Patient Case Study: Ellis, Susan

In-patient, 1859

HOSPITAL ADMISSIONS RECORD

Hospital Dorset County Hospital Patient type In-patient
Number 4707 Date admitted 29 Sep 1859
Name Ellis, Susan Renewed
Age 20 Under whose care Dr. Cowdell
Occupation Discharged servant Disease Sciatica
Parish Rampisham Discharged 10 Nov 1859
Recommended by Rev. F. J. Rooke Outcome Cured
Source Dorset History Centre, Dorset County Hospital in-patient admissions register 1859-67, NG/HH/DO(C)/5/2/2

 

OTHER SOURCES

  1. “Case I. Susan Ellis, aged 20, domestic servant, admitted into hospital September 29, 1859, with the following statement:—“She had an attack of acute rheumatism five months ago, with delirium at intervals during three weeks ; and on recovery she was seized (sixteen weeks ago) with an acute pain in the left hip. The hip has been repeatedly leeched and blistered without benefit.” She cannot stand or sit. She is extremely anaemic, and in the region of the sciatic nerve, experiences violent pain, which is much aggravated by pressure. There is no hip-disease ; the contour is normal ; the muscles of the thigh and leg are very flabby ; the ham-strings contracted and tense ; the knee is bent, and the foot drawn up. She has, during the whole time, been unable to walk without crutches. She was ordered meat diet, cod-liver oil, and a mixture of iodide of potassium. 30th. She passed last night, as usual, without sleep, and tortured with pain. Half a drachm of the solution of atropine (two grains to the ounce) was ordered to be injected into the track of the nerve to-night.  Oct. 1st. She slept well all night. She says she has not had so good a night for sixteen weeks. She felt drowsy immediately after the injection.  Oct. 5th. The injection was employed last night. She slept well, and this morning she is quite free from pain.  Oct. 6th. There is still no pain. She was ordered ammonio-citrate of iron for the anaemia. The iodide of potassium was omitted.  She was treated for anaemia from this date to November 10th, when the report runs thus :—  She has had no pain in the hip since the last injection on October 4th. Two injections only were employed, at an interval of three days, the first of which gave immediate relief ; the second removed pain, soreness, and contraction altogether. She can walk with ease, experiences no pain on pressure over the nerve, and has gained flesh rapidly. She was discharged well.” [Dorset County Hospital. Cases of neuralgia, etc., successfully treated by narcotic injection. Under the care of Charles Cowdell, M.D., Physician to the Hospital. Cases reported by D. W. Phillips, esq., House-Surgeon. British Medical Journal, 11/02/1860, pp. 103-04]
  1. “Case 1.—S. E., aged 20, a domestic servant, admitted September 29th, 1859, and stated as follows:—‘Had an attack of acute rheumatism five months since, was delirious at intervals during three weeks, and, when recovering from the rheumatism, sixteen weeks ago, had an acute pain in the hip, which did not yield to the leeches or blisters which were repeatedly applied.’ On admission she was extremely anaemic, and experienced acute pain in the region of the sciatic nerve, increased by pressure. There was no hip affection: contour of hip normal; muscles very flabby; ham-strings contracted; knee bent; and the foot drawn up. She had during the whole time been unable to walk without crutches. Ordered meat diet. Ol. morrhuae and a draught containing iodide of potasium. Passed last night as usual, without sleep, and in agonies of pain. Injice sol. atropii. sulph. Mxxx. in par dolent.  October 1st. Slept well all night; felt immediate relief after the injection; says she has not had so good a night for sixteen weeks.  4th. Hip is sore, but no pain unless pressed. Repet. inject. horâ somni.  5th. The pain is entirely gone, not even the soreness remaining. Omit. mist. B. Ferri. am. cit. gr. iv. ex aq. ter die.  She was treated for anaemia from this date to November 10th, when the report runs thus :—“November 10th.—Patient has had no pain in the hip since the last injection on October 4th. Two injections only were employed, at an interval of three days, the first of which gave immediate relief, the second removed pain and soreness altogether. Can walk with ease; no pain on pressure over the nerve, and she gains flesh rapidly. Discharged well.” [Cases treated by the hypodermic injection of atropine. Under the care of Dr. Cowdell, Dorset County Hospital. Medical Times & Gazette, 17/03/1860, p. 267]
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