discharged apparently well on the 28th of that month. This morning (8th February) his temperature is 1034?, and there is great debility and anorexia. February 9th.?Slight gurgiing in right iliac fossa : no or spots. Three stoo is yesterday: two during the night. Tongue moist: edges red. Unable to sleep and is extremely weak. 1Oth ?Slept all nkht, having taken 3 ij Liq. Morphias.
tenderness
Abdomen normal. Suffers from considerable and is extremely feeble. Appetite very much Continue quinine, 20 grains daily.
deafness, improved.
11th.?Sweated profusely yesterday: slept fairly : puise improved in quality. 12th.?Slept well: bowels normal: less perspiration : deafness remains. lAth Heavy perspiration last
night:
?
clothes. 16th.?No perspiration last two head symptoms. 18th.?Saturated sheets last
saturated bed
nights: slept fairly
night:
: no
feel better. Continue
quinine. 2ts?.?Every two or three nights has severe perspirations which necessitate entire change of bedding. Appetite not
good ;
gaining strength.
22nd ?Complains of pain in left shoulder and knee. 2ith ?Says pain in left knee is worse: no heat or swelling. Sleeps an d eats fairly: tongue clean: bowels
sluggish :
urine normal.
Quinine 5 grains thrice daily.
March 5th.? Feeis better:
pains nearly
gone:
sleeps
and eats well. 1 Oth?Has had theless seems to little deaf.
CONTINUED FEVER AT ADEN. By Surgeon-Major Hubert
Greene,
but neverIs etill a
17th.?Discharged to light duty with a view to his obtaining change of air at " The Isthmus" outpost. 26th.?Passed an Invaliding Board, being recommended for change of climate to England. April 1th.?Sailed in H. M. S. Himalaya N. B.?His
A M.D.
(Concluded from page 198). Case No. 5.?Private H. Dempsey, age 29; time in India 5T'5 years. This man was in hospital fora few days the la'ter end of January suffering from fever, for which he received the usual quinine treatment, and was Temperature
night sweats lately, improve; appetite good.
severe
condition has not
improved much since his discharge
from hosptial.
and Pulse Record.
February. Date.
9
13
Day of disease
3
7
Morning temp.
103-4 103
101-2
100-6
14
101-8
100
15
16
17
IS
19
20
21
9
10
11
12
13
14
15
16
101-8
101-6
98
98-
99-2
98-6
102-4
104-2
25
26
27
28
17
19
20
21
22
99-2
99-2
98-5
99-2 ?
Evening temp.
104-8
104-6
100
Pulse
101-6
92
101
103-2
101-8
104-G
103-4
SO
104
102*6
90
101-2
102-
100-6
101-4
92
SS
M arch. Date.
Day of disease Morning temperature
3 25 100-2
100
27
28
100
100-2
31 101
100
Evening temperature 101 8 101-6 104
102-2 102-2 102-5 102-8 102-6
Tulse
100
100
92
100
12
33
34
98-2
98
14
15
16
35
36
37
38
97-6
97-2
13
102-6 100
100
92
78
96 1
11
Standing.
97 98-5 *128
99 ?
101-8 101-2 101-8
THE INDIAN MEDICAL GAZETTE.
218 Case No.
6.?Sergeant
H.
Bates,
time in
age 23;
appetite pretty good. Haa some Omit Warburg. Turpentine applied. To have following mix-
Slept fairly:
ance.
difficulty in micturating.
India 6 years. This man was
fomentations to
discharged from hospital on the 25th January, having been under treatment for fever since the 21st of the same month. Yesterday (Feb. 8) he rerurned to hospital, his temperature last evening being 104 8?; and this morning he is re admitted. Present state : Temp. 103? ; pulse 92 : respirations 82. Gurglin g in right iliac fossa : no spots or tenderness :
be
ture :?
R. Decoct. Scoparii ad Potass. Nitratis 3 iij
Jviij. Spt.
Nit.
Eth.
urine normal. March 1st ?Fainted last evening back easier : appetite falling off.
2.6th.?Slept well;
sunken: tongue dry, and transversely fissured, edges red : lias not been loose lately, but has felt out of sorts for a long time. No sleep last night though chloral was given. Ordered 5 grains of quinine thrice
at stool.
4th.?Improved till yesterday, when he had
7th.?Has felt better for the last few
February 10th.?Four scanty stools yesterday : none during night. Says his abdomen is tender ail over: slight gurgling in right side. Respiration 22. l\th.?Three or four stools yesterday : slept a little :
19^.?Says
he feels better.
