Manchester, A. L.a machine readable transcriptionSusan C. LawrenceKenneth M. PriceKenneth J. Winkle2011med.d1e41932Civil War WashingtonUniversity of Nebraska–LincolnCenter for Digital Research in the Humanities319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu2011
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Kenneth WinkleAJ HowellMatthew BosleyElizabeth LorangStacey BerryAlyssa OlsonThe Medical and Surgical History of the War of the Rebellion.
(1861-65.)Washington, DCGovernment Printing OfficePart 2Volume 11879519Medical and Surgical History of the War of the Rebelliondiarrhœa and dysenteryremarks on the pathology and treatment of diarrhœa and dysenterychronic dysenterypost mortem appearances in chronic dysenterymorbid anatomychronic inflammation of the intestines accompanied by follicular or other ulcersautopsy performeddiarrhœameaslesmeasles and enteritissmall intestine inflamed near ileocæcal valvelarge intestine inflamed and ulcerateddescending colon exhibited small, oval follicular ulcers, also irregular ulcers with
overhanging edgestormina and tenesmusbloody stoolscatarrhal ulcersdiphtheritic inflammationblessedadded figure encodingadditional proofing of transcription and encoding, identified
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The extreme dimensions of the erosions, which occasionally result from the extension of
follicular ulcers, are well illustrated by the plate facing page 526, which is a reproduction of
a photograph of No. 195, Medical Section. The following is an account of the case:
CASE 904.—Sergeant A. L.
Manchester, company E, 152d New York
volunteers; age 23; was enlisted September 27,
1862, and continued to do duty with his company until March, 1863. During much of this
time he had diarrhœa, which, however, did not prevent him from remaining on duty. March 2d, being then on duty as one of the guard at
Douglas hospital, Washington, D. C., he was attacked by
measles, with dry skin, pulse 110, and dark tongue. At the time of this attack he was a good
deal broken down by the disorder of his bowels, and when, on the 5th of March, he was transferred to a bed in the hospital, the entry
in the register was "measles and enteritis." The stools had been comparatively painless, but,
March 7th, tormina and tenesmus supervened and they became bloody; they did not, however, exceed
ten in twelve hours. These symptoms gradually abated under the use of a chalk mixture with
opiate suppositories, and by the 12th of March the stools were reduced to four in the
twenty-four hours, and were no longer bloody; skin moist; tongue cleaner; pulse 70, but quite
feeble; the patient began to eat, and was now free from tenesmus and abdominal pain. March 20th:
Is much better; pulse 84 and stronger; he sits up; has milk and eggs for diet; the remedies
employed seem to control the tendency to pain and straining; the latter symptom appears to be
kept in check by the use of the suppositories mentioned above. March 22d: Appetite better; only
three painless passages in the last twenty-four hours; pulse 84; skin natural; tongue coated;
slight tenderness on pressure in the left inguinal region. March 28th: Not so well; pulse 110;
skin natural; has had about four stools daily for the last few days; they are dark-colored and
stringy; tongue coated with a brownish fur; increased tenderness in left inguinal and lumbar
regions. March 29th: Pulse 125; skin dry; tongue coated, but not so thickly as yesterday.
Ordered quinia and milk punch. March 30th: Continual bilious vomiting set in, which was somewhat
relieved by creasote, but it recurred from time to time, and death ensued April 1st. Stimulants, beef tea, &c., had been freely used during
the last week of life. Autopsy: The small intestine near the
ileocæcal valve was inflamed; higher up it was healthy. The large intestine was extensively
inflamed and ulcerated.—Acting Assistant Surgeon Henry L. W.
Burritt. [Nos. 194 and 195, Medical Section, Army
Medical Museum, are from this case.]
The plate represents a portion of descending colon, which exhibits a number of the small,
oval, characteristic follicular ulcers, but shows besides a number of large irregular ulcers
with overhanging edges. The largest of these are more than an inch in diameter. It is probable
that follicular ulceration had existed in this case for some time before the patient was
attacked by measles, and that in consequence of the adynamic condition induced by that disease
the ulcers rapidly extended. This seems to have been effected by a simple ulcerative process
quite independent of any diphtheritic inflammation, and the specimens afford an excellent
illustration of the great size to which catarrhal ulcers sometimes extend. No. 194, Medical
Section, is taken from higher up the same colon, and exhibits similar lesions but in a less
marked degree.