CASE OF ASCITES. By MOHAMED ALI

MULK,

Sub-Assistant Surgeon, Loodiana. WITH

REMARKS OK KARELL'S MILK CUKE AND THEKMOMETRICS. By De. Civil

JOHNSTON,

Subgeon

of

Looduita.

Daiso, a Hindoo female, aged thirty, was admitted into the Loodiana Government Charitable Dispensary on the 16th October last. Temperate in her habits, is the mother of three nnd has been regular until the last two years, when attacked with frequent accessions of common fever. About a year and a half ago, she suffered from fever followed by

children, she

was

78'

THE INDIAN MEDICAL GAZETTE.

1867

for albumen, but showing the presence of phosphates. Ordered pulv : jalapse rad : grs. 40, hydrargyri chloridi grs. 5, pulv : zinziberis grs. 5, to be taken at once, which produced four large watery motions. The treatment adopted by Dr. Ivarell, physician to the Czar, was administered, which consists in the exclusive administration of fresh milk, no solid aliment being

but upon its cessation lier present complaint, as a moveable swelling in the abdomen, at first confined to the left, but soon reaching the right hypochondriac region. On admission, her abdomen was greatly distended, measuring round the umbilicus thirty-seven inches, and opposite the crests ot' the ilii thirty-seven and half inches ; feet cedematous, pitting on pressure ; breathing laboured i pulse 74 ; temperature 92? ; bowels constipated ; urine of red colour, giving no deposit when tested

raucous

[March 1,

dysentery,

"ascites," commenced

given.

I attach a tabulated record of progress and treatment the fifty-nine days she remained in hospital.

during

MeasureAt 6

a.m.

At 12 Noon.

? es.is .2? X, a

P

Hh

ments at 6 A.M.

? 5 .2 A

Diet,

"S .is

8 2-2 ?

?3

Oi

32

"p

Oct.

Ins.

17tli

3 ?1

18 th 19 th 20th 21st 22nd

3 3 3 3 3

92

3 J?1

94

3|?1

374

Ins. 37

95-1 96 90 95-1 952

3 3 3 3 3

96-4 98-2 97-5 96-5 97 6

3 3 3 3 3

36|

30!

23rd

3 -1

24th

3 3 3 3 3

-1 ?1 ?1 ?1 1

3 ?1

?

98

3 ?1

98 97'4 98

37 37 37 36

Progress.

?S3

Milk a

?1 ?1 ?1 ?1 ?1

Treatment.

oz.

vi. 4 times

day.

Ditto. Ditto. Ditto. Ditto. Oz. viii. 4 times

37

36| 36! 37

a

day.

97'5

Ditto.

Ipec : co p, time.

:

gr.

at bed-

xx.

Better;

asks

for

more

milk.

ether nit: m. xx. Potas : bicarb :... gr. xx. Mist: camph: oz. i. M. ft. liaust., ter die. Ditto.

Ijt. Spt:

...

...

25th 26th 27th 28th

?

97 95-6 95'5 96 956

3 3 3 3 3

97-5 97 97 98-8

3 3 3 3 3

-1 ?1 ?1 ?1 ?1

36 35 35 35 35

seise* 301 35! 35!

35 34

35! 35! 35

Ditto. Ditto. Ditto.

34J

Ditto.

29th 30th 31st Uov. 1st 2nd 3rd

3 3 3

95 95 95 6

3 3 3

97-4, 98

3 ?1 3 ?1 3 ?1

3 3 3

95 95 95

3 3 3

97 97-2 97

3 ?1 3 ?1 3 ?1

4th 6th

3 3

95 95

3 3

97-2 97

3 ?1 3 ?1

97 97 96 97 97 96-2 965 96 96 96 96 95-2 95-2 95-4 96 96 95

?

?

6th 7 th 8th 9th 10th 11th 12th 13th 14 th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

25th 26th 27th 28th

3 3 3 3

29th 30th

3 ?1 3 ?1

-

34! 33 33 33

34 31

33 33

34 34,

3 ?1

33

34

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

?1 ?1 ?1 ?1 ?1 ?1 ?1 ?1 ?1 ?1 ?1 ?1 ?1 ?1 ?1 ?1 ?1 ?1

33 33 33 33 33 33 33 33 33 33 33 33 33 33 32i

32! 32J 32i

34 34 34 34 34 34 34 34 34 34 34 34 34 34 34 34 34 34

?1 ?1 ?1 ?1

32| 32! 32 i

34 34 34

95 95 95 96 95 95 95 95 95'5 95-4 95 95 95 96 95 95-2 95 95

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

95

3 3 3 3

3 3 3 3

3 -1 3 ?1

3 -1 3 ?1

?

98'5

98-4, 97

98

98-5 98-5

Ditto. Ditto.

Ditto. Ditto. Ditto.

Ditto. Ditto. Ditto. 2 chittacks of attah boiled in milk. Ditto.

Ditto. Ditto. Ditto. Add potas: acetas gr. v. to each dose of the mixture.

Ditto. Ditto. Add ferri sulph : gr. ij. to each dose of the mixture. Ditto. Ditto. Ditto.

Ditto. Ditto.

Ditto. Ditto. Ditto. Ditto. Ditto. Ditto. Ditto. Ditto. Ditto. Ditto. Ditto. Ditto. Ditto.

Ditto. Ditto. Ditto. Ditto.

Ditto. Diito. Ditto. Ditto.

Ditto. Ditto. Ditto.

Ditto. Ditto. Ditto.

23

Ditto. Ditto.

Pale; pulse very feeble.

Complains

that she doe9 not