7th.?Morning temperature, 101*2; pulse, 100; no tenderness appeared to be larger this morning ; one stool, natural; evening temperature, 1032; pulse, 112. 8th.?Morning temperature, 100 8. Feels better. Evening of spleen, but it
temperature, 104 3
;
no
delirium.
9th.?Morning temperature, 101*8 ; spleen measured yesterday by the native doctor?length 3| inches, breadth 4 inches; evening temperature, 103*8. 10^A.?Morning temperature, 101*4; very weak this morning ; teeth discoloured ; pulse somewhat full and soft, accelerated ; tongue coated, slightly brown ; somewhat drowsy?said to have been behosh" last night ; evening temperature, 100, 11?A.?Morning temperature, 99 5 ; pulse, 109; complaiued of pain in the abdomen ; no gurgling or tympanitis; sordes on teeth ; tongue slightly brown and dry; a few minute sudamina on chest j no perspiration ; no stools ; declines his food ; eveniug temperature, 10L; troubled somewhat with cough. 12th.?Slept fairly last night; no delirium ; morning temperature, 102 ; pulse, 103; has a loose cough; no sudamina or spots ; belly not tympanitic; somewhat drowsy all day; no loosenatural stool yesterday; evening temperature, one ness ; 103*8 ; no perspiration. IZth.?Abdomen tympanitic; two loosa stools, scanty and bright yellow ; no gurgling ; morning temperature, 102 ; pulse, 110, full and bounding; passes urine freely, and occasionally involuntarily (the bed has a urinous smell) ; the cough continues ; considerable perspiration ; no sudamina or spots ; 'more sordes on teeth ; very weak ; evening temperature, 99*6 ; somnolent all day. 14th.?Weakness increasing ; sordes on teeth; belly soft, without gurgling or pain ; spleen becoming broader, while the vertical length appeared to be decreasing ; cough much the same ; urine abundant, and passed involnntarily ; no fever ; temperature, 97*8; pulse 90. Fever set in at mid-day. Somewhat disturbed by cough ; great thirst ; moderate perspiration ; passed one stool, firm ; evening temperature, 102*4. 15th.?Prostration increasing ; moaned all night; one hard stool; morning temperature, 100; evening temperature, 101*2. 1 Gth.?Much the same; abdomen slightly tympanitic ; passed three loose stools of a yellow colour; takes his food indifferently ; morning temperature, 100*2; evening temperature not "
TYPHOID FEVER IN FORT WILLIAM.
By
R. T.
Lyons,
Assistant
Surgeon, Bengal
Medical Service.
(Continued from 'page 125.J Case II.? Sepoy Rait Ram, aged 25, of the 13th Regiment Native Infanti-y, was admitted into the regimental hospital, under the care of Assistant Surgeon J. Reid, on 15th July, 1871. He had been five days ill in the Tort. Dr. Reid writes in the cnse-book :? "15th July, 1871.?Admitted
to-day with fever, quotidian type; spleen markedly enlarged; bowels open ; tongue red at point, remainder of it furred, and cracked; lips extremely white; gums slightly scorbutic. Patient altogether extremely
in
noted.
Vlth.?Abdomen tympanitic;
anasmie in appearance. " 23rd.?Fever continuous all
right
little
tender;
bowels antemic and weak.
sleep;
regular ;
yesterday till this morning ; spleen still enlarged; patient very
continuous since last report; symptoms, slighter, and there is marked improvement in
"27th.?Fever
however, are patient's appearance. Bowels regular; tongue large, white, flabby, but moist, and not fissured ; pulse, 92, and good. " 26th August.?Had fever yesterday, much stronger." On my succeeding Dr. Reid in the medical charge of the 13tli Regiment, this patient came under my care, on 2nd September, 1871. The following notes are copied almost verbatim from the case-book of the regimental hospital. 2nd September.?Since last report the fever has continued ; pulse, 100; a little headache; tongue whitish and moist; bowels normal ; spleen moderately enlarged and tender; it projects prominently under the ribs; temperature in the evening, 103*1 ; considerable weakness. 3rd.?Morning temperature, 102*4; pulse, 105 ; bowels moved twice, loose; evening temperature, 102*6 ; pulse, 104. 4:th.?Morning temperature, 102 8; pulse, 106 ; one loose stool; evening temperature, 101*4; pulse, 98. 6th.?Morning temperature, 101*2 ; pulse, 96; spleen not tender this morning, but of same size j evening temperature, 102 ; pulse, 112,
iliac
region
no
;
no
spleen sensibly
gurgling, but tenderness at diminished in size, but still
delirium; great thirst; morning temperature, 99;
pulse accelerated,
full and
bounding; evening temperature,
101-4.
