CASE 4.—Weakness,
giddiness, perspiration, sudamina and rose-colored
spots.—Private
James F. Tomb, Co. H, 12th Pa.; age 19; had headache, weakness and
diarrhœa on August 28, 1861, and
was admitted September 4
as a case of typhoid fever. On the morning of the 5th there was slight fever, the
pulse 80, weak, the skin dry and hot, the tongue red, flabby and
coated. Quinine was ordered with Dover's powder at night. He rested
well during the night, and next day had no fever; pulse 72, tongue
heavily coated, skin warm and moist, bowels slightly relaxed; nor
did the fever recur in the evening. The following is the daily
record of observations in this case: 6th, Morning: rested well; pulse 62; tongue heavily
coated; skin warm and moist; one stool; no fever. Evening: pulse 72;
skin warm and dry; tongue very red, coated white; one stool; no
fever. Gave ten grains of Dover's powder. 7th, Morning: rested well;
pulse 76; drowsy; tongue coated brown, red at tip; skin warm,
natural; bowels quiet; appetite fair. Evening: pulse 60; skin warm
and moist; no fever; tongue slightly coated; bowels quiet; appetite
good. 8th, Morning: rested well; drowsy; pulse 56, weak ; tongue
pale, slightly coated white; skin cool, moist; no fever; giddiness;
bowels quiet; appetite fair; walking about. Evening: pulse 50;
tongue coated, pale; skin cool, moist; appetite good; stronger;
bowels quiet; sleepy. 9th, Evening: sleepy; pulse natural; tongue
pale; one thin small stool; skin natural. 10th, Morning: rested
well; slept much; pulse 102, strong; tongue coated white, moist;
skin moist, warm; rose-spots; profuse sudamina; bowels natural. Gave
wine of cinchona. Evening: pulse 85 when standing; skin warm and
dry; tongue slightly coated; profuse sudamina; one large stool.
11th, Morning: rested well; pulse 88, sitting; tongue pale, coated
at base; skin cool; sudamina profuse; three stools; no pain;
appetite good; no rose-spots. Evening: walking about; some weakness;
profuse sudamina. Ordered rest. 12th, Morning: rested well; pulse
78, quick, compressible; tongue slightly coated gray; skin warm,
moist; no fever; profuse sudamina; no tenderness; one large stool;
walking around; weak. Evening: pulse 80, sitting; tongue pale,
slightly coated grayish; skin natural, covered with sudamina; one
natural stool; appetite good. 13th, Transferred to hospital at
Baltimore, Md.