Civil War Washington

CASE 33.—James Sutton, substitute, unassigned; age 20; was admitted April 9, 1865. The prominent symptom was headache, for the relief of which ten grains of blue-pill, with castor oil to follow, were prescribed. During the night the bowels were freely opened and next day the headache was relieved; but the patient complained of uneasiness or slight pain in the right side, where was some dulness​ on percussion, with coarse crepitation over the lower and posterior part of the right lung. There was but little cough and no expectoration; pulse 100, rather small and compressible. Quinine, stimulants and nutrients were freely administered, but without effect; the patient died towards evening. Post-mortem examination: The lower lobe of the right lung and the lower part of its upper lobe were hepatized; the left lung was congested throughout. The spleen was congested and softened. The other organs were normal. —Act. Ass't Surgeon Lewis Heard, L'Ouverture Hospital, Alexandria, Va.