St. Thomas's Hospital Reports Volume 10 (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. 1880 Excerpt: ...all over cardiac area. Heart.--Dulness from first space above; to midsternum. At apex strong systolic murmur, also over tricuspid and basic orifices. Pulsation of veins in neck. Thrill in supra-sternal notch. Lungs resonant. Liver.--Dulness extends as a band two inches broad in vertical direction, commencing one inch below nipple; resonant region under costal margin. Tongue clean. No dysphagia. No vomiting since admission. Bowels confined. Pupils equal. Catamenia regular. Urine 1022, acid, no albumen. 31st.--Slept well; pain in left side. In the afternoon vomited a clot of almost three ounces. In evening vomited blood mixed with ice water, altogether about one pint. Treated with tannic acid, and then ergotin injection. November 3rd.--No more haematemesis. Better. 6th.--Vomited blood again, small quantity. 7th.--Cough troublesome; vomited "coffee grouuds," no sarcina seen in it. Pain in epigastrium from continued vomiting. P.M.--Respiration 32. Pulse 60, very small, irregular. 8th.--Died. Post mortem.--Congenital malformation of heart. Incom plete development of interauricular septum. Transposition of abdominal viscera. Angular and lateral curvature of the spine. Body fairly nourished. Below average height. When laid on back body inclines to right. Thorax compressed laterally. Sternum and costal cartilage prominent, especially over region of the heart. Spinal column presents another angular curvature, involving ninth, tenth, and eleventh dorsal vertebras, apex of triangle situated in spine of tenth vertebra. In this region, also, slight lateral curvature, convexity directed to right. Ribs of both sides especially bulged backwards at their angles; this is especially noted in those ribs in immediate neighbourhood of curvature. Veins of neck distended...