FREE BOOKS

Author's List




PREV.   NEXT  
|<   64   65   66   67   68   69   70   71   72   73   74   75   76   77   78   79   80   81   82   83   84   85   86   87   88  
89   90   91   92   93   94   95   96   97   98   99   100   101   102   103   104   105   106   107   108   109   110   111   112   113   >>   >|  
ad passed. Yet the girl died a few hours later, and you still attribute it to the original disease. How do you come to that conclusion?" "Diphtheria causes death in several ways. Commonly the false membrane grows more rapidly than it can be removed, and the patient is practically strangled, or asphyxiated by it. It is in such a condition that tracheotomy is essayed, affording a breathing aperture below the locality of the disease. It is not uncommon for the patient apparently to combat the more frightful form of the disease, so that the false membrane is thrown off, and the parts left apparently in a fair state of health, so far as freedom to breathe and swallow is concerned. But then it may happen, especially in anaemic individuals, that this fight against the disease has left the patient in a state of enervation and lowered vitality, which borders on collapse. The extreme crisis is passed, but the danger lurks insidiously near. At any moment a change for the worse might occur, whilst recovery would be very slow. When death comes in this form, it is a gradual lessening of vital action throughout the body; a slow slipping away of life, as it were." "Exactly! So that such a condition might readily be mistaken for a gradually deepening coma?" "Yes, sir. Whilst the term coma is applied to a specific condition, the two forms of death are very similar. In fact, I might say it is a sort of coma, which after all is common in many diseases." "So that you would say that this coma, did not specifically indicate morphine poisoning?" "No, sir, it could not be said." "How was the pulse?" "The pulse was slow, but that is what we expect with this form of death." "So that the slow pulse would not necessarily indicate poison?" "Not at all." "Was the breathing stertorous?" "Not in the true sense. Respiration was very slow, and there was a slight difficulty, but it was not distinctly stertorous." "How were the pupils of the eyes? Contracted?" "No, they were dilated if anything." "Now then, Doctor--please consider this. Dr. Meredith told us that a symptomatic effect of morphine death, would be pupils contracted and then dilating slowly as death approached. Now did you observe the contracted pupils?" "No, sir." "What effect does atropine have upon the pupils?" "It dilates them." "Dr. Meredith admitted that he injected atropine. In your opinion would that account for the dilatation of the pupils jus
PREV.   NEXT  
|<   64   65   66   67   68   69   70   71   72   73   74   75   76   77   78   79   80   81   82   83   84   85   86   87   88  
89   90   91   92   93   94   95   96   97   98   99   100   101   102   103   104   105   106   107   108   109   110   111   112   113   >>   >|  



Top keywords:

pupils

 
disease
 

patient

 

condition

 

contracted

 

breathing

 

apparently

 

stertorous

 
atropine
 

Meredith


morphine

 

membrane

 

passed

 

effect

 

poisoning

 
common
 

admitted

 

diseases

 
specifically
 

account


Whilst

 

dilatation

 

deepening

 

mistaken

 
gradually
 

applied

 

specific

 

similar

 

injected

 

opinion


necessarily

 

approached

 
dilated
 
observe
 

Contracted

 

dilating

 

symptomatic

 

Doctor

 

slowly

 

readily


distinctly

 
expect
 

poison

 

dilates

 

slight

 

difficulty

 

Respiration

 

tracheotomy

 
essayed
 
affording