Case of Typhoid Fever. Reported by J. B. CoTTMAN, M. D., Senior Resident Physician.

Margaret Morton, æt. 22; servant; born in Trenton, New Jersey, has been married five years; was confined in the obstetrical ward of this institution with her first child four years ago; enjoyed good health until the 8th of August, 1839, when she was taken with pain in her head, chest, and back; felt so weak in her knees that she could scarcely walk, (was then living at the inclined plane on the Columbia Railroad ;) remained in this state until Sunday, August 11th, when she was brought to the hospital.

State.-Face slightly flushed; pulse a little excited; says she has diarrhœa; no pain on pressure over abdomen. Ordered

. Olei ricini, 3ij.
Tr. opii, gtt x.

12th. The nurse reports that she has been up only twice within the last twenty-four hours; evacuations of good consistence; pulse somewhat excited; skin warm and dry; thirst. Ordered ice internally and to the head; milk diet.

14th.-Dr. Dunglison saw her at his visit to-day; found her pulse very frequent; tongue coated with a yellow fur; skin hot and dry; bowels have been open once in the twenty-four hours for the last two days. Ordered Pulv. ipecac. grs. xv. Statim.

Continue other treatment.

15th.-Medicine vomited her very freely; commenced purging at night; to-day her bowels have been open ten or fifteen times; evacuations bloody; pain on pressure over the abdomen; pulse frequent; skin hot and dry; tongue somewhat cleaner.

16th.-Bowels

1. Hyd, chlorid. mit. gr. i.

Pulv. opii, gr. :—ter in die.

open less frequently-eight or ten times in the twenty-four hours; stools still contain some blood; other symptoms the same as yesterday.

Continue treatment.

17th.-Fever very high; skin hot and dry; pulse 120, quick and irritable; cephalalgia; meteorism; anorexia; great tenderness on pressure over the epigastric region; diarrhoea still continues.

. Olei ricini, 3ij. Statim.

. Mist. efferves. 3vi. Capt. 3ss. q. h. sec.

Cucurbitulæ cruenta, No. VI. epigastrio.

Ice internally and kept constantly applied to head.

19th.-Mouth affected by the calomel; gums red and swollen; face flushed; skin hot and dry; pulse 110, irritable; pain on pressure over the abdomen. Discontinue calomel and opium; commence with the following: . Pulv. ipecac. comp. grs. ij. quater in die.

Continue other treatment.

8 o'clock, P. M.-Increase of cerebral symptoms; dulness of hearing; tinnitus; intellect dull; increase of fever; skin hot and dry; thirst; complains of pain in head; skin of head very hot; pulse frequent.

Cucurbitulæ cruentæ, No. VI. nucha.

Felt much relief from the cups; fell asleep immediately after, and slept well all night; found her asleep at 12 o'clock next day.

21st.-Yesterday evening complained very much of pain in head, dryness of mouth, thirst; intelligence dull; rose-coloured spots very distinct over the abdomen, a few on the thorax; face flushed; skin hot and dry; pulse 120; complains of pains in abdomen, with tenderness, more especially at epigastrium.

Emp. epispas. 6×6 epigastrio.

Blistered surface to be dressed with the following ointment:

Ung. hydrarg. fort. 3i.
Morph. sulph. grs. v.

Apply a mustard cataplasm to lower part of abdomen. Continue Dover's powders.

22d.-Slept well; appearance rather improved; drowsy; dulness of intellect; answers questions slowly; yesterday, in an effort at vomiting, felt something "give way" in the right side of her head: since then has been very deaf in the right ear, and complains of much pain; pulse 100, regular; skin cooler; bowels open twice this morning; evacuations scanty. Continue treatment.

23d.-Slept well; this morning is very dull and stupid; answers questions very imperfectly; pupils contracted; tongue coated with a brown fur; pulse 80, intermittent; action of heart irregular, remits every third beat; skin hot and dry; lost three or four ounces of blood to-day by epistaxis, with apparent relief of the cerebral symptoms; bowels have not been open to-day.

Emp. epispas. 3×2 No. II. behind the ears.

An enema of warm water: Continue ice. Discontinue Dover's powders. 24th.-Slept none; very restless, constantly tossing about the bed, moaning and crying aloud; face flushed; pupils contracted; intelligence dull; does not answer questions, but seems to understand; tongue cleaner; papillæ at the tip elevated. Blisters did not draw well; dressed with the ung. hydrarg. Bled freely from the nose during the night; pulse 88, intermittent -in the course of an hour it rose to 120, full, though compressible; face became very much flushed; skin was hot and dry; patient delirious.

