TWO CASES OP HEAT APOPLEXY. D-16, K.A., Jiarrackpore. Bj Assistaut Surgeon Anderson,
(Referred
to at page 121.^
At 6 p.m., 19th May, I was called to Hospital to see Gunner James Anderson. The patient had been brought to " Sunstroke" having the Hospital 2k hours previously, and been diagnosed by the Assistant Apothecary, he was treated free the of the cold douche, for that affection, by application leeches to the temples and nape of neck, and the administration of a turpentine enema. Some temporary improvement resulted, but a relapse had ensued before I reached the patient. On arrival I found the following most grave symptoms heat of surface. Pulse full and bounding, and so rapid that its beats per minute could only be approximately guessed, not counted exactly; respiration greatly laboured, pupils dilated, and insensibility of patient almost complete. On being loudly and harshly spoken to he stared vacantly at me for a second or two, and on being ordered to show his tongue he made a faint attempt to do so. I at once ordered grs. x of quinine to be given in solution, and found the patient had lost the power of deglutition. Several atand sitting (patient tempts were made both in the recumbent, but all failed. I then being supported in the latter) postures, in aqua 3j at injected liypodermically, quinine sulph. rgs iij the insertion of the deltoid muscles of both arms. The effect of this may almost be called magical. In an hour the condition of the patient had so greatly changed and and that I dared improved, that I gave a favorable prognosis, lie could now swallow, not have done when I first saw him. and quinine in grs. v doses was ordered to be given every 3 hours per orem. , good night, and 20th.?The patient lias passed a tolerably " all as feeling right." Skin is describes himself this morning moist and cool, and all the symptoms he suffered from yesterthe Continue quinine at interday evening have disappeared. ' vals of 6 hours. 21st.?Convalescence is fairly established, quinine grs. y
present:?Burning
thrice
daily.
?
Surgeon A. R. IIall, A-1G, R.A., Sarrac/cpore. Crosse,aged 21, two years in India, a naturally healthy young man, was admitted into hospital at 2 p.m! oil the 10th April, 1870. He had been out in the jungle all the By
Assistant
Drivee J. H.
forenoon, and had become affected on his return On admission, his skin was very hot, conjunctivae
to? barracks
injected^ pupilj
152
THE INDIAN MEDICAL GAZETTE.
slightly dilated, pulse quick, full, and bounding, lie was delirious. He was attempting to vomit, and had a mustard emetic given him, alter which he vomited freely. The cold douche was applied to his head and body, with only partial benefit. lie had 3 leeches applied to each temple, and 3 behind each ear before I saw him. He had 10 grains of quinine in solution given him about of an hour after admission. In about 2 hours he was quiet, 4 skin still very hot, but he could answer questions coherently. Twenty grains of quinine were then given him, and as he was improving, no more was given that night. The next morning (11th) lie was only complaining of pain and heaviness about the head; iie was ordered 10 grains of quinine thrice during the day. He was considerably shaken after his attack, and was weak, but had no sign of fever, and was able to take nourishment. The quinine was continued thrice a day, till the 17th, when he was ordered nitro-muriatic acid and cheyretta. He was discharged to duty on the 21st April.
[July 1,
1870.
(Referred
to at page 121.^
At 6 p.m., 19th May, I was called to Hospital to see Gunner James Anderson. The patient had been brought to " Sunstroke" having the Hospital 2k hours previously, and been diagnosed by the Assistant Apothecary, he was treated free the of the cold douche, for that affection, by application leeches to the temples and nape of neck, and the administration of a turpentine enema. Some temporary improvement resulted, but a relapse had ensued before I reached the patient. On arrival I found the following most grave symptoms heat of surface. Pulse full and bounding, and so rapid that its beats per minute could only be approximately guessed, not counted exactly; respiration greatly laboured, pupils dilated, and insensibility of patient almost complete. On being loudly and harshly spoken to he stared vacantly at me for a second or two, and on being ordered to show his tongue he made a faint attempt to do so. I at once ordered grs. x of quinine to be given in solution, and found the patient had lost the power of deglutition. Several atand sitting (patient tempts were made both in the recumbent, but all failed. I then being supported in the latter) postures, in aqua 3j at injected liypodermically, quinine sulph. rgs iij the insertion of the deltoid muscles of both arms. The effect of this may almost be called magical. In an hour the condition of the patient had so greatly changed and and that I dared improved, that I gave a favorable prognosis, lie could now swallow, not have done when I first saw him. and quinine in grs. v doses was ordered to be given every 3 hours per orem. , good night, and 20th.?The patient lias passed a tolerably " all as feeling right." Skin is describes himself this morning moist and cool, and all the symptoms he suffered from yesterthe Continue quinine at interday evening have disappeared. ' vals of 6 hours. 21st.?Convalescence is fairly established, quinine grs. y
present:?Burning
thrice
daily.
?
Surgeon A. R. IIall, A-1G, R.A., Sarrac/cpore. Crosse,aged 21, two years in India, a naturally healthy young man, was admitted into hospital at 2 p.m! oil the 10th April, 1870. He had been out in the jungle all the By
Assistant
Drivee J. H.
forenoon, and had become affected on his return On admission, his skin was very hot, conjunctivae
to? barracks
injected^ pupilj
152
THE INDIAN MEDICAL GAZETTE.
slightly dilated, pulse quick, full, and bounding, lie was delirious. He was attempting to vomit, and had a mustard emetic given him, alter which he vomited freely. The cold douche was applied to his head and body, with only partial benefit. lie had 3 leeches applied to each temple, and 3 behind each ear before I saw him. He had 10 grains of quinine in solution given him about of an hour after admission. In about 2 hours he was quiet, 4 skin still very hot, but he could answer questions coherently. Twenty grains of quinine were then given him, and as he was improving, no more was given that night. The next morning (11th) lie was only complaining of pain and heaviness about the head; iie was ordered 10 grains of quinine thrice during the day. He was considerably shaken after his attack, and was weak, but had no sign of fever, and was able to take nourishment. The quinine was continued thrice a day, till the 17th, when he was ordered nitro-muriatic acid and cheyretta. He was discharged to duty on the 21st April.
[July 1,
1870.
