β¨ Medical Case Reports
43
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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. -
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. -
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. -
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. -
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.
-
M. H., aged 30, married. Admitted
into Hospital in extremis, suffering from
enteric fever and peritonitis. No Autopsy
was obtained in this case. -
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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β¨ LLM interpretation of page content
π₯
Fifth Half-yearly Report from the Committee of Management of the Hokitika Hospital
(continued from previous page)
π₯ Health & Social WelfareHospital, 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
Westland Provincial Gazette 1872, No 8