emaciated; rigor mortis slight. Brain-substance pale, anaemic, much softened. Lungs: Anteriorportions pale and anaemic; but the margins and bases darkand congested; the lower lobes oedematous. Heai-t feeblycontracted ; fluid dark blood with small fibrinous clots inright cavities ; a little fluid blood in the left; muscular tissuepale and soft. Abdomen: Small intestines much d
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