Maryland Medical Journal 44

Cover Maryland Medical Journal 44
Maryland Medical Journal 44
Medical And Chirurgical Faculty of the State of Maryland
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M. (twelve hours) the temperature was 98.8 , pulse 86. There had been a stool; the urine was voided without pain; he was apparently very comfortable, and com- plained of no pain ; abdominal palpation was negative ; he looked, however, a little languid. There was nothing in the clinical pic- ture to suggest that the condition was anything more than that to be explained by indigestion. On Monday morning at 8 o'clock (twenty-eight hours after the attack of colic) his temperature was 99.4 , pulse 9...5. He had passed a comfortable night; no nausea or vomiting; no abdominal symptoms, but he looked a little more depressed. The leucocyte-count at this time was 17,000. (A leucocytosis twenty-eight hours after an attack of abdominal colic in a patient taking practically no food is an indi- cation of some inflammatory condition.) At 11 o'clock the leuco- cyte-count was 17,500, temperature ioo°, pulse 100, but no ab- dominal signs. At 4 o'clock (thirty-six hours after the beginning of the colic) the leucocyte-count was 35,000, temperature 100.6 .

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