Hatch, David G.

Hatch, David G. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d1e10795 Civil War Washington University of Nebraska–Lincoln Center for Digital Research in the Humanities

319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu

2011

Copyright © 2011 by University of Nebraska–Lincoln, all rights reserved. Redistribution or republication in any medium, except as allowed under the Fair Use provisions of U.S. copyright law, requires express written consent from the editors and advance notification of the publisher, the University of Nebraska–Lincoln.

The following are responsible for particular readings or for changes to this file, as noted: Matthew Bosley Elizabeth Lorang Stacey Berry Elisabeth Tracey The Medical and Surgical History of the War of the Rebellion Washington, DC Government Printing Office Part 3 Volume 1 1888 748 Medical and Surgical History of the War of the Rebellion diseases attributed to non-miasmatic exposures diseases of the respiratory organs diphtheritic inflammation of the fauces, etc. doubt diphtheria was constitutional disease from specific poison post-mortem records diphtheria could not swallow chest dull on percussion, bronchial breathing heard respiration painful and difficult admitted with typhoid fever acrid discharges from nose, sordes on teeth fibrinous mass, grayish-white in larynx and red in trachea bronchial tubes occluded with plugs of white fibrinous lymph lower lobe of lung consolidated, middle lobe partially carnified, upper lobe generally consolidated cheesy and calcareous degeneration of bronchial glands Peyer's patches congested and spotted suprarenal capsules enlarged diphtheritic layer coated posterior surface of soft palate and under surface of epiglottis, notably at rima glottidis Peyer's patches congested and spotted, valvulæ irregularly congested additional proofing of transcription and encoding, edited and added keyword terms additional proofing of transcription and encoding, edited and added keyword terms additional proofing of transcription and encoding case text extracted and transformed from larger file Encoding and Proofing Initial Checking OCR Text to PDF file,

CASE 20.—Private David G. Hatch, Co. H, 13th N. H.; age 23; was admitted Dec. 30, 1862, with typhoid fever. On Feb. 23, 1863, he had high fever, pulse 144, and a dry hacking cough; his throat, lips and tongue were much swollen and his mouth and fauces dry and inflamed. He continued to take food till March 1, when he complained that he could not swallow. At this time the chest was dull on percussion and bronchial breathing was heard; respiration was painful and difficult, the pulse low, breath offensive and the extremities cold; acrid discharges came from the nose, sordes accumulated on the teeth and the expectoration was mixed with putrid masses. He died on the 3d. Post-mortem examination: The brain was pale and firm. The trachea, larynx, posterior half of the left side of the fauces, the pharynx on the line of the nares and the posterior part of the floor of the nares were covered with a fibrinous mass, grayish-white in the larynx and red in the trachea. [Specimen 7, Med. Sec., Army Medical Museum, shows a diphtheritic layer coating the posterior surface of the soft palate and the under surface of the epiglottis; it is notably present at the rima glottidis.] The right lung weighed thirty-nine ounces; its bronchial tubes were occluded with plugs of white fibrinous lymph, which, when detached with difficulty, revealed longitudinally striated mucous membrane, roughened and in places granulated; on section the tubes appeared as yellowish-white spots; the lower lobe was almost entirely consolidated; the middle lobe, shrivelled and partially carnified, had its main bronchus totally occluded by a large plug; the upper lobe was generally consolidated, but the bronchial plugs were less adherent and there were neither striæ nor granulations in the bronchi. Some of the bronchial glands were in a state of cheesy and calcareous degeneration. The heart was pale and contained fibrinous clots in both sides; nineteen drachms of brownish serum were found in the pericardium. The duodenum was stained; Peyer's patches were much congested and spotted; the valvulæ were thin and irregularly congested and the mucous membrane of a livid flesh-color. The large intestine was normal. The liver, fifty-nine ounces, was mottled, pale and softened; the spleen, seven ounces and a quarter, was mottled of a light-purple color, its trabeculæ distinct and firm and its substance pulpy; the pancreas firm and purple; the kidneys reddish flesh-colored and firm; the suprarenal capsules enlarged, straw-colored and of natural consistence.—Ass't Surgeon Geo. M. McGill, U. S. A., Lincoln Hospital, Washington, D. C.