18
temperature, 104 3
;
no
delirium.
9th.?Morning temperature, 101*8 ; spleen measured yesterday by the native doctor?length 3| inches, breadth 4 inches; evening temperature, 103*8. 10^A.?Morning temperature, 101*4; very weak this morning ; teeth discoloured ; pulse somewhat full and soft, accelerated ; tongue coated, slightly brown ; somewhat drowsy?said to have been behosh" last night ; evening temperature, 100, 11?A.?Morning temperature, 99 5 ; pulse, 109; complaiued of pain in the abdomen ; no gurgling or tympanitis; sordes on teeth ; tongue slightly brown and dry; a few minute sudamina on chest j no perspiration ; no stools ; declines his food ; eveniug temperature, 10L; troubled somewhat with cough. 12th.?Slept fairly last night; no delirium ; morning temperature, 102 ; pulse, 103; has a loose cough; no sudamina or spots ; belly not tympanitic; somewhat drowsy all day; no loosenatural stool yesterday; evening temperature, one ness ; 103*8 ; no perspiration. IZth.?Abdomen tympanitic; two loosa stools, scanty and bright yellow ; no gurgling ; morning temperature, 102 ; pulse, 110, full and bounding; passes urine freely, and occasionally involuntarily (the bed has a urinous smell) ; the cough continues ; considerable perspiration ; no sudamina or spots ; 'more sordes on teeth ; very weak ; evening temperature, 99*6 ; somnolent all day. 14th.?Weakness increasing ; sordes on teeth; belly soft, without gurgling or pain ; spleen becoming broader, while the vertical length appeared to be decreasing ; cough much the same ; urine abundant, and passed involnntarily ; no fever ; temperature, 97*8; pulse 90. Fever set in at mid-day. Somewhat disturbed by cough ; great thirst ; moderate perspiration ; passed one stool, firm ; evening temperature, 102*4. 15th.?Prostration increasing ; moaned all night; one hard stool; morning temperature, 100; evening temperature, 101*2. 1 Gth.?Much the same; abdomen slightly tympanitic ; passed three loose stools of a yellow colour; takes his food indifferently ; morning temperature, 100*2; evening temperature not "
TYPHOID FEVER IN FORT WILLIAM.
By
R. T.
Lyons,
Assistant
Surgeon, Bengal
Medical Service.
(Continued from 'page 125.J Case II.? Sepoy Rait Ram, aged 25, of the 13th Regiment Native Infanti-y, was admitted into the regimental hospital, under the care of Assistant Surgeon J. Reid, on 15th July, 1871. He had been five days ill in the Tort. Dr. Reid writes in the cnse-book :? "15th July, 1871.?Admitted
to-day with fever, quotidian type; spleen markedly enlarged; bowels open ; tongue red at point, remainder of it furred, and cracked; lips extremely white; gums slightly scorbutic. Patient altogether extremely
in
noted.
Vlth.?Abdomen tympanitic;
anasmie in appearance. " 23rd.?Fever continuous all
right
little
tender;
bowels antemic and weak.
sleep;
regular ;
yesterday till this morning ; spleen still enlarged; patient very
continuous since last report; symptoms, slighter, and there is marked improvement in
"27th.?Fever
however, are patient's appearance. Bowels regular; tongue large, white, flabby, but moist, and not fissured ; pulse, 92, and good. " 26th August.?Had fever yesterday, much stronger." On my succeeding Dr. Reid in the medical charge of the 13tli Regiment, this patient came under my care, on 2nd September, 1871. The following notes are copied almost verbatim from the case-book of the regimental hospital. 2nd September.?Since last report the fever has continued ; pulse, 100; a little headache; tongue whitish and moist; bowels normal ; spleen moderately enlarged and tender; it projects prominently under the ribs; temperature in the evening, 103*1 ; considerable weakness. 3rd.?Morning temperature, 102*4; pulse, 105 ; bowels moved twice, loose; evening temperature, 102*6 ; pulse, 104. 4:th.?Morning temperature, 102 8; pulse, 106 ; one loose stool; evening temperature, 101*4; pulse, 98. 6th.?Morning temperature, 101*2 ; pulse, 96; spleen not tender this morning, but of same size j evening temperature, 102 ; pulse, 112,
iliac
region
no
;
no
spleen sensibly
gurgling, but tenderness at diminished in size, but still
delirium; great thirst; morning temperature, 99;
pulse accelerated,
full and
bounding; evening temperature,
101-4.
18
