[p. 143]meteorism; much
thirst; disposition to coma; painful swelling of the right hypochondrium;
extremities altogether coldish; slight incoherence, forgetfulness
of everything he said; he was beside himself. About the fourteenth
day after he betook himself to bed, had a rigor, became heated, and
was seized with furious delirium; loud cries, much talking, again
composed, and then coma came on; afterwards the bowels disordered,
with copious, bilious, unmixed, and undigested stools; urine black,
scanty, and thin; much restlessness; alvine evacuations of varied
characters, either black, scanty, and verdigris-green, or fatty, undigested,
and acrid; and at times the dejections resembled milk. About the twenty-fourth,
enjoyed a calm; other matters in the same state; became somewhat collected;
remembered nothing that had happened since he was confined to bed;
immediately afterwards became delirious; every symptom rapidly getting
worn. About the thirtieth, acute fever; stools copious and thin; was
delirious; extremities cold; loss of speech. On the thirty-fourth
he died. In this case, as far as I saw, the bowels were disordered;
urine thin and black; disposition to coma; insomnolency; extremities
cold; delirious throughout. Phrenitis.
Case 14
In Cyzicus, a woman who had brought forth twin daughters,
after a difficult labor, and in whom the lochial discharge was insufficient,
at first was seized with an acute fever, attended with chills; heaviness
of the head and neck, with pain; insomnolency from the commencement;
she was silent, sullen, and disobedient; urine thin, and devoid of
color; thirst, nausea for the most part; bowels irregularly disordered,
and again constipated. On the sixth, towards night, talked much incoherently;
had no sleep. About the eleventh day was seized with wild delirium,
and again became collected; urine black, thin, and again deficient,
and of an oily appearance; copious, thin, and disordered evacuations
from the bowels. On the fourteenth, frequent convulsions;extremities
cold; not in anywise collected; suppression of urine. On the sixteenth
loss of speech. On the seventeenth, she died. Phrenitis.
Explanation of the characters. It is probable that death was caused,
on the seventeenth day, by the affection of the brain consequent upon
her accouchement.
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