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Page 7 text:
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Page 8 text:
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ff 1 W YORK CITY HOSPITAL- If .1 , , .dj ly 1, 1847 Negro aged 30 years with anchylosis 'J 2 ,N N of lower jaw, occasioned by inflamation JL? and suppuration parotid gland and ad- jacent parts. Masseter muscle of affected side rigidly contracted, teeth clinched tightly together and canit be separated at all. Operated on by Dr. Post. The masseter muscle was divided from its attachment to the ramus of the jaw by introducing the scalpel into the mouth, and the jaws pried apart with levers, which required considerable force. The jaws were kept permanently distracted by a cork between the teeth. July 18. Inflamation consequent upon the operation has sub- sided. Motion nearly normal. Distending fever still con- tinued. T 71 L ,QIILY 29- CITY HOSPITAL- , 5'jQwFW7YORKCHTY 5 ,b ' Y TRAUMATIC TETANUS IN 'Mrs aged about 35 years Q LTeceived a wound on or near the patella 25 days ago from the discharge of a gun by which the wad was lodged within the wound and was not de- tected and extracted for several days, but was then re- moved. The injury not very severe and the patient doing well until the 16th day slight trismus came on, the spasm has beeII confined to the muscles of the jaw until the last three days when opisthotonous Zilld emprosthotonous came on. . I 'W ' tx, A -..I, V- , 2, -:- ... s -,...,. .,,..-,, I V -vljl Q: '-- Y . My f f '.:.Z,o,g:: if-if 'i ii -. . I , 2 'T .. , , ,,, ' ' jj ' - .. mm, ff ma. kk -. The disease has advanced slowly and gradually since its development, and has received no apparent benefit from treatment. The asafoetida was given in doses of 15 grs. every hour for the first five days of the disease without effect. The Strychnine was then giVCIl in doses of the 16th grm. every two or three hours for two days. The dose was then increased to the 8th of grm. of which the patient has taken 5 or 6 doses but without any effect. Died july 3lst. rfxom fN '-.1- .ASTRITIS-ACUTE IS SAME . Q 1' Symptoms: Burning lancinating pain, E iting of glassy mucous tinged with .- ,JV een. Tenderness of e i astrium. Cravin 4 LAX? P g gi Q0 cold drinks. Tongue usually red. It may .Q prove fatal in a few hours, never continues longer than 3 or 4 days. Treatment: If the patient is young and strong, bleed, but this surely must be used with caution and should always be drawn in the erect position. Leeches or cups to the epigastrium. Poultices to promote bleeding from the leech bites. Blistering not to be used in the acute stages. Initially nothing but a little cold water or ice. The bowels should be evacuated with enemata. After the vio- lence of the disease has subsided, saline laxatives may be used. Muscilaginous drinks, bland food. It may be useful to give an anadyne enema after the bowels are evacuated.
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