Medical Reports Volume 27-36 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1884 Excerpt: ... were also practised. Of the two remaining deaths, one resulted from choleraic diarrhoea, and the other from dysentery, and both occurred in infants who were hand-fed. At times it is impossible here to procure a good wet nurse. I have known even missionary families to experience this difficulty, although they are intimately acquainted with the natives and their language. During the year I attended eight cases of continued fever, three of which were associated with typhoid symptoms. The following record is that of a patient who possibly contracted the disease in Japan, whence he had returned three weeks prior to the beginning of his illness. I had not an opportunity of recording the morning and evening temperature during the first six days. He began to feel unwell on the evening of 23rd December 1885, from which date I reckon the attack began. He continued, however, to walk about and attend to duty, feeling very unwell till 28th December, when he took to his bed. The bowel symptoms were well marked; the motions were yellowish, liquid and offensive; there was gurgling on pressure, and at first notable tenderness in right iliac fossa. The diarrhffia continued four days after the evening temperature had become normal. The temperature observations were taken each morning and evening at 9.30 A.m. and 7.30 P.m. I have lately satisfactorily tested the effectiveness of cocaine as a local anaesthetic. Having circumcised a patient for congenital phimosis, he assured me that he felt no pain or discomfort whatever. Five minutes before operating I injected a few minims of a 10 per cent, solution subcutaneously, and also painted the part with the same. Recently I had an opportunity of reducing by manipulation a subcoracoid dislocation of the humerus. The patient was a ver...