?130
" Regimental No. 2075.
 Name.-Thomas Blurton.
Age last brith-day.-21 years.
Completed years of service-2 years 5 months.
Station.-Karáchi.
 Time on Station.-7 months.

Day of Month.
Particulars of Case and Prescriptions.
Diet.
Extras.
1881.
Disease-'REMITTENT FEVER'.


April 24th .
This man came to hospital on the even-
ing of the 22nd, complaining of feeling
very weak and  with   slight  diarrhśa ;
the temperature was found to be 103° but
no urgent symptoms showed themselves ;
he had ol. ricini,  mucilage,  gum acac.
and opium in small doses which arrested
the purging of the bowels ; there was no
paroxysm      of      ague.      No      urgent
symptoms being present, the case was
deemed  to  be   one   of febricula ;  but
the symptoms next morning were those
of remittent fever.
This   patient had been in   hospital for
seven days from 14th to 20th  instant
suffering   from   an   attack   of    slight
febricula, but no rise   in  temperature
worthy of record ; he had a purely milk
diet and   seemed  all right when  dis-
charged from   hospital  on   the    20th
instant.    He is a delicate boy and since
his arrival in Karáchi has been in   hos-
pital (5)   five    times  with   (3)    three
attacks of ague, one of febricula, one of
remittent fever.
Milk.


J. PERCIVAL HUNT, M.D., Surgeon,



Army Medical Department.


April 25th..
The  patient  seems  a little better ; has
slept well and takes his milk diet  well ;
his pulse is good ; his  tongue  is moist
and fairly clean ; the temperature at night
103°, morning  102°.    He is  ordered a
tepid   bath in the  evening and tepid
sponging to the body 3 times a day,  15
min.  of glycerine every 2 hours and 10
grs. of quinine at 4 P.M. ; also half an
ounce of ol. ricini at bed time to relieve
the bowels.
Milk      ...
4 lbs. Ice.
April 27th..
The temperature rose to 104° lastevening
but fell this morning to 103°; the patient
seems restless and uneasy, but does not
complain of feeling any worse ; the skin
is  moist ; the   tongue  clean.    As    the
quinine  which  had been  given  in   in-
creased doses did not appear  to  reduce
the temperature, he is ordered 15 grains
of salicylate of  soda at 4 P.M. ; to have
also  a tepid bath   and   continue   the
glycerine.
Spoon    ...
Ice 4 lbs.
Milk 3 pts.
April 29th..
The   patient    seems   growing     rapidly
worse ; the salicylate of soda wasincreased
but no reduction of temperature.    The
tepid baths had also  no effect,  and the
patient  was   delirious   all   night,   the
pupils being dilated at morning visit.
Spoon   …
Milk 5 pts.
Ice 4 lbs.
Brandy 2 ozs.