✨ Medical Case Summaries
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places of abode at an advanced state of their illness.
Erysipelas.—Two cases of erysipelas proved fatal:—1st, A. M., male, aged 55 years, admitted January 20th, having been ten days ill in his lodgings. The most ex-tensive sloughing of the cellular tissue and integuments of the right leg and thigh en-sued, notwithstanding the practice of free incisions all over the affected limb, and death by exhaustion took place at the end of 14 days. The 2nd case was that of R. R., a boy of ten years, from Onehunga, admitted May 6th, with violent erysipelas of right arm and shoulder, caused by the prick of a fish-bone in the point of one of his fingers a week before admission. Collapse speedily set in, and death took place in 5 days.
Ophthalmia.—There are two fatal cases under the head of affections of the eyes:—1st, H. C., male, aged 34 years, many years blind in both eyes, and a permanent inmate of the hospital. He was of a consumptive habit, and gradually sank on September 16th. The right lung was found full of small absces-ses and the intestines were ulcerated. 2nd, Peter, a Wahu-man, long blind totally, and finding a home in the hospital. Died consumptive September 28th.
Delirium Tremens.—A fatal case of apo-plexy, the result of excessive drinking, oc-curred on September 9th, in eight hours after admission, in E. C., a soldier’s wife, aged 30 years, sent to hospital by the Commissioner of Police. On examination, a large mass of clotted blood was found overlay-ing the upper surface of both hemispheres of the brain. The 2nd fatal case of “delirium tremens” was that of T. S., also a female, aged 40 years; had had repeated attacks previously, died on the third day from admission. Copious serous effusion found in and upon the brain after death.
3rd, T. R., male, aged 87 years, died like-wise on the third day after admission. He also had had previous attacks of the disease.
4th, I. L., male, aged 43 years, admitted December 7th after a fortnight’s debauch, and died December 10th. This was an old case likewise, and in addition to the serous effusion in and upon the brain this patient’s heart was found enormously enlarged, no doubt caused and aggravated by intempe-rance. We were so fortunate as to have ten recoveries from this frightful disease during the year.
Disease of Brain.—A fatal case of ob-scure affection of the brain, not altogether unconnected with drink, occurred on October 30th, in W. S., male, aged 35 years. He was admitted in the beginning of the year, after the races; and some time before death was paralytic. On examination a tumour the size of a bean was discovered at the base of the brain.
Pneumonia.—A fatal case of pneumonia is recorded in the person of I. R., male, aged 30 years, admitted in a dying state on December 4th, and died on December 6th, 38 hours after admission.
Epilepsy.—A fatal case of epilepsy oc-curred in G. C., male, aged 22 years, ad-mitted January 24th, and died March 24th. The fits in this case were very frequent and violent, and on dissection a projecting spine of bone was found irritating the anterior lobes of the brain. The brain weighed 3 lbs. 8½ ounces.
Consumption.—Three fatal cases of Phthisis are returned; two of them remain-ing from last year. 1. P. F. seaman, aged 27 years, died March 10th. 2. J. R., male, aged 38 years, admitted January 30th, and died April 30th. Enormous caverns were found in the lungs, there was also diseased liver. 3. J. W., male, aged 37 years, died May 18th. In addition to diseased lungs, the heart was found enlarged.
Malignant Quinsy.—Under Quinsy is the case of S. C., female, aged 12 years, ad-mitted from the ship “William Miles,” November 13th, with malignant sore throat and dying two hours and a-half after ad-mission.
Diseases of Heart and Arteries.—Under diseases of the Heart and Arteries is the fatal case of G. S., referred to in last report, death took place February 5th; the aneu-rism having burst a week before death, and discharged an immense quantity of blood. The tumour arose from the arch of the Aorta, and was double the size of the heart, and filled with concentric layers of fibrine.
2. D. M., male, aged 36 years, admitted 10th February, and died next day. The heart was found greatly enlarged, with ossified valves. Pericardium universally adhered;
Disease of liver and abdominal dropsy.
Liver Disease.—Under “liver” disease is C. J., female, aged 31 years, admitted April 29th, from the Lock-up, died May 30th. The liver was enormously enlarged, and rose as high as in a line with the third rib, which it protruded in an extraordinary manner. The heart also was diseased, and the stomach was ulcerated. 2. C. G., female, aged 30 years, admitted September 15th, and died October 31st. Enormous tubercular disease of the liver was found. 3. J. O’N., male, aged 55 years, admitted May 5th, and died August 5th. Liver weighed 11lbs., consisting wholly of a mass of white tuberc-ular matter, with extensive caverns filled with scrofulous pus. Several quarts of serum were found in the abdomen.
Dysentery.—There are two cases of fatal Dysentery. 1. R. D., a medical man, aged 50 years. Had been long ill at Otahuhu, and was admitted February 10th, and died February 21st. He was emaciated to the last degree. 2. E. B., male, aged 47 years, admitted 21st November and died next day.
Rheumatism.—Under chronic Rheumatism is the fatal case of J. F., a Nova-Scotian, aged 33 years. He was in Hospital at the end of last year, and died September 12th.
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✨ LLM interpretation of page content
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Annual Medical Report of Auckland Provincial Hospital
(continued from previous page)
🏥 Health & Social Welfare4 February 1863
Medical Report, Hospital, Diseases, Fatal Cases
23 names identified
- A. M, Erysipelas fatal case
- R. R, Erysipelas fatal case
- H. C, Ophthalmia fatal case
- Peter (Wahu-man), Ophthalmia fatal case
- E. C, Delirium Tremens fatal case
- T. S, Delirium Tremens fatal case
- T. R, Delirium Tremens fatal case
- I. L, Delirium Tremens fatal case
- W. S, Disease of Brain fatal case
- I. R, Pneumonia fatal case
- G. C, Epilepsy fatal case
- P. F, Consumption fatal case
- J. R, Consumption fatal case
- J. W, Consumption fatal case
- S. C, Malignant Quinsy fatal case
- G. S, Diseases of Heart and Arteries fatal case
- D. M, Diseases of Heart and Arteries fatal case
- C. J, Liver Disease fatal case
- C. G, Liver Disease fatal case
- J. O’N, Liver Disease fatal case
- R. D, Dysentery fatal case
- E. B, Dysentery fatal case
- J. F, Rheumatism fatal case
Auckland Provincial Gazette 1863, No 5