|SURNAME:||Green||FORENAMES:||Henry||BORN:||c1800||AT:||.||OCCUPATION[S]:||.||RELIGION/DENOMINATION:||.||FATHER:||.||MOTHER:||.||SIBLINGS:||.||OTHER RELATIONS:||.||NOTES:||.||1st REGIMENT NO:||64||2nd REGIMENT NO:||.||ENLISTED:||.||ATTESTED:||.||HEIGHT AT ENLISTMENT:||.||TROOP NO:||Dec 1821: Troop 2
Jan 1824: Troop 8
Jan 1826: Troop 8
1831: Troop 8
|TROOP CAPTAIN:||1831: Captain Alexander Houstoun||RANK:||1821-1822: Private
|PROMOTIONS:||.||REDUCTIONS:||.||DESERTIONS:||.||COURT MARTIALS:||.||GIVEN UP TO:||.||GOOD CONDUCT BADGES:||.||MEDALS:||.||EMBARKATIONS:||31 12 1821 Duke of York Gravesend England||DISEMBARKATIONS:||17 05 1822 Duke of York Bombay India||CAMPAIGNS:||.||OTHER DUTIES:||.||TRANSFERRED FROM:||.||TRANSFERRED TO:||.||DIED:||23 07 1832 Kirkee India aged 32 years. See autopsy report below.||BURIED:||24 07 1832 Kirkee India||WILL:||.||BENEFICIARY:||.||NEXT OF KIN:||.||PRIZE MONEY:||.||NOTES:||.||AUTOPSY REPORT:|| CASE No. 7. Dysentery
HENRY GREEN, Private, 4th Light Dragoons, AEt. 36; 10 years in India. Had fever twice at Kaira, never hepatitis. Admitted April 21st, 1832, with diarrhoea; discharged April 25th. Re-admitted June 1st, with mild dysentery, got pretty well two or three times, and relapsed slightly; discharged June 26th.
Re-admitted July 15th, 1832, became affected with frequent purging, the previous day had some castor-oil. Has been griped and had straining, evacuations unnatural, no pyrexia; Pulv. Doveri and calomel, H. S.
- 16th. Frequently purged during the night, griping, tenesmus, evacuations contain blood and mucus, constant pain around the umbilicus increased by pressure, slight hardness to the left of umbilicus, pulse 88, tongue nearly natural. - Hirud. xxxvi. part. dolenti: ipecacuanha gentian pil. hydrarg. and pulv. jalap c. more solito. - Vesper. Pain little relieved by the leeches, no tenseness of belly, he says the pain is easier when he lies upon his abdomen. Has been frequently purged, no straining, stools contain blood, and are copious, some vomiting this morning. - Repet. hirud. 36, and pills at bed time, and following morning.
- 17th. The pain of belly on pressure continues round the umbilicus and towards the iliac regions; frequently purged, with straining during the night, stools contain much blood; pulse 96, somewhat sharp, not full, vomits his pills, V. S. ad ... xxv. fotus and enema anod. 11 A.M. pulv. jalap. c. 3 i.-Timet. Hyosciami 3 i. c. Aq. menth. - Vesper Blood not sizy, pulse very feeble some hours after the bleeding, at present 104, irregular, compressible. Purging continues, stools contain blood and mucus; tenesmus and pain of belly on pressure continue, no tension, but there is a knotted irregular feel. Has vomited a good deal, tongue moist; anxiety of countenance. - Emplast. Vesicat. mag. abdomini calomel gr. iv. opii gr. iss. statim et repet. post horas iv.
- 18th. Blister risen well, belly somewhat easier, no purging in the night, two stools this morning, scanty, and consisting entirely of blood and mucus, pulse 108. cal. gr. iv. ipecac. gr. ii. opii. gr. ss. quarter indies. - Vesper Pretty easy all day, vomiting the first pill, the ipecacuanha was then omitted, had five or six scanty mucous stools with tenesmus. Pulse 120, feeble, Enema Anodyn, contr, pil.
- 19th. Was ordered yesterday evening calomel gr. iv. opii gr. iiss. every third hour has taken four pills and had an enema with 100 drops of tinct. opii and gr. vi. acet: plumbi. An easy night, little purged, stools, a reddish water with mucus. Tongue furred, no affection of mouth, vomits occasionally, and is heavy; pulse 120, calomel gr. iv. opii gr. i. every sixth hour.
- 20th. Purging not so frequent, two stools this morning, contain some feculence and little blood. Gums becoming tender, seems under the influence of the opium, vomits occasionally. Castor-oil ordered, and mercurial friction, also effervescing draughts. Vesper. Several stools from the oil, copious, dark-geren, foetid, streaked with blood; little pain, pulse very frequent: very desponding; Contr.
- 21st. Was ordered to take during the night calomel. gr. iv. opii gr. iiss. every third hour, and he voided four or five reddish-brown, watery stools, with floating clots of blood and shreddy matter; countenance collapsed, hiccup, drowsiness, gums less affected. Pulse very frequent and small. Contr. omnia. Vesper. Seven stools, green streaked with blood, contr. calomel c opii gr. iiss. every third hour.
- 22nd. Stools in part passed in bed, those seen were foetid, thin, streaked with blood, otherwise as before, contr.
- 23rd. Collapsed countenance, sinking, five or six stools streaked with blood, - to have wine. Died at noon.
Inspection, Five hours after death. Omentum vascular, adhered firmly to the surface of the transverse colon, also to the left side of the cavity of the pelvis, and to the sigmoid flexure of the colon: the large intestines throughout their whole course much thickened and firm. The coecum had formed no unnatural adhesions. The upper portion of the ascending colon adhered to the concavity of the liver. The commencement of the transverse portion doubled down towards the umbilicus, thence it ascended transversely upwards towards the left side, passing to the left of the great arch of the stomach, to which it was closely bound, it reached the diaphragm, thence after an acute duplicature, it descended closely bound to the left side of the abdominal parietes. The transverse colon had lost its cells; the meso-colon was vascular and thickened, its glands enlarged. The mucous coat of the ileum for about three inches from its termination was covered with granular lymphm effused on a dark-red ground. The inner coat of the large bowels throughout their whole course had lost every trace of natural texture, the whole surface was irregular, and in many places granular lymph effused, rising in a small fungus. Many large ulcerations following the transverse direction of the bowel, covered with thick consistent pus-like secretion; some of these had a black sloughy appearance in the centre. In the bottom of none of these ulcers did we recognise the muscular fibre. Surrounding the ulcers did we recognise the muscular fibre. Surrounding the ulcers, and in most part of the inner coat not occupied by ulceration; there wa a tenacious red transparent mucus effused; here and there on the surface of this effused mucus was granular lymph. The contents of the large bowels were light-coloured and watery: the stomach was displaced to accommodate itself to the displacement of the transverse colon; its inner surface not examined. Liver healthy; gall-bladder not distended; lungs healthy. Heart healthy, one or two small points of deposit at the commencement of the aorta.
Remarks It is probable that after the two first attacks of illness there remained a thickened state of the intercellular tissue, which may be considered as intimately connected with the subsequent relapses. It is very plain that any tissue not bearing its natural relations to other parts will be less likely to resist diseased action and less able to recover from it than if it were normally connected. Ulcers when surrounded with much cellular thickening are healed with difficulty, and when healed are very apt to return. This is often seen in venereal ulcers. The same principle holds in the mucous lining of the bowels, its diseases are influenced by the condition of the tissues connected with it.
This is so very evident a law of pathology, that it would be waste of time to multiply examples. The irritability of the stomach in this case was probably related to the displacement caused by the transverse colon. ...The treatment followed in this case would seem however to require a few remarks. The case was in part treated by myself, in part not. At the commencement the symptoms were not more severe than in the former attacks, and for that reason were not met in the first instance with that activity which the result proved they demanded. Regarding the change from Mr. Twining's system to calomel and opium, all I can say is, that the patient was getting worse, and the former mode of treatment had not my full confidence. I do not mean by this that I disapprove of the ipecacuanha and gentian system, I am disposed to think far otherwise of it: but as yet my experience of it in the acutest form of dysentery in Europeans has been very limited, and for that reason I shall not say any more about it at present. The large doses of opium were evidently in imitation of Cheyne of Dublin, with however it appeared to me a slight misconception of the principle on which that author recommends them. I cannot say that I saw any good result from that treatment.
|OTHER SOURCES:||Transactions of the Medical and Physical Society of Calcutta, Vol. 7, 1835||LINKS:||.|
4th Light Dragoons Index