matters, the fact I have already referred to regarding the condition of the left side of the heart immediately after death from cholera ; confirming the observations of the late Dr. F awe us as to this cavity of the heart being as full of blood as the right side when the post-mortem examination is speedily made after the death of the patient. This table also illustrates, clinically, the relation between the loss of weight of a patient suffering from cholera and the amount

purging, and seems to indicate that it is not those who continue to vomit and purge frequently in cholera that recover, but, on the other hand, that those who rapidly of vomiting and

patients

weight, or, in other words, who are constantly being purged, most often succumb to the disease. I do not conceal from myself the fact that in estimating the weight of a person under these circumstances, as evidence of the rapidity of loss of fluid loose

from the body, we are bound to consider the weight of water or food consumed, and the loss of fluid by perspiration and into the bed clothes My object is not to bring forward these cases as scientific data, but simply, in a clinical point of view, to assist us in determining if there is any connection between the rapidity in the loss of weight and- the death-rate of those suffering from cholera ; for in this way only shall we settle the disputed point as

to

the direct

cholera: means

the most

seldom

collapse and the other symptoms of hospital patients are not by any favorable for observations of this kind, as they of

cause

unfortunately

our

under our care until the disease has done its "We cannot ignore the fact, however, as shown in this table, that the more rapid the loss in weight, the more sure the death of the patient, and that in some cases a patient suffering come

worst.

A CASE OF ASIATIC CHOLERA, WITH REMARKS.

By

C. Macnamaua.

table has been most carefully prepared for me cases under my care in the Native from Hospital, by my Assistant, Mokoda Churn Sein, and illustrates, among other The

following

fc 2

e" S

>5

o

E

^

S5

H * O

5 ^

BJg S2|

every possible results.

Weight=Wt.

Stools=St.

o

?

o

u o

u

??

O

3

?

C

o

J3

Wt. 5st. 51b. V.

II. Admitted Wt. 6st. 6 cured. 6 V.

Admitted Sept. 6, 1870, cured.

st. 5

2Jlb.

o

a

S

j

^ "

O

I

^i

o

g

?

0 0

Loss

2|lb.

Loss

8jlb.

Loss

Jib.

Wt. ost. 61b. St. Several V. 3

st. lbs. 11 5 0 0

lbs. 6 1 0

st. lb. 5 Hi 0 0

Loss

jib.

st. 5

lbs. 6 0 0

d

?*H 0>

fS|gi S"3 $? *; ,2 ^ -2

I?

"

.2 a

|

g>_g a>

2|Ib.

7

V. Admitted Wt. 5st. 11 fib. Not Oct. 12, 1870, St. ^ cured. V. ) mentd

VI. Admitted Oct. 24, 1870, cured.

S

o

lb.

13J

Wt. 6st. St. 11 8 V.

V.

s

Loss

IV. Admitted Wt. 7st. 7flb. Sept. 14, 1870, St. 6 cured.

?,

15

Aug. 17, 1870, St.

III.

?5?J?S ? ? %& "tt Qj ^ = ?

Aug. 12, 1870, St. 12 cured.

ensure

?

?

"fl

I. Admitted

s S ?S'S

g2-g|;Og2= s-S'S'? i ??5

K ^

1

o?

e-=8

Vomiiing=V.

oeS 2

has been taken to

precaution

a s

2 a a

?g

from cholera may lose as much as 30 ib in weight in the course of a few hours. I may add, that in taking the weight of our patients, the weighing machine is kept in the cholera ward, and that each patient is weighed when perfectly naked ; in fact,

241b.

for 1 stool.

I is. s 5-2

'

accurate

o

?

n

w

5

A CASE OF ASIATIC CHOLERA.?BY C. MACNAMARA.

1872.]

September 2,

a a

Weight=Wt.

?

Stooi,s=St. ,Voiiiting=V.

?

E S

O p

,rH

a

o 6
2

H

fe

?

? P
5 2

? CO

?

e

3 o

< -a

cured.

XI. Admitted Jan. 29, 1872, cured.

st. 6

9

5

?

Wt. 6st. 71b. St. Several V. 15

XIV. Admitted May, 12, 1872, oured.

Wt. 6st 121b.

y' |

XV. Admitted Feb. 11,1871, died.

Wt. 8st. St. 5 V. 5

lb.

st. 4

n

1 0

st. 7

8st. 2 0

st. 5

?

c ?

o

I a

Loss 21b.

ljlb.

st. 7

lb. 2 2 0

Loss

21b.

Loss

|lb.

st. lb. 7 10

Loss

41b.

for each None made. stool.

Of

5st.

Loss

6Jlb.

of oz. for each Both sides full stool. ofblood.

lb.

st. lb. 4 13

Loss

2|lb.

st. lb. 4 11

Loss

ljlb.

for each None msde. stool

8st.

Loss

3alb.

for each None made. stool

12|

Loss

Iflb.

ft. 6

Loss 5ft.

?t. 7

n

lb. 4 2 0

lb.

st. 5

1 0

st. 5

lb

3f

0 1

st. 4

lb.

lb.

0}

st. 4

13J

lb

st. 4

12f 0 0

lb. 2

st. 5

1(H

lb.

12f 0 0

st. lb. 4 13i 3 0

st. lb. 5 7 Several. 0

lb.

3Jioz.

for each siool.

4oz. for each stool.

10?oz.

for each stool.

4oz. for each stool.

st. 6

ft. 2 2 0

Ib.

13? 3 1

st. 6

ft.

st. 5

1 0 0

v.

80^

5

st. 6

lb.

12^ 1 1

l|Ib.

7|oz.

None made.

|oz.

Ifft.

ft. 3 0

st. 6

8j

4 0

st. 5

st. 6

lb. 1 0

6|

st.

.

'"3

?-S

Loss

lb. 0 0

8J

XIX. Admit- Wt. 8at. SJlb. ted Nov. 3, St. Several None. V. 1871, died.

XXII. Admit- Wt. 7st. 121b. Not ted Jan. 22, St.) j mentd. 1872, died.

?

03

Q?> a 13 ?2 ta

lb. 1 3 0

st. 4

lb.

Wt. 4st 1211b. Not V. ) mentd.

XXI. Admit- Wt. 5st. 111b. ted Jan. 7, St. 12 V. Several 1872, died.

3

st. lb. 6 12 0 0

'Sept. St.")

XX. Admitted Wt. 6st. St. Several Dec. , 1872, V. Not mentd. died.

g

O

0S| 3^-f?

st. 4

lb. 11 1 0

st. 7

XVII. Admit- Wt. 5st. 1 Jib. ted Sept. 12, St. Several V. 1871, died.

J3, 1871, died.

o

QJ 05

3|lb.

Several

XVI. Admit- Wt. ost. 611b. ted Mar. 20, .St. Several. V. 1871, died.

tx

thij

Loss

2 0

st. 4

^3

r-

Bts

-3

A Case of Asiatic Cholera, with Remarks.

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