ON THE METHOD OF MEASURING THE SYSTOLIC PRESSURE IN MAN, AND THE ACCURACY OF THIS METHOD

Abstract

On December 17th the temperature in the morning was 100.6? F.; the pulse 108, of good volume. He had passed a motion on the previous night. Respiration was less laboured. Flatus had been passed ; abdominal distension was much less and the patient felt better. A morphine injection was given at , bedtime. On December 18th the pulse was 126 ; he had slept well. In the evening he passed five loose motions. Morphine was repeated. On December 19th the pulse was 110 ; he had slept very well ; the bowels had been moved three times only. -Bismuth and morphine was given internally. The abdomen became distended, but this was relieved by a soap enema. On December 20th the morning temperature was 99.8?, the pulse 108 and of good volume. He had passed only one motion, and had slept well after a chloral and bromide draught. From December 21st to 27th the temperature ran an irregular course ; the bowels also moved freely, but no attempt was made to check the motions completely, as it produced distension and discomfort. Whenever tne motions were too frequent bismuth and morphine were given internally. In the meantime he was given digitalis and nux v?mica in a mixture, and was fed on cow's milk, malted milk, chicken broth, liquid peptonoids, brandy, etc. From December 27th, 1907, to January 1st, 1908, his temperature was normal, but there was then again a slight rise, not exceeding 99? F. The abdominal wound became infected, and had to be dressed daily. At one time a little faecal matter passed through the lower end of the wound, but it has since ceased. Now the wound is almost healed, and the patient is enjoying ^ordinary diet. Widal's test proved negative three times.