Omit
stipated.
becom-
clearly
evening
103-8?.
R.
nor-
purgative
Mucil. Tr. Card. Co.
was
18th.?Feels better:
:
unable to
move
Day of disease
..
Morning temp.
Evening temp.
104-8
Pulse
9
U
3
5
103
100-6 100
103'!
102
92
88
80
76
72
J iss not
joints
tbrice so
daily. painful.
Urine
pain
in
right hip shooting down
Record.
16
17
18
19
20
21
22
23
25
26
28
1
10
11
12
13
14
15
16
17
19
20
22
23
99*4
99-2
98'6
100
100-2
100
101
100
100*8
101-6
103-8
104*8
103-f
1026
101-2
01-2 101
102
Jj.
26th.?Passed an Invaliding Board, being recommended for change of climate to England. April 1th.?Sailed in H. M. S. Himalaya. N. B.? General appearance indicative of extreme debility.
of
without assist-
15
of
23rd.?Complains leg.
Temperature and Pulse February. Dfete.
mortar and add
healthy.
in drachm doses
25th.?Back very bad
a
3 ij*
Tr. Sennaa Co. 3 iv. Aquam ad | xij.
administered and this morning ?ss of Warburg's tincture secundum artem, to be repeated in 3 hours. Vesp. temp. 102*8?. Bowels freely opened. 22nd?Bad night, but feels better : tongue dry and stained yellow. Warburg's tincture to be given 3 times
23rd.?Slept badly : tongue moist and clean. 24th.?Perspired violently last night. Complains severe pain in lumbar region.
days. Very
Potass. Bicarb. 3 iv.
Quiuise Sulph. 3ij. Aq. 3 iv. Mix in
quinine : expectant A
arm
Omit mixture.
14th.?Left wrist swollen and tender.
treatment. 21 st.?Temp, last
sadden
a
little pain anywhere : sleeps fairly : appetite pretty good. Ordered bark and ammonia in effervescence. Omit diuretic. 12th.?Right wrist swollen and painful: bowels con-
tongue moist.
16th.? Perspired again last night. Tongue mal. Bowels have not acted for some days.
Pain in
accession of pain in right elbow joint rendering useless. Back much better: appetite also improved.
daily.
Tongue
Unciam
?ss.
ter die.
abdomen
14
tenderness
Abdomen normal. Suffers from considerable and is extremely feeble. Appetite very much Continue quinine, 20 grains daily.
deafness, improved.
11th.?Sweated profusely yesterday: slept fairly : puise improved in quality. 12th.?Slept well: bowels normal: less perspiration : deafness remains. lAth Heavy perspiration last
night:
?
clothes. 16th.?No perspiration last two head symptoms. 18th.?Saturated sheets last
saturated bed
nights: slept fairly
night:
: no
feel better. Continue
quinine. 2ts?.?Every two or three nights has severe perspirations which necessitate entire change of bedding. Appetite not
good ;
gaining strength.
22nd ?Complains of pain in left shoulder and knee. 2ith ?Says pain in left knee is worse: no heat or swelling. Sleeps an d eats fairly: tongue clean: bowels
sluggish :
urine normal.
Quinine 5 grains thrice daily.
March 5th.? Feeis better:
pains nearly
gone:
sleeps
and eats well. 1 Oth?Has had theless seems to little deaf.
CONTINUED FEVER AT ADEN. By Surgeon-Major Hubert
Greene,
but neverIs etill a
17th.?Discharged to light duty with a view to his obtaining change of air at " The Isthmus" outpost. 26th.?Passed an Invaliding Board, being recommended for change of climate to England. April 1th.?Sailed in H. M. S. Himalaya N. B.?His
A M.D.
(Concluded from page 198). Case No. 5.?Private H. Dempsey, age 29; time in India 5T'5 years. This man was in hospital fora few days the la'ter end of January suffering from fever, for which he received the usual quinine treatment, and was Temperature
night sweats lately, improve; appetite good.
severe
condition has not
improved much since his discharge
from hosptial.
and Pulse Record.
February. Date.
9
13
Day of disease
3
7
Morning temp.
103-4 103
101-2
100-6
14
101-8
100
15
16
17
IS
19
20
21
9
10
11
12
13
14
15
16
101-8
101-6
98
98-
99-2
98-6
102-4
104-2
25
26
27
28
17
19
20
21
22
99-2
99-2
98-5
99-2 ?
