Case of Emphijsema, dx\ 187 



■ 



The pulse was frequent, the flesh hot, the respiration, 

 deep, frequent, and laborious to a great degree; the cough 

 frequent and violent, and the mouth lined with apthw; 

 but none of these symptoms were increased (as I was in- 

 formed) since the Emphusema had taken place : The child 

 appeared in the utmost danger. 



About one o'clock the same day, I saw the child again; 

 the symptoms continued much the same ; but the flatus had 

 spread on the left side of the head up to the vertex j and 



farther down upon the breast ; and farther round than the 

 anllcB. 



h 



The next morning, Wednesday the 16 th, the Empli/jscma 

 occupied a larger space upon the head, though chiefly on 

 the left side still ; had extended over both scajmlce ; and had 

 got further down on the breast, and indeed covered the 



f 



whole thorax on the forepart, and on the left side passed over 



the oblique abdominal muscles down to the groin. The 

 child had now a more cadaverous look ; the hands were pur- 

 plish; and the pulse plainly lower and more sunk ; the dif^ 

 ficulty of breathing still kept up ; and we expected he 

 would soon expire. 



Thursday 17th, a. m. Matters in much the same situation 

 as yesterday, only the tumour now extended over both sides 

 of the abdomen, but did not pass over the recti muscles, cov- 

 ered almost all the back, and on the head, had passed over 

 the vertex, and now covered the whole right side. 



Friday 18th, the child still alive; the dyspnoea, cough, &c. 

 still continued. He had taken no medicine, for twenty four 



m • hours 



\ 



{ 



\ - 



