A case of pulmonary embolism, with notes bearing generally on the subject of emboli / by Wm. Robert Smith.

  • Smith, William Robert.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: A case of pulmonary embolism, with notes bearing generally on the subject of emboli / by Wm. Robert Smith. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    before it evinced any signs of life, then by vigorously slapping the buttocks it began to cry lustily. Twelve hours after I found Mrs. W. feeling very comfort- able. She had not been sick, but had felt great nausea. Com- plained a little of after-pains; skin cool and moist; pulse 110. Had passed water, and the discharge was not excessive. Milk was ordered to be given in small quantities frequently, and ice was allowed. February 25.—Has slept fairly well; expresses herself as feeling better, and complains less of after-pain; has had no recurrence of the vomiting, but still feels much nausea. Temperature 101-4°; pulse 120, good volume. Has no abdo- minal tenderness; lochial discharge plentiful. The patient was ordered still to persevere with the milk and ice, and a small quantity of sago or arrowroot was likewise allowed, perfect rest in the horizontal position was enjoined, and the temperature and ventilation of the room were carefully attended to. 26th.—Has slept well; countenance cheerful; feels much better; tongue clean and moist; complains less of the nausea; bowels moved gently this morning; appetite good, the patient asking for a more substantial diet; discharge plentiful and healthy; milk abundant. Temperature 100-6°; pulse 96. The same treatment was persevered with, beef-tea and sago- pudding being ordered in addition. From this date the patient progressed very favourably until March I, when I found her by no means so cheerful. She had had a slight rigor the night before, which came on after her removal to another bed, which had been done without my knowledge; had slept badly, and complained of great pain in her breasts, whioh were found to be swollen and hard; tongue furred, with a dryish white fur on dorsum; bowels not moved the day before. Temperature 103-2°; pulse 126, irregular and jerky; lochial disoharge abundant; no abdominal tenderness;