Apply thirty American leeches to temples and behind the ears. Continue other treatment.

25th.-Slept none during the night-a few hours this morning; at present remains quiet; pulse frequent and full, regular; pupils contracted; tongue clean; answers no questions, and appears scarcely to comprehend them; bowels open twice to-day in the afternoon her face became very much flushed; eyes suffused; pulse more frequent; skin hot and dry. Íce was applied freely to the head, and the other treatment continued.

26th.-Slept none, constantly tossing about the bed throughout the night -has slept three hours this morning; pupils contracted; tongue dry; re

spiration easy; skin warm and slightly perspirable; pulse 144, full; skin of head and feet hot; slight subsultus; delirious; voice very much altered, shrill. Cucurbitulæ cruentæ, No. IV. nucha.

. Olei ricini, 3ij. statim.

27th. Slept none; very delirious all night; constant jactitation; expression wild; face very much distorted, expressive of pain; does not answer questions; subsultus tendinum; skin of natural temperature; tongue dry, covered with small ulcerations about the tip; complete anorexia; pulse 120, compressible; diarrhoea slight; three evacuations in twenty-four hours, containing shreds, very offensive.

. Ol. terebinth. 3ss.

Muc. lini. 3vss. pro enemate.

Ice to be kept constantly applied to the head; mustard cataplasms to abdomen and legs; blistered surfaces to be dressed with the ung. hydrarg.

28th.-Slept five hours; very much improved; expression better; more intelligent; asks for food; answers questions; very deaf; no subsultus; tongue moist, tip diphtheritic; respiration easy; slight cough; temperature of skin natural; pulse 102, regular; epistaxis during the night; four stools in twenty-four hours, yellow, contain no shreds, less offensive; had two stimulating injections last night-one to-day. Continue treatment.

29th.-Slept well last night; improved in every respect to-day. Continue

treatment.

31st.-Slept well on the night of the 29th, with manifest improvement the next day; slept very little last night; slightly delirious to-day; still very deaf; tongue moist, cleaner, no ulcerations; slight bronchitis; some cough; less tenderness on pressure over region of abdomen; bowels open three times in twenty-four hours, consistence good, natural.

Continue ice internally, and a common injection instead of the stimulating one; discontinue cold applications to head; gruel.

September 1st.-Slept well until about 4 o'clock this morning, then became wakeful, and tossed about the bed; moaned much; slightly delirious to-day; skin hot and dry; the rose-coloured spots have entirely disappeared from the abdomen and chest, and been replaced by numerous sudamina. Ice to head. Continue other treatment.

2d. Sleep disturbed during the night-has slept, however, some to-day; expression rather wild; eyes very prominent; skin warm; pulse 100; bowels open once in twenty-four hours. Continue treatment.

3d.-Slept well; improved; skin natural; pulse 100, regular. Treatment the same.

6th. Patient has been doing well since last date. Convalescent; allowed ice internally, and a better diet; discontinue all other remedies.

10th. Still improving; sudamina have almost entirely disappeared; spleen felt very distinctly; tongue clean; bowels kept open once in the twenty-four hours by means of small doses of castor oil.

15th.-Patient able to sit up; hears much better; appearance much improved; appetite good; allowed a mild and unstimulating diet. Oct. 2d. Quite well. Discharged cured.

This case is interesting, as it presented all the symptoms of typhoid fever so well marked; not only those phenomena which have always been ranked with the symptoms of fever, such as the temperature, state of the tongue and pulse, but those which have more recently been considered to mark a peculiar form of fever, namely, meteorism, rose spots on the abdomen, sudamina and enlargement of the spleen.

ART. II.-DEATHS BY POISON.

[We copy the following interesting article from a recent number of a British periodical.']

We have before us a report made to the house of commons at the instance of Sir Robert Inglis, and ordered to be printed on the 27th of August in the present year. It is entitled, "Returns from the Coroners of England and Wales of all inquisitions held by them during the years 1837 and 1838, in Cases where Death was found, by verdict of Jury, to have been caused by Poison." This report is fraught with deep and melancholy interest; and considering that the public may be benefited by an extended publication of its contents, we have with considerable care and labour reduced the returns into a compact and popular shape, to adapt them to our columns.

We regret, first, that the returns are not complete, some coroners having neglected to comply with the request of the commons; and, second, that the coroners who have made returns, have, in many instances, omitted particulars of great moment. We have endeavoured, however, to make the best of the imperfect materials before us.

We have classed the deaths under the various descriptions of poison by which they were caused.