Title: Quackenbush, Peter
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), 184.
Civil War Washington ID: med.d1e41305
The notes were forwarded, with the specimens, to the Army Medical Museum from CARVER HOSPITAL, Washington, D. C., Surgeon Oliver A. Judson, U. S. V., in charge:
CASE 426.—Private Peter Quackenbush, company E, 111th New York volunteers; age 48; admitted from the depot hospital of the 2d Army Corps, City Point, Virginia, July 5, 1864. Chronic diarrhœa. The patient had a senile look, and was considerably emaciated; pulse about 80; tongue moist but covered with a gray fur; anorexia; severe diarrhœa. He continued about the same until July 10th, when he began to improve, the diarrhœa being somewhat checked and his appetite better. July 26th, he was attacked by a severe pain in the right side, with dulness on percussion, and other evidence of pleurisy with effusion. The diarrhœa now became aggravated, the anorexia returned, and the patient died August 1st. Treatment: Opiates and astringents were freely given to relieve the diarrhœa, and stimulants were administered from the first. When pleurisy set in a blister was applied to the right side of the chest. Diet: Milk, beef-essence, &c. Autopsy four hours after death: The left lung was bound firmly to the chest by old pleuritic adhesions; its lower lobe was greatly congested; pleuritic adhesions, which seemed quite recent, existed also on the right side; the posterior portion of the right lung was in a state of hypostatic congestion; the right pleural cavity was about half full of fluid. The heart appeared to be normal; a partially washed clot was found in its right side; the pericardium contained about three ounces of fluid. The liver was enlarged, pale, and apparently fatty; the gall bladder was filled with viscid bile. The spleen was enlarged and very soft. The kidneys were of about the normal size; their cortical substance appeared very pale. The mucous membrane of the stomach was thickened and congested; that of the small intestine was also congested, especially within three feet of the ileocæcal valve, where Peyer's patches were considerably thickened and presented a spongy appearance at their centres. In the ascending colon there were several large ulcers with ragged edges, which contained a quantity of black pigment; the mucous membrane was considerably thickened and softened; in the transverse colon these ulcers were less numerous and smaller; in the descending colon they again became larger.—Acting Assistant Surgeon O. P. Sweet. [Nos. 353 to 355, Medical Section, Army Medical Museum, are from this case. No. 353 is a portion of the ileum taken just above the ileocæcal valve, showing a slightly thickened Peyer's patch and some tumefaction of the solitary follicles. No. 354 is a portion of the ascending colon, presenting a number of oval ulcers with abraded edges, varying from the size of a pin-head to that of a five-cent piece. No. 355 is a portion of the transverse colon, presenting a number of minute follicular ulcers.]