Seclor, Frederick P. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d1e2043 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

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 The following are responsible for particular readings or for changes to this file, as noted: AJ Howell 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 219 Medical and Surgical History of the War of the Rebellion continued fevers clinical records mental dulness delirium eruption tenderness in iliac region intestinal gurgling typhoid fever typho-malarial and typhoid fevers Seminary Hospital cases typhoid cases additional proofing of transcription and encoding, identified keyword terms additional proofing of transcription and encoding 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 15.—Mental dulnessdullness; delirium; eruption; diarrhœal affection not prominent as a symptom; skin moist; date of onset not defined.—Private Frederick P. Seclor, Co. A, 9th Pa.; age 24; had suffered from fever and ague in June, 1861; but since then had done his duty uninterruptedly until September 19, when he was admitted as a case of typhoid fever. In the evening the patient was weak and had headache; the bowels were quiet, but there was some tenderness in the right iliac region and intestinal gurgling; face flushed; eyes bright; breath offensive; pulse 88; skin hot and moist; head cool and sweating; tongue grayish-yellow in the centre, red and clean at the edges. Ten grains of calomel and jalap were given. Next day, with a continuance of the symptoms stated, the patient became dull and stupid and had muscæ and tinnitus. On the night of the 21st there was delirium, and the characteristic eruption appeared on the 22d, on which day also he had two stools with some tympanites and tenderness; his tongue was black at the base, reddish-white in the centre and red at the tip. Turpentine emulsion and wine were given. Next night he was again delirious, and on the 23d dull, the skin unaltered save by the fading of the eruption from the chest and abdomen, the bowels quiet, slightly tympanitic but free from tenderness, and the tongue cleaning. Dover's powder was given in small doses, with stimulants. An enema was administered on the 24th, with two grains of blue-pill and one of quinine every three hours. By the 26th the eruption had disappeared, but the patient continued dull; the skin was moist, the tongue cleaning. The bowels were moved once on this day and on the 27th, and some tenderness and tympanites remained; but after this the tongue became clean, the appetite good and the bowels natural. The patient was returned to duty October 20.