File:Tri-State medical journal (1895) (14766167101).jpg

Identifier: tristatemedicalj2189ball (find matches)
Title: Tri-State medical journal
Year: 1895 (1890s)
Authors: Ball, James Moores, 1863-1929
Subjects: Tri-State Medical Society Medicine
Publisher: St. Louis : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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ace elicited no tenderness at any point. Aninterrogation of the various other organs of the body developed nothing. Mentally my diagnosis was madethat our case was one seriously in-volving the brain. With a view tomore completely elicit the history,I abruptly addressed the queryto the housemaid, Has this boyhad a fall upon his head? Thesuddenness of this question resultedin its prompt answer in the affirma-tive by her to whom it was addresvsed.It was soon ascertained that on theday following the confinement ofthe mother, the boy, playing in theyard, had fallen from an out-build-ing to the ground below upon hishead. He was not knocked sense-less, but vomited slightly shortty af-terwards. The effort on his partand that of the servant was to sup-press the fact for fear of worryingthe mother. The child played aboutsomewhat for the next day or two,though very evidently considerablyupset. By the time the family phy-sician was summoned the facts of the fall had been forgotten. The diagnosis,
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I. N. LOVE, M. D., OF ST. LOUIS. 130 Original Articles. of course, was clear vyith a history of a fall upon the head, followedpromptly by vomiting and shortly thereafter the development of severe painin the head. With the mental and general obtundity and a continued eleva-ted temperature, though not high, and the facial expression before us, therecould be no question-. A prompt and thorough purgation was advised by means of calomel,shaving of the head was ordered and the application of a fly blister over theposterior and superior part of the scalp. We then decided upon the admin-istration of an opiate, accompanied with ergot to secure complete rest andas thorough contraction of the vessels carrying blood to the brain as couldbe. The child was wonderfully relieved within the next twenty-four hours;the temperature was lessened by a degree, it having been 101 c immediatelyprior to the treatment applied. Twelve hours of pronounced sleep and free-dom from pain was secured and an uninterrup

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