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