Title: Nales, Thomas
Source text: The Medical and Surgical History of the War of the Rebellion. (1861-65.), Part 2, Volume 1 (Washington, DC: Government Printing Office, 1879), 146.
Civil War Washington ID: med.d1e40821
Case from the case-book and medical descriptive lists of the HAREWOOD HOSPITAL, Washington, D. C., Surgeon Thomas Antisell, U. S. V., in charge from October, 1862, to September, 1863:
CASE 279.—Private Thomas Nales, company A, 71st Pennsylvania volunteers; age 26; admitted March 5, 1863. This man was much emaciated; pulse 60 and feeble; tongue furred, white in the centre, edges red, papillæ raised. He had from ten to fifteen bloody purulent looking stools daily; there was severe pain in the lower abdomen, and tenderness on pressure, with anorexia and much thirst. Treatment: Blue mass, opium, solution of pernitrate of iron, sulphate of quinia, milk-punch, &c. Died, April 5th. Autopsy: The body was much emaciated; the abdomen flat and sunken. There were pleuritic adhesions on both sides. The heart was normal. The liver pale; the gall-bladder much distended. The spleen was four and a half inches long by two and three-quarters wide. The kidneys normal; the bladder distended with urine. The mucous membrane of the stomach and small intestine was much congested. The colon was much thickened, and there were ulcerated patches in its lower portion. The rectum was ulcerated throughout.