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{
    "localId": "7268611",
    "label": "Official Report of the Case of President William McKinley",
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    "id": "7268611",
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    "contentType": "document",
    "title": "Official Report of the Case of President William McKinley",
    "description": "This excerpt from the American Journal of the Medical Sciences gives an account of the shooting, operation, treatment, and autopsy of President William McKinley from the physicians that treated the President.",
    "citationUrl": "https://catalog.archives.gov/id/7268611",
    "collections": [
        "Papers of Ethan Allen Hitchcock",
        "Communications with the Executive Department"
    ],
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{
    "url": "https://catalog.archives.gov/id/7268611",
    "naId": 7268611,
    "levelOfDescription": "item",
    "productionDates": [
        {
            "day": 19,
            "logicalDate": "1901-10-19",
            "month": 10,
            "year": 1901
        }
    ],
    "recordType": "description",
    "ocrSource": "nara-archive"
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    "seq": 1,
    "pageIndex": 0,
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    "ocrText": "512 AMERICAN JOURNAL OF THE MEDICAL SCIENCES.\nCASE OF PRESIDENT MCKINLEY\n513\nCodeia was substituted for morphine, as the pain was less. Digitalis\nday, Wednesday, September 11.-Bulletin 26, 9 A.M. The President\nand strychnine were stopped. Nutritive enemas were given at 3.20\nrested comfortably during the night. Decided benefit has followed the dress-\nA.M., 4.30 and 10 P.M. Hot water was taken quite freely by the mouth.\ning of the wound made last night. His stomach tolerates the beef juice\nAttempts to get a good movement of the bowels were successful at\nwell, and it is taken with great satisfaction. His condition this morning\nis\nnoon, when he had a large light-brown, partly-formed stool. This fol-\nexcellent. Pulse, 116; temperature, 100.2°.\nlowed a small dose of calomel and a high enema of oxgall.\nBulletin 27, 3.30 P.M. The President continues to gain, and the wound is\nOn the whole the President's condition improved steadily during the\nbecoming more healthy. The nourishment taken into the stomach is being\ngradually increased. Pulse, 120; temperature, 100.2°.\nday. He slept a good deal and was fairly comfortable. There was no\nBulletin 28, 10 P.M. The President's condition continues favorable. Blood\npain on pressure over the abdomen.\ncount corroborates clinical evidence of the absence of any blood poisoning\nThird Urinalysis.\nHe is able to take more nourishment and relish it. Pulse, 120; tempera-\nQuantity received\n540 c.\nture, 100.4°.\nColor\namber, slightly turbid.\nThe blood count made by Dr. Wasdin in the evening was as follows:\nSpecific gravity\n1.026.\nAlbumin\na .trace.\nLeucocytes\n6,752\nIndican\nnot so abundant as yesterday.\nRed cells\n3,920,000\nUrea\n0.047 gm. per 1 c. c. of urine.\nA little after midnight Wednesday morning the patient was given 4\nChlorides and phosphates\nabout normal.\nc. c. of beef juice, the first food taken by the stomach. It seemed to\nSulphates\nstill somewhat high.\nbe very acceptable. Nutritive enema was given at 2 A.M.; later there\nSugar\nnone.\nwas a yellow stool.\nMicroscopical Examination. Microscopical examination of sediment ob-\nFrom 4 to 8 c. c. of beef juice was given every one to two hours dur-\ntained by centrifuge shows a decrease in the amount of organic elements and\ning the day. The rectum was becoming irritable, and did not retain\nan increase of amorphous urates, but fewer crystals of uric acid. Casts are\nthe nutritive enemas well.\nfewer and only the small granular and large hyaline varieties. The pro-\nportion of casts is greater. There are very few epithelial cells, mostly of\nAt 10 A.M. the remaining stitches were removed, the wound separated\nrenal type. A large number of cylindroids are found.\nand dressed. It seemed to be doing well. Most of the sloughing tissue\nhad separated.\nFifth day, Tuesday, September 10. Soon after midnight the President\nThe patient slept much during the day, and expressed himself as\nhad a high enema of soap and water, which was expelled, together with\nfeeling very comfortable. The only medicine administered was one\nsome fecal matter. He took hot water frequently and slept a good deal.\nhypodermic of strychnine.\nBulletin 21, 5.20 A.M. The President has passed the most comfortable\nIn the evening he was changed to a fresh bed. Nutritive enemas\nnight since the attempt on his life. Pulse, 118; temperature, 100.4°; respi-\nwere continued.\nration, 28.\nUrine was passed much more freely-750 c. c. in twenty-four hours.\nOn awaking he felt very comfortable, and his mind was clear and\ncheerful. The nutritive enemas were kept up and water given by the\nFourth Urinalysis.\nmouth. Had two small stools during the day. The only medicine\nQuantity\n82 c.c.\ngiven was one hypodermic of codeia phosphate, 0.015 gramme.\nColor\namber, clear.\nIn the evening the dressings were examined, and as there was consid-\nSpecific gravity\n1.027.\nerable staining from the discharge it was thought best to remove four\nReaction\nstrongly acid.\nstitches and separate the edges of the wound. A little slough was ob-\nAlbumin\na trace.\nIndican\nabundant.\nserved near the bullet track, covering a space nearly an inch wide, the\nUrea\n0.04 gm. per 1 c.c. of urine.\nthickness of the flaps. The separation seemed to extend down to the\nE. phosphates and chlorides\nnormal.\nmuscle. The surfaces, except those mentioned, looked healthy, but not\nSulphates\nstill a little high.\ngranulating. It was supposed that the infection of the wound occurred\neither from the bullet or from the piece of clothing carried into the\nMicroscopical Examination. Microscopical examination of sediment obtained\nwound at the time of the shooting. The parts were thoroughly washed\nby centrifuge shows a marked diminution in amount of organic elements,\nwith hydrogen dioxide and packed lightly with gauze, and held together\nbut a great increase in uric acid crystals.\nThere are a few epithelial cells-mostly of renal type.\nwith adhesive straps."
}