Civil War Washington

CASE 117.—Diagnosis—remittent. Bowels loose and tympanitic; no characteristic symptoms of typhoid.—Private O. Gunderson, Co. B. 6th Wis. Vols.; age 19; was admitted Nov. 8, 1861, having been attacked about the 1st with chills and fever, headache, pain in the back and limbs and anorexia. On admission he was wakeful and suffering from headache, his countenance anxious, eyes dull, cheeks flushed, pulse 100 and thread-like, skin about the natural temperature, tongue red and moist at the tip and edges, dry and coated yellow in the centre, appetite lost and bowels loose and tympanitic; he had some cough with whitish expectoration. One drachm of sweet spirit of nitre was given every hour. Small doses of blue-pill and opium were prescribed on the 9th and repeated on the 10th and 11th, with twelve grains of quinine each day, and with eight grains on the 12th, on which day beef-essence and emulsion of turpentine were also administered. The tongue, however, remained coated yellowish-white and the appetite poor up to the 19th, when the last notes were entered on the record. The patient was transferred to Baltimore, Md., December 3.