Dublin Hospital. Reports and Communications in Medicine and Surgery, 1818-1830, Volume 4

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1827
 

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Page 231 - XIV features of this disease are, the extraordinary slowness of its progress, the peculiar condition of the edges and surface of the ulcer, the comparatively inconsiderable suffering produced by it, its incurable nature unless by extirpation, and its not contaminating the neighbouring lymphatic glands.
Page 186 - This he did so successfully that, to use his own words, the patient some years after the operation made several voyages to sea, in which he was able to go aloft with considerable agility, and to perform all the duties of a seaman; that he was twice shipwrecked, and suffered great hardship without feeling any further complaint in that limb.
Page 394 - ... which had suddenly seized him three days before. He was well enough to be about his house, and even to go out. But he was oppressed by stupor, having a constant disposition to sleep, and still a very troublesome cough. What most attracted my attention was, the irregularity of his breathing, and remarkable slowness of the pulse, which generally ranged at the rate of 30 in a minute. Mr. Duggan informed me that he had been in almost continual attendance on this gentleman for the last seven years...
Page 435 - HDCCIV. p. 161.) \ the arterial and auricular openings as those of the left; but this circumstance, in my opinion, has not been sufficiently noticed, nor the influence that such a structure may have on the circulation in its natural or morbid state considered. I look upon this difference in the valves of the right and left side of the heart to be a natural provision to allow of a partial reflux into the right auricle, on those occasions when from any cause the passage of the blood through the arterial...
Page 232 - This disease may be observed under two very different conditions, either in a state of ulceration, or in a fixed state, in which no progress is made toward healing. In this latter condition the parts present the following appearances : the edges are elevated, smooth and glossy, with a serpentine outline ; and are occasionally formed into a range of email tubercles or elevations : the skin in the vicinity is not thickened or discolored.
Page 234 - There is no considerable bleeding from the surface, and when it does occur it arises from the superficial veins giving way, and not from sloughing or ulceration opening vessels; sometimes the surface assumes a dark, gangrenous appearance, which I have found to arise from the effusion of blood beneath. I have not observed that the lymphatic glands were in the slightest degree contaminated, the disease being altogether extended by ulceration from the point whence it commences. it never healed.
Page 153 - It is obvious," says Dr. Cheyne, « that the more we know of disease by reading and observation, the more patience and temper we possess, the more successful shall we be in the detection of imposture. I am convinced that simulated disease will soonest be discovered by those who conduct the inquiry in the most scientific manner, carefully applying the case in doubt to the description of the disease in standard works of pathology.
Page 232 - ... death, which took place from a different cause. " The sufferings of persons labouring under this disease do not appear to be very acute; there is no lancinating pain, and the principal distress appears to arise from the exposure by ulceration, of nerves or other highly sensitive parts. In the examples which I have met, the disease at the worst period did not incapacitate the patients from following their usual occupations. The gentleman to whom I have alluded was cheerful, and enjoyed the comforts...
Page 396 - The left ventricle was very thin, and its whole surface was covered with a layer of fat. Beneath this, the muscular structure was not a line in thickness...
Page 394 - An officer in the revenue, aged 68 years, of a full habit of body, had for a long time been incapable of any exertion, as he was subject to oppression of his breathing and continued cough. In May, 1819, in conjunction with his ordinary medical attendant, Mr. Duggan, I saw this gentleman: he was just then recovering from the effects of an apoplectic attack which had suddenly seized him three days before. He was well enough to be about his house, and even to go out. But he was oppressed by stupor,...

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