Southern Medical and Surgical Journal - Georgia Regents University

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;776 Cases of Suppression of the . Urine. [November,len to 70, and became much weaker, and the urine was totallysuppressed; there was no delirium and no coma, no pain in theback, nor the slightest tenderness over the abdomen. Freeleeching to the region of the kidneys was had recourse to, andrepeated thrice in the course of the next three days; the backwas rubbed with a strong turpentine liniment; and the bowelsopened by compound powder of jalap. After the first applicationof the leeches, a small quantity of water was secreted, butno change took place in the strength or frequency of the pulsebut gradually, under the use of the remedies mentioned, thepulse began to rise, the urine became more abundant, and thesymptoms of affection of the brain gradually subsided, and in aweek's time all the symptoms of the urinary affection had ceased.The symptoms of general feverish action ran on for a few dayslonger ;but, in twenty days from the date of the first shivering,the boy was convalescent, and continues to this time in goodhealth.It must be acknowledged, that it is at least a singular coincidence,the occurrence of two consecutive cases in one family ofsymptoms so unusual as those I have detailed. The progressof the case last detailed, and the occurrence of the girl's casebetween those of the two brothers, renders it probable that I amcorrect in considering these as original cases of ordinary feverand if so, the uriary symptoms form a complication certainlynot usual and not altogether without interest. I have seen, inthe course of my practice, besides suppression more or less completefrom evident inflammatory affection of the kidneys or adjacentorgans, one or two cases of what I believe was genuineischuria renalis, as described by our older writers; and with aMy firstvery brief notice of these I shall conclude this paper.case occurred in a young man, 22 years old, of unusually darkcomplection, and developed itself suddenly. The cessation ofthe urinary secretion was total in sixteen hours after the accessionof the disease, and could be ascribed to no probable externalcause. The pulse was slow (under 60,) and there was somedegree of giddiness and somnolence almost from the beginning;otherwise the general health was not materially affected. Thelad was bled to ten ounces from the arm ; leeches were appliedto the back; the warm bath was used ;and turpentine linimentsrubbed on the region of the kidneys, the bowels being sharplyacted on by calomel, followed by large doses of cream of tarter.Under this treatment, at the end of sixty hours, a small quantityof urine was passed, which gradually increased, and in littlemore than a week's time, he had nearly regained his ordinarystate of health ; nor was the secretion of urine ever subsequentlyinterrupted. Another case occurred in a boy who had passedthrough an exceedingly severe and prolonged attack of croup,
1859.] Cases of Suppression of the Urine. Illwhich had been treated in the usual way, by bleeding, calomel,and antimonials. After having coughed up considerable portionsof false membrane, some fragments of which were distinctlytubular, he had seemed, in about nine days, satisfactorily convalescent,the breathing perfectly free, the pulse natural, and allthe symptoms of the disease completely gone. The tenth dayfrom his seizure, I was summoned to visit him in haste, and informedthat he had made no water for nearly twenty-four hours.To guard against the possibility of mistake, I passed a catheterinto the bladder, a precaution which, I forgot to say, I adoptedin all the cases I have related, with the result of finding, as Idid in all the rest, the organ quite empty. He was treated in asimilar manner to the last-mentioned case, but without anybenefit, and on the third day he died comatose, not very profoundlyso, however, death being preceded, as in the first of theabove cases, by slight twitchings of the facial muscles and distortionof the eyes, but not by any convulsive movements ofthe limbs or body. About a week after the death of this lastmentionedpatient, I was requested to visit a boy aged 10, whohad not made water for nearly twenty-four hours; the boy wasmoving about, nor was there the slightest symptom of indispositiondiscoverable upon examination. His pulse was natural,his tongue clean, his skin cool, his appetite good. His motherhad discovered thac he made no water while he was in her sight,and upon questioning him he affirmed that he had made noneat all, and as his friends lived in the immediate neighborhoodof the youth who had died after croup, they took the alarmand sent for me without delay. Leeches, purgatives and otherremedies were employed pretty actively, but without the slightesteffect in restoring the secretion ; the second and third day passedand no water came, still the boy gave no signs of indisposition,and except an occasional w r arm bath, and attention to thestate of the bowels, little or no further treatment was had recourseto. And thus the boy went on for four weeks, withoutvoiding during the whole time one ounce of water, without anynoticeahle inconvenience, and without, as far as I could see, anyvicarious discharge. There was no urinary smell, either in thefaeces or in the sweat, which was little if at all increased. Atthe end of a month the urine began to be again secreted, andgradually increased in quantity till it reached its ordinaryamount, the first portions that were voided producing a gooddeal of smarting and pain in the urethra, which, however, subsidedby degrees. It was, of course, impossible for me to havethis boy so constantly under my own eye, as to be able to statefrom my own personal observation that no urine passed ; buthis mother was both an intelligent and respectable person, everyprecaution was taken to prevent mistakes on the boy's part, and
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SOUTHERNMEDICAL AND SUBGICAL JOURNA
Page 3 and 4: 1859.] Climate to the Consumptive,
Page 7 and 8: Aug.Oct.1859.] Climate to the Consu
Page 13 and 14: 1S59.] Climate to tJte Consumptive,
Page 15 and 16: 1859.] Climate to l/ie Consumptive,
Page 21 and 22: 1859.] Dugas, on Fracture of Hie Sc
Page 23 and 24: 1869.] Lecture upon Cerebral Fever.
Page 25 and 26: • of1859.] Lecture on Cerebral Fe
Page 27 and 28: 1859.] Lecture on Cerebral Fever. 7
Page 29 and 30: 1859.] Lecture on Cerebral Fever. 7
Page 31 and 32: 1859.] Lecture on Gerebral J' 753un
Page 33 and 34: 1859.] Lecture on Cerebral Ftthey a
Page 35 and 36: :1859.] Attempted Abortion and Deat
Page 37 and 38: 1859.] Attempted Abortion and Death
Page 39 and 40: :—:1859.] Diphtheria. 761by its o
Page 41 and 42: —:1859.] Diphtheria. 763ride of i
Page 43 and 44: ——1859.] Diarrhoea of Infants a
Page 45 and 46: 1859.] Action of Mercury on the Sec
Page 47 and 48: 1859.] Defective Assimilation in In
Page 49 and 50: —1859.] Cancerous Ulceration clos
Page 51 and 52: —1859.] Vegetation of the Genital
Page 53: 1859.] Gases of Suppression of the
Page 57 and 58: ——;1859.] After-treatment of th
Page 59 and 60: 1859.] Dr. 0. C. Gibbs. Summary. 78
Page 61 and 62: 1859.] Dr. 0. C. GrBBS. Summary, 78
Page 63 and 64: :;1859.] Secale Cornulam for t?ie E
Page 65 and 66: 1859.] Divisions for the Cure of De
Page 67 and 68: ;1859.] Incision in Anthrax. 789Inc
Page 69 and 70: :;1859.] Editorial and Miscellaneou
Page 71 and 72: ———and1859.] Miscellaneous. 7
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Southern Medical and Surgical Journal - Georgia Regents University

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