160 Surgical Cases in the City Dispensary. 



vit. cum jalap. These were all the medicines that were 

 necessary, as she had neither fever, nor any unfavourable 

 symptoms, and continued to recover fast, being up on the 

 fourth day , and on the sixth day was enabled to retain her 

 water, when still ; and in a short time her health was com- 

 pletely reinstated. 



Jane It., set. 35, of a delicate constitution and low sta- 

 ture, has had a tumour in the left breast for several years, 

 hard and irregular on its surface, and frequently attended 

 with hot darting pain. Several eminent surgeons have been 

 consulted, all of whom concurred in its being of a true 

 scirrhous nature, and that it should be removed by excision. 



She was admitted a patient in the City Dispensary on the 

 lQth of February, and the operation was performed on the 

 25th of the same month. The breast was naturally small, 

 but from the extent of the disease it was necessarv to remove 

 the whole gland : the integuments were brought together 

 and supported by one suture, and straps of adhesive plaister. 



The smarting pain from the operation soon left her; hut 

 as there was some heat on the surface of the body, and the 

 pulse rather quick, the following draught was ordered to be 

 taken in the evening : 



R Tinct. opii gtt. xl. 



Aq. am. acet. 5 ss > M> F. haust. o. n. sumend. 



26th. A gentle perspiration was diffused over the whole 

 body; and, having slept all night, she was perfectly easy, 

 and expressed herself desirous of having what might be 

 thought proper to eat, as she missed her dinner of the pre- 

 ceding day. 



She sat up on the third day after the operation, and in a 

 few davs her health was much improved, not having occa- 

 sion to take any medicines, except a few doses of magn. vit. 

 cum jalap. On removing the dressing on the seventh day 

 from the operation, the wound had completely united by the 

 first intention, and remained perfectly easy till the 13th day 

 of March ; when she complained of much smarting pain ; 

 and on the removal of the bandages the integuments were 

 inflamed to some extent towards the axilla, which was oc- 

 casioned by exposure to cold the preceding day. The cera- 



tum 