Evening temp.
104-8
104-6
100
Pulse
101-6
92
101
103-2
101-8
104-G
103-4
SO
104
102*6
90
101-2
102-
100-6
101-4
92
SS
M arch. Date.
Day of disease Morning temperature
3 25 100-2
100
27
28
100
100-2
31 101
100
Evening temperature 101 8 101-6 104
102-2 102-2 102-5 102-8 102-6
Tulse
100
100
92
100
12
33
34
98-2
98
14
15
16
35
36
37
38
97-6
97-2
13
102-6 100
100
92
78
96 1
11
Standing.
97 98-5 *128
99 ?
101-8 101-2 101-8
THE INDIAN MEDICAL GAZETTE.
218 Case No.
6.?Sergeant
H.
Bates,
time in
age 23;
appetite pretty good. Haa some Omit Warburg. Turpentine applied. To have following mix-
Slept fairly:
ance.
difficulty in micturating.
India 6 years. This man was
fomentations to
discharged from hospital on the 25th January, having been under treatment for fever since the 21st of the same month. Yesterday (Feb. 8) he rerurned to hospital, his temperature last evening being 104 8?; and this morning he is re admitted. Present state : Temp. 103? ; pulse 92 : respirations 82. Gurglin g in right iliac fossa : no spots or tenderness :
be
ture :?
R. Decoct. Scoparii ad Potass. Nitratis 3 iij
Jviij. Spt.
Nit.
Eth.
urine normal. March 1st ?Fainted last evening back easier : appetite falling off.
2.6th.?Slept well;
sunken: tongue dry, and transversely fissured, edges red : lias not been loose lately, but has felt out of sorts for a long time. No sleep last night though chloral was given. Ordered 5 grains of quinine thrice
at stool.
4th.?Improved till yesterday, when he had
7th.?Has felt better for the last few
February 10th.?Four scanty stools yesterday : none during night. Says his abdomen is tender ail over: slight gurgling in right side. Respiration 22. l\th.?Three or four stools yesterday : slept a little :
19^.?Says
he feels better.
Omit
stipated.
becom-
clearly
evening
103-8?.
R.
nor-
purgative
Mucil. Tr. Card. Co.
was
18th.?Feels better:
:
unable to
move
Day of disease
..
Morning temp.
Evening temp.
104-8
Pulse
9
U
3
5
103
100-6 100
103'!
102
92
88
80
76
72
J iss not
joints
tbrice so
daily. painful.
Urine
pain
in
right hip shooting down
Record.
16
17
18
19
20
21
22
23
25
26
28
1
10
11
12
13
14
15
16
17
19
20
22
23
99*4
99-2
98'6
100
100-2
100
101
100
100*8
101-6
103-8
104*8
103-f
1026
101-2
01-2 101
102
Jj.
26th.?Passed an Invaliding Board, being recommended for change of climate to England. April 1th.?Sailed in H. M. S. Himalaya. N. B.? General appearance indicative of extreme debility.
of
without assist-
15
of
23rd.?Complains leg.
Temperature and Pulse February. Dfete.
mortar and add
healthy.
in drachm doses
25th.?Back very bad
a
3 ij*
Tr. Sennaa Co. 3 iv. Aquam ad | xij.
administered and this morning ?ss of Warburg's tincture secundum artem, to be repeated in 3 hours. Vesp. temp. 102*8?. Bowels freely opened. 22nd?Bad night, but feels better : tongue dry and stained yellow. Warburg's tincture to be given 3 times
23rd.?Slept badly : tongue moist and clean. 24th.?Perspired violently last night. Complains severe pain in lumbar region.
days. Very
Potass. Bicarb. 3 iv.
Quiuise Sulph. 3ij. Aq. 3 iv. Mix in
quinine : expectant A
arm
Omit mixture.
14th.?Left wrist swollen and tender.
treatment. 21 st.?Temp, last
sadden
a
little pain anywhere : sleeps fairly : appetite pretty good. Ordered bark and ammonia in effervescence. Omit diuretic. 12th.?Right wrist swollen and painful: bowels con-
tongue moist.
16th.? Perspired again last night. Tongue mal. Bowels have not acted for some days.
Pain in
accession of pain in right elbow joint rendering useless. Back much better: appetite also improved.
daily.
Tongue
Unciam
?ss.
ter die.
abdomen
14
