The Corneal Reflex in Anaesthesia

Abstract

Clinical History.-On October 24th, 1904, was visited at Somerset by Surgeon of Terror. Temperature was I040; diarrhoea; lumbar pains; intense headache; had been feeling ill for ten days; tongue furred; no abdominal physical signs; heart and lungs normal; pulse, zoo; respirations, I8. Removed to Royal Naval Hospital. Widal's reaction, positive (dilution, I in 8o). Bowels opened twice; evening temperature, 203.20 October 25th. Evening temperature, 103.60; bowels opened three times (liquid, light). October 26th. Bowels opened twice (loose, light yellow). October 27th. Bowels opened three times (liquid, dark). October 28th. Rose spots on abdomen. October 29th. Fresh rose spots ; bowels opened four times (liquid, light); evening temperature, I03.20. October 3oth. Bowels opened once; evening temperature, 103.20. October 31st. Bowels opened three times (light); evening temperature, 203.80. November ist. Two pea-soup stools. November 2nd. Two pea-soup stools; some abdominal distension. Noticed that most of the flies in the ward were collected round patient's bed. November 3rd. Three pea-soup stools. November 4th. Four pea-soup stools. November sth. Twelve noon, slight haemorrhage per rectum; 4 p.m., slight haemorrhage per rectum; 6 p.m., severe haemorrhage per rectum, about two pints; pulse very bad; 9.30 p.m., haemorrhage continued; II .45 p.m., more haemorrhage; patient semiconscious ; pulse hardly perceptible. November 6th. 12.30 a.m., haemorrhage continued; 2.I5 a.m., pulse sinking; died at 2 a.m.