Civil War Washington

Case from the case-book of LINCOLN HOSPITAL, Washington, D. C.; Assistant Surgeon Roberts Bartholow, U. S. A., in charge from August 21st to December, 1863.

CASE 393.—Private Abraham Keller, company A, 6th Maryland volunteers; admitted November 23, 1863. Chronic diarrhœa. [This man appears on the register of the regimental hospital of the 6th Maryland volunteers, admitted October 22d—diarrhœa—sent to general hospital November 2d.] Died, December 31st. Autopsy: A number of lobules in the left lung were hepatized gray; the right lung was healthy. The deep-seated cervical lymphatic glands were tubercular, (no tubercle elsewhere.) The liver was hard and presented a number of whitish lardaceous spots. The spleen was small and firm. The ileum was healthy; the colon ulcerated. Assistant Surgeon Harrison Allen, U. S. A.⃰

⃰ September 14, 1864, Dr. Allen presented to the Pathological Society of Philadelphia a brief "Synopsis of Autopsies made at Lincoln General Hospital," to which the reader is referred.—(Proceedings of the Pathological Society of Philadelphia, in the American Journal of the Medical Sciences, January, 1865, page 133.) In this paper he analyzes the appearances observed in forty-one cases of diarrhœa and dysentery, thirty-five of fever, twenty-one of pneumonia, and five of diphtheria. The notes of Dr. Allen's autopsies, from which the accounts here presented have been condensed, were not contained in the case-books of Lincoln hospital turned in to the Surgeon General's Office at the close of the war, but have since been copied into them from the originals, loaned for the purpose.