Excerpt from The Medical News, Vol. 79: A Weekly Medical Journal; July-December, 1901
This patient was a well-nourished Italian, twenty-five years of age, who was in the Hudson Street Hospital under my care and later under that of Dr. Conner. He could speak no English so that his previous history remained unfathom able. He was admitted oh December 7, 1900, on what was probably the second day of the pneumo nia. He had been ailing for four days, but on the day before admission he 'had a chill and stayed in bed. Throughout the disease the tongue was rather moist and but moderately coated, the stom ach behaved very well, although once he vomited after taking milk; constipation was constant. There was severe pain in the left side of the chest upon breathing and coughing, the sputum was rusty and very tenacious. The heart action was much accelerated, but of such force that under stimulation the pulse at no time became alarming. Delirium was pretty constant at night and was present to a moderate degree during the day also. It ceased altogether on the ninth day when the temperature fell.
The temperature was taken in the rectum by means of a carefully tested thermometer and there seems to be no reason to doubt the accuracy of the record. The highest point was reached on the second day, F. The accompanying chart shows clearly its subsequent meanderings and final subsidence. This chart shows also the respiratory and pulse-rates both before and after the baths.
The urine amounted to from thirty to forty ounces daily, was of a specific gravity of from to Upon admission it contained 20 per cent. By volume of albumin. This decreased slowly to 10 per cent. On the eighth day, and to a trace of albumin on the twelfth day. Many casts. Hyaline and granular, were found during the continuance of the fever and for weeks thereafter. On the twenty - eighth day the urine was free from albumin for the first time and re mained normal afterward.
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