Malaria And Its Treatment in the Line And At the Base

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Malaria And Its Treatment in the Line And At the Base
Arthur Cecil Alport
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On seeing urine he gave a bad prognosis, and stated that in his opinion patient would BLACKWATER FEVER 1S5 be dead in three days, and that, accord- ing to Koch, the giving of quinine would produce a greater haemolysis.
6 p. M. Temperature 103-2 F. ; pulse TOO ; respira- tions 24 ; vomited yellow bilious fluid. 1 1 p. M. Retches frequently, and then has no control of bowels.
23/12/17 Vomited freely during night ; did not retain fluids; urine, 17 ounces, no change; rectal saline retained.
8. 50 a
.... M. Temperature 99*6 F. ; pulse 92 ; respira- tions 24 ; jaundice much more marked ; tongue foul ; headache.
11. 30 a. M. Blood film: Malignant tertian rings; marked mononuclear increase. Urine : Faintly alkaline; specific gravity, 1, 023; very dark red; large amount of haemoglobin. Bac- teriological report on debris: Abundant broken - down red blood corpuscles, scanty whole red blood corpuscles, epi- thelial and granular casts, numerous large epithelial cells, and masses of epithelium. The Officer-in-Charge of Medical Division instructed that intra- venous and intramuscular injections, totalling 80 grains of quinine, be given within the next twelve hours.


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