OCR Text |
Show Internal appearances. Internal appearances. 86 not happen in cases of tetanus from wounds, recorded in the same paper (Rec. Period. XX. 366.) De Haen (X. 116) relates a case without fever to the 7th day-then heat rose to 103-delirium began on the 15th day and became phrenitic-pulse hard, full, quick-death the 20th, pia mater turgid with blood, red serous effusion; the lungs much inflamed with effu- sion also. Colon prodigiously both enlarged and contracted. De Haen asks whether the mo flammation in the chest or that in the head produced the tetanus. Neither probably: since no feverish symptoms existed before the 7th, and no delirium or much difficulty of reSpira- tion before the 15th day-and the patient had been most miserably afflicted by the lead cholic before. In the former of these cases we seem to have somewhat of the same relation to ordinary convulsive or spasmodic maladies as we have in brain-fever to other fevers. Tetanus,- it is cer- and myself then found the heat natural. 87 Nor in close attendance for weelfs, during which every form almost of nervous affection with stronghead-ache occurred, did any sign of determination to the head manifest itself. Dr. Behrends (in 1800) tells us he found the pia mater somewhat loosely connected with the brain, after tetanus, in a woman, who to the last gasp was in her perfect senses. The lax adherence of the membrane might be a prior gradual change, or it might be subsequent. Dr. Coxe (Museum I. p.58) says he found the epiglottis and trachea highly inflamed in tetanus, but in 9 days the patient had taken 2000 drops of tincture of opium, 2400 of tincture of cantharides, besides other stimulants, and mercury enough slightly to affect his gums. The head was not examined, though the author presents the dissection under an idea that no previous one existed-They have indeed been too infrequent; and still more so have examinations of the nerves, which probably become still oftener tain, exists without alteration of the mental fa» culties or increased heat. Dr. Currie says, that notwithstanding violent symptoms and a vast quantity of stimulants, the heat in a patient of his did not exceed the natural standard. Ihave . seen the same; and in a case of catalepsy 50 compleat, that the patient would stand balanced on one leg, and more considerably bloodshot than the brain. Dr. Reil says (1. c. p. 22.) iuveiziin Izomi/zibus ab epiltpsz'a, tetmzo, trismo aliisque spasmis gravioribus peremptz's [)Zerzmzque cerebrzmzabzmdzzute san- guine obruz‘zmz. Of fever, nervous-febrile and non-febrile disorders, he had, just said, justo 772a,jorcsprocessus c/zemic'o-alzima/es in Hernia perngmz~ and support a heavy book on her iur ipszk/uc lzi graz‘z'ores processusjmn parse ma- raised hands, another physician of this place joz'eiiz and .1. g _ . was , as w...- |