✨ Medical Case Reports




43

  1. G. M., aged 40, miner. Admitted into
    Hospital with a very virulent form of typhoid
    fever. Autopsy: Showed the liver and
    spleen enormously enlarged and their structure soft and friable. There was extensive
    ulceration of the intestines in the vicinity of
    the ileo-coecal valve, and the mesenteric
    glands were congested and swollen to the size
    of almonds.

  2. T. S., aged 30, bushman, single. Admitted into Hospital in an extreme state of
    collapse, being almost pulseless. The head of
    the right humerus was dislocated into the
    axilla, and there was much contusion and
    laceration of the soft parts round about the
    shoulders. There was extensive effusion of
    blood into the left iliac fossa, and the anterior aspect of the upper third of the thigh, the
    head of the left femur was dislocated forwards,
    and there was comminuted fracture of the
    upper third of its shaft. From the time of
    his admission into Hospital until his death no
    pulsation could be detected in any of the
    arteries below the seat of the injury in the
    groin. Autopsy, four hours after death:
    The superficial femoral artery was ruptured
    at its commencement, and there was an extensive effusion of arterial blood forming a
    diffused aneurism in the left iliac fossa, and
    the anterior aspect of the upper half of the
    left thigh. The head of the left femur was
    dislocated forwards on the pubes, rupturing
    the psoas-iliacus and pectineus muscles. The
    upper third of the shaft was fractured into
    several fragments, and the trochanter major
    was driven backwards into the obturator
    foramen. The penis and scrotum were torn
    away from their attachments to the pubes,
    and the spleen was ruptured and clots of
    blood extravasated into the cavity of the
    peritoneum.

  3. J. W. B., aged 67, mariner. Chronic
    bronchitis and asthma, the result of aneurismal enlargement of the arch of the aorta.
    For some years previous to his death he
    suffered from chronic rheumatic arthritis of
    the left hip joint. Autopsy: The transverse
    portion of the arch of the aorta was enormously distended, and its coats were brittle
    from calcareous deposits. Both lungs were
    congested and emphysematous in parts.

  4. R. W. S., aged 42, sexton, married.
    Admitted into Hospital with bronchial asthma
    and severe orthopnoea, the result of aneurism
    of the descending portion of the arch of the
    aorta. He had slight dysphagia, and at
    times he suffered from severe laryngeal
    spasms which threatened suffocation. At no
    time had he much pain from pressure of the
    aneurism. Death was caused by the aneurism
    bursting into the left bronchi. Autopsy:
    The transverse portion of the arch of the
    aorta was fully double its normal calibre, and
    its coats were full of atheromatous deposits.
    On the anterior and internal aspect of the
    descending portion of the arch of the aorta
    there was a true sacculated aneurism the
    size of a hen egg, it was pressing on the back
    of the left bronchus, and had eaten its way
    through three of its cartilaginous rings. The
    mucous membrane of the trachea and left
    bronchus was red and inflamed as far up as
    the larynx.

  5. S. C., aged 36, miner, cut throat
    (suicide).
    Was a discharged patient from
    the Lunatic Asylum. Shortly after his admission into Hospital he was attacked with a
    violent fit of coughing when he became comatose from effusion of blood on the brain.
    Autopsy: Transverse wound on front of the
    neck five inches long, stretching from the
    anterior border of the left sterno-mastoid
    muscle to the posterior border of the right
    sterno-mastoid muscle, the anterior border of
    this muscle was slightly divided. The
    structures in the situation of the wound were
    matted together from deep seated cellulitis.
    There was some slight inflammation of the
    larynx and epiglottis. No large blood
    vessels or nerves were injured. On opening
    the chest the lungs were found to be in the
    first stage of pneumonia. On removing the
    skull cap a large clot of recently extravasated
    blood was found pressing on the upper surface
    of the right hemisphere of the brain. The
    membranes of the brain were enormously
    congested, and there was extensive effusion of
    serum into the arachnoid space.

FEMALES.

  1. M. H., aged 30, married. Admitted
    into Hospital in extremis, suffering from
    enteric fever and peritonitis. No Autopsy
    was obtained in this case.

  2. A. R., aged 29 years, married. Had
    been a patient in the Hospital some months
    previously, when she was tapped on several
    occasions for ascites, the result of cirrhosis of
    the liver. Was admitted into Hospital in a
    comatose condition β€” stertorous breathing,
    pupils dilated and insensible to light; eyes
    turned upwards and backwards; extremities
    cold. Autopsy: On removing the skull cap
    the membranes of the brain were found to be
    enormously congested, and there was a large



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Online Sources for this page:

VUW Te Waharoa PDF Westland Provincial Gazette 1872, No 8





✨ LLM interpretation of page content

πŸ₯ Fifth Half-yearly Report from the Committee of Management of the Hokitika Hospital (continued from previous page)

πŸ₯ Health & Social Welfare
Hospital, Report, Medical Cases, Surgical Cases, Mortality, Patient Statistics, Diseases, Injuries, Autopsy Results
7 names identified
  • G. M., Patient with typhoid fever
  • T. S., Patient with multiple injuries
  • J. W. B., Patient with chronic bronchitis
  • R. W. S., Patient with bronchial asthma
  • S. C., Patient with suicide attempt
  • M. H., Patient with enteric fever
  • A. R., Patient with cirrhosis of liver