Spleno medullary leuchaemia : being a clinical lecture delivered at Guy's Hospital on January 20th, 1900 / by J.H. Bryant.

  • Bryant, John Henry.
Date:
1900
Catalogue details

Licence: In copyright

Credit: Spleno medullary leuchaemia : being a clinical lecture delivered at Guy's Hospital on January 20th, 1900 / by J.H. Bryant. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    4/24 (page 2)
    on the left side similar in character and extent to what he now has. An occasional rub was then heard over the tumour when he took a deep breath. The urine was 1020, and con- tained a trace of albumen. He did not look pale. The blood was examined with the following result: — Haemoglobin, 50 per cent. Eed corpuscles, 76 per cent., e.g., 3,800,000 to c.m. White corpuscles, 222,500 per c.m. Differential count of the white corpuscles. Myelocytes, 41 per cent. Polymorphic cells, 45'1 per cent. Eosinophilic, 2-8 per cent. Lymphocytes, 11-87 per cent. He was treated with quinine and arsenic, and improved considerably. Dr. Pitt diagnosed Spleno Medullary Leuchaemia. After his discharge, on November 11th, he felt so much better that he thought he was cured. Three weeks afterwards he again bad pain in his left side, aud he became short of breath. His feet have slightly swollen, and he has lost two stone in weight. There is no history oi any haemorrhage of abnormal character. Condition on admission.—January 9th.—He was rather emaciated. The lips and the mucous membrane of the gums were pale. There was no swelling of the feet. The abdo- men was distended, and a large tumour could be felt on the left side presenting the characteristic signs of a splenic enlargement. The liver dul- ness extended one inch below the costal margin, but the edge could not be felt. Respiratory system.—A few rales were heard at the bases of the lungs. On the left side dulness commenced behind at the eighth rib.