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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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    "naId": 7268611,
    "levelOfDescription": "item",
    "productionDates": [
        {
            "day": 19,
            "logicalDate": "1901-10-19",
            "month": 10,
            "year": 1901
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    "pageIndex": 0,
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    "ocrText": "516 AMERICAN JOURNAL OF THE MEDICAL SCIENCES.\nCASE OF PRESIDENT MCKINLEY\n517\ntion has not yet been properly established. The kidneys are acting well.\ncamphor were also injected at various times, together with brandy and\nHis pulse is not satisfactory, but has improved in the last two hours. The\nstrychnine.\nwound is doing well. He is resting quietly. Temperature, 100.2°; pulse, 128.\nStimulants, as detailed above, were used freely all day.\nAt 9.30 P.M. a second dose of 30 c.c. of castor oil was given, followed\n3.30 P.M. Pulse growing weaker.\nby a high enema of oxgall. This resulted in a large, dark semi-fluid\n5 P.M. Oxygen given, and continued for some hours.\nstool, which seemed to exhaust him somewhat. Stimulants were given\n6.30 P.M. Last bulletin, No. 39\nfreely. No more beef juice or food was given. The pulse grew rapidly\nBulletin 39, 6.30 P.M. The President's physicians report that his condition\nworse, but at midnight there seemed some improvement, as Bulletin 33\nis most serious in spite of vigorous stimulation. The depression continues,\nshows. At 11 P.M. 420 c.c. of normal salt solution were given subcu-\nand is profound. Unless it can be relieved the end is only a question of\ntime.\ntaneously.\nBulletin 33, 12 M. All unfavorable symptoms in the President's condition\nAt 6.35 P.M., and again at 7.40, morphine was given hypodermically,\nhave improved since the last bulletin. Pulse, 120; temperature, 100.2°.\nas he was very restless and seemed to be suffering.\n9 P.M. Heart-sounds very feeble.\nFifth Urinalysis.\nThe President continued to sink, becoming weaker and weaker.\nQuantity\n132 c.c.\nAt 10 P.M. the oxygen was discontinued. The heart-sounds were very\nColor\nlight amber, very turbid.\nfeeble and consciousness lost.\nSpecific gravity\n1.025.\nThe President died at 2.15 A.M., September 14th.\nReaction\nacid.\nDrs. E. J. Janeway and W. W. Johnston, who, at the request of Dr.\nAlbumin\nmere trace, if any.\nRixey, had been summoned in consultation, arrived too late, but were\nIndican\nless.\npresent at the autopsy. Dr. McBurney also returned on Friday after-\nUrea\n0.044 gm. per 1 c.c. of urine.\nnoon.\nSulphates\nabout normal.\nSixth Urinalysis.\nE. phosphates\nmuch increased.\nColor\namber, turbid, with phosphates.\nChlorides\nnormal.\nQuantity\n252 c.c.\nMicroscopical Examination. Microscopical examination of sediment obtained\nReaction\nacid.\nby centrifuge shows fewer organic elements than the last examination.\nSpecific gravity\n1.023.\nThere is less uric acid and a large amount of amorphous phosphates. Renal\nAlbumin\nmere trace, if any.\ncasts, about as in the last examination, with very few cylindroids.\nUrea\n0.047 gm. per 1 c.c. of urine.\nIndican\na trace.\nEighth day, Friday, September 13. At midnight the pulse was fairly\nE. phosphates\nincreased.\ngood, 132. Strychnