Observations on certain dropsical affections which are successfully treated by blood-letting / by J. Abercrombie.

Date:
[1818]
Catalogue details

Licence: Public Domain Mark

Credit: Observations on certain dropsical affections which are successfully treated by blood-letting / by J. Abercrombie. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    trunk of the body, less on the thighs and legs, and there was none on the ankles and feet, though it was then night, and he had been sitting up through the whole day. He had great tightness and pain of his chest, increased by a full inspiration ; hfs breathing was much oppressed ; in the horizontal posture it was extremely distressing, and he could only lie on the right side. The pulse was quite natural; the urine scanty and coagu- lable. He had been ill four days, and was attacked after sud- den exposure to cold after being overheated. Was bled to ^xx. _ ^ 4. Breathing much relieved; could lie in any posture with- out uneasiness ; swelling had extended to the feet and ankles, urine about ^vi. in 24- hours. 5. Breathing easy ; urine rather increased ; swelling as be- fore. To take the usual diuretics ; squill; tincture of digitalis, with nitrous ether. , • • 6. —Slight oppression of the breathing; pulse 70; urine in- creased ; swelling gone from the face; no abatement of it in other parts. . Was bled to ^xii.; diuretics continued. Y. Breathing quite relieved; blood had a firin coagulum and a buffy coat; urine increased ; swelling diminished. 9—Little change ; urine lb. ij. and coagulable. The coagulum separated by expression through a linen cloth, and, made as dry as It could be made by such expression, weighed 22 drams. The watery part which remained had all the qualities ol healt y urine. When it was evaporated to the consistence ot a syrup, and nitrous acid added, urea was deposited in abundance. 13.—Swelling as before; breathing quite easy ; pulse bO The doses of the diuretics were increased, and a mercurial pill ^'75-'Sing^(iiminished ; urine Ib.iij. and coagulable. The coagulum from Ib.ij. separated as before, weighed 3X. 24 —Urine lb. iv.; swelling abating. , , • ,„i 30.—Urine about lb. v.; coagulum from the whole 31X.; swel- ling much diminished ; all the functions natural. Jan.Mh.—Urine from X. to xii. lb. Swelling nearly gone. 8th.—Urine lb. viiss.; coagulum from the whole 311J. Swel- lintr gone, except a little about tlie ankles at night. ‘Jofh.-Free from complaint, and much improved in flesh and strength. Urine still coagulable. rptnrned From this time he continued to improve, and soon r ^ to his usual employment. But it was several weeks before urine was free from coagulable matter.