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In making arrangements for our departure Adam disclosed to me for the first time that he was affected with oedematous swellings in some parts of the body to such a degree as to preclude the slightest attempt at marching and, upon my expressing my surprise at his having hitherto concealed from me the extent of his malady, among other explanations the details of the preceding story came out.
About seven months ago he began to make large quantities of water; his legs are oedematous, his belly tense, and he complains of a rising in his throat, like the globus hystericus: he eats twice as much as other people, drinks about fourteen pints of small beer a day, besides a pint of ale, some milk-porridge, and a bason of broth, and he makes about eighteen pints of water a day.
If your patient's feet are oedematous, tell the doctor they are much swollen; if he ask if they are oedematous tell him "yes," but do not volunteer to name the peculiar kind of swelling. If the abdomen is tympanitic, tell him it seems much distended; and if he questions much further, answer the questions fully and intelligently.
The effects of scurvy were manifested on every hand, and in all its various stages, from the muddy, pale complexion, pale gums, feeble, languid muscular motions, lowness of spirits, and fetid breath, to the dusky, dirty, leaden complexion, swollen features, spongy, purple, livid, fungoid, bleeding gums, loose teeth, oedematous limbs, covered with livid vibices, and petechiae spasmodically flexed, painful and hardened extremities, spontaneous hemorrhages from mucous canals, and large, ill-conditioned, spreading ulcers covered with a dark purplish fungus growth.
It is only a short time ago that a man came to me with a pronounced case of oedematous uvula, or swollen soft palate. He announced to me that he was no longer a tenor singer, although he had sung tenor for three years; that lately he had been persuaded that his voice was baritone; and, indeed, he had been singing, up to the time of coming to me, a baritone part in opera.
Brocklesby writes to me, that upon the least admission of cold, there is such a constriction upon his breast, that he cannot lie down in his bed, but is obliged to sit up all night, and gets rest and sometimes sleep, only by means of laudanum and syrup of poppies; and that there are oedematous tumours on his legs and thighs. Dr. Brocklesby trusts a good deal to the return of mild weather. Dr.
The patients were studied during a period of five years. In more than half the instances there was a pale, cystic, oedematous cicatrix; in 11 per cent the scar was ectatic, and in the remainder the field of operation was quite flat.
In castrating sheep, all wool in the region of the scrotal sac should be clipped off, as this interferes with drainage from the wound. Exercise following castration is almost as essential as clean quarters. Lack of exercise leads to oedematous swelling in the region of the scrotum, and the lips of the incision may become adhered if the animal is at rest.
A man afflicted with difficult respiration on lying down, with very irregular pulse, and oedematous legs, whom I saw this day, has for above a week been much relieved in respect to all those symptoms by the accession of insanity, which is shewn by inordinate suspicion, and great anger.
Similarly in cases of disease. A minute portion of the small-pox virus introduced into the system, will, in a severe case, cause, during the first stage, rigors, heat of skin, accelerated pulse, furred tongue, loss of appetite, thirst, epigastric uneasiness, vomiting, headache, pains in the back and limbs, muscular weakness, convulsions, delirium, &c.; in the second stage, cutaneous eruption, itching, tingling, sore throat, swelled fauces, salivation, cough, hoarseness, dyspnoea, &c.; and in the third stage, oedematous inflammations, pneumonia, pleurisy, diarrhoea, inflammation of the brain, ophthalmia, erysipelas, &c.: each of which enumerated symptoms is itself more or less complex.
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