The Richmond and Louisville Medical Journal, Volume 10
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1870. Excerpt: ... all of which were attributed to the morphia. Doubled the done of morphia, and infusio Bac. Juniperi. s viii, to be taken in 24 hours. July 1. Slept pretty well through the night; pulse 100, skin warm, no improvement in urine; " bearing down " pain as if "something wanted to come away." Examined her by the touch per vaginam in the recumbent posture; os high up, slightly patulous, soft. Omit oxalate of Cerium, give 1 gr. morphia every two hours. Acet. potassae gr. x, in infusion of Juniper berries, every 4 hours. Enema of warm water which gave great relief in the passage of fieces and flatus. July 2. Had a bad night, vomiting returned and pain increased; pulse 100, skin hot, urine improved in quantity and color. Great distress in the left inguinal region. Examined in the upright posture, per vaginam; os high up, no sensation of pressure upon finger while held within the os, during the pain. Placed in bed upon back, explored the abdomen; to the eye, uniformly rotund, some larger within the last month; found in the left iliac region dullness under percussion, and the sensation of a hard tumor under pressure, was imparted to the fingers, while there was slight tenderness. Ordered an enema of warm water to clear the diagnosis of any obscurity in consequence of an unemptied lower bowel, and percussed the affected.space again, found dullness absolute and comparative; circumscribed, clearly limited and well defined. Diagnosis, ovaritis with circumscribed peritonitis. Withdrew the morphia and gave Bromide Potassii, grs. xx, tr. opii. deodorata gtt. xv, every 2 hours. Hot linseed poultices to the abdomen, often applied. Infusion of Juniper, and grs. xv, of acet. potassae every 4 hours. July 3. Found her better, pulse 100, softer; had slept some, skin more pleasant; ...
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