Armstrong, Wm. S. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d1e9727 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: 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 388 Medical and Surgical History of the War of the Rebellion the continued fevers post-mortem records of continued fevers cases reported as typhoid fever, the clinical history insufficient or absent Peyer's patches ulcerated and the large intestine also implicated cavity of pus between peritoneum and right side of abdomen admitted with high fever and delirium lungs congested liver grayish-blue color minute collections of air in parenchyma of liver liver parenchyma color of sanious pus, disagreeable odor in lower third of small intestine Peyer's patches ulcerated, mucous membrane intensely injected in places mucous membrane at ileo-cæcal valve indurated and blackened mucous membrane of large intestine dotted with blackish spots air-cavities disseminated through parenchyma of kidneys distinction between renal cortical and pyramidal portions almost obliterated additional proofing of transcription and encoding, edited and added 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 199.—Private Wm. S. Armstrong, Co. B, 7th Me.; age 21; was admitted June 14, 1863, with high fever and delirium, a furred and fissured tongue, sordes on the teeth, frequent retching and diarrhœa, the stools numbering about twenty daily. He was much emaciated and so weak as to be unable to sit up. During the next few days his stools became less frequent, but on the 19th the passages were involuntary, the delirium continued, the pulse, which had fallen from 120 to 80, was very weak, the countenance pinched, the extremities cool, the perspiration cold. He died on the 20th. Post-mortem examination fourteen hours after death: The brain was healthy. The mucous membrane of the œsophagus was of a bright-ochre color and rather softened; the trachea was of a dark-purple color, its mucous membrane slightly softened. The lower lobe of the right lung and the whole of the left lung were congested. The endocardium was somewhat darkened; the right ventricle contained a fibrinous clot; the aorta was reddish. The surface of the liver was generally of a grayish-blue color, but anteriorly the right lobe presented a more healthy appearance; minute collections of air were disseminated throughout the parenchyma of this organ, which was softened, of the color of sanious pus and possessed of a disagreeable odor; the air-cavities and the transverse section of the portal veins gave a honey-combed appearance to the interior; Glisson's capsule was smooth and easily torn. The mucous lining of the stomach was of a dark-slate color but healthy. The spleen, fifteen ounces and a half, was unusually firm and of a deep mulberry color; the pancreas was healthy. The intestines were distended with air; the mucous membrane of the upper portion of the small intestine was of a light-yellow color; in the lower third Peyer's patches were ulcerated and the mucous membrane, in some places very pale, was in others intensely injected; at the ileo-cæcal valve it was indurated, thickened and blackened and in the large intestine pale and irregularly dotted with blackish spots. A cavity containing about four drachms of pus was found between the peritoneum and the cellular tissue on the right side of the abdomen, about two inches below the diaphragm; the omentum was healthy. The kidneys resembled the liver in having air-cavities disseminated through their parenchyma; the distinction between the cortical and pyramidal portions was almost obliterated, the latter being purplish; the organs generally were tumid and flabby. Two large bed-sores were noted, one over the sacrum, the other over the great trochanter of the right femur.—Ass't Surg. Harrison Allen, U. S. A., Lincoln Hospital, Washington, D. C.