Civil War Washington

CASE 94.—Intermittent fever; relaxation of the bowels and abdominal tenderness; no cerebral nor special typhoid symptoms, but no particulars are given of the patient's condition for some days preceding death.—Private Andrew Landon, Co. C, 74th N. Y. Vols.; age 18; was admitted Nov. 2, 1861. Diagnosis—typhoid fever. His health had been good until about a month before admission, when he contracted intermittent fever. On the 3d his eyes were bright, cheeks flushed, pulse 100, quick and small, skin hot and dry, tongue faintly yellow; he had some appetite, some thirst, two stools and slight epigastric tenderness. On the 5th a blister was applied on account of increasing tenderness with some tympanites in the umbilical and iliac regions. At this time he was taking twelve grains of quinine daily with tincture of iron. On the 8th he was wakeful, the pulse rose to 120, the skin continued hot and the tongue coated; the tenderness had decreased, but the bowels were slightly relaxed and there was some cough. Emulsion of turpentine and beef-essence were prescribed. On the 10th there was much tympanites and three stools were passed. Whiskey-punch and astringents were ordered. On the 11th the eyes were bright, face pale, pulse 120 and quick, skin hot and dry, tongue dry and red but slightly yellow in the centre, appetite good. Acetate of lead and tannin were prescribed, but death took place on the 17th.