Civil War Washington

CASE 1.—Private Patrick Hughes, Co. G, 28th Mass.; admitted Jan. 24, 1862: Quiet but sleepless; back less painful; ankles still swollen and sore; pulse accelerated; skin somewhat hot; tongue slightly coated. Treatment continued. 25th: Slept but little on account of pain; ankles slightly swollen but very painful; left knee almost well, but right knee hot, swollen and painful; pulse accelerated; skin hot; tongue moist and comparatively clean. A drachm of sulphate of magnesia and ten grains of nitrate of potash five times a day, with light diet. 26th: Rested well; both knees hot and somewhat swollen, but the right only painful; ankles sound; tongue slightly coated; pulse 80. Continue treatment. 27th: Rested well; pain only in the left knee, which is enlarged from effusion; pulse about 60, very irregular; skin hot; pain in the region of the heart. Continue nitrate of potash with colchicum. 28th: Rested well; appears well; pulse regular; tongue slightly coated; complains of pain in his left crotch, otherwise well. Continue treatment. May be returned to quarters to-morrow.—Hospital 28th Mass.