CASE VIII.

Col. William Scollay, aged fifty-two, of a plethoric habit of body,

was attacked, in the year 1805, with dyspnoea and palpitation of the

heart, attended with irregularity of the pulse, and oedema of the

lower extremities. By the aid of medicine, the dropsical collections

were absorbed, and he recovered his health, so far as to follow his

usual occupations, nearly a year; but was then compelled to relinquish

them. The symptoms afterwards underwent various aggravations and

remissions, till the beginning of the winter of 1808-9, when the

attacks became so violent, as to confine him to the house. His face

was then high coloured. The faculties of his mind were much impaired.

The dyspnoea became more constant, and was occasionally attended by

cough; the palpitations rather lessened in violence; the pulse was

more irregular, and exceedingly intermittent. The abdomen and inferior

extremities were sometimes enormously distended with water, and

afterwards subsided nearly to their usual size. One of the earliest,

most frequent, and distressing symptoms, was an intense pain in the

head. About two months before death, a hemiplegia took place, but

after a few days disappeared. This so much impaired the operations of

the mind, that the patient afterwards found great difficulty in

recollecting words sufficient to form an intelligible sentence. During

the existence of the last symptom the pulse was regular.

He gradually expired, on the 15th of March, 1809.

Cases of Organic Diseases of the Heart · 第 19 / 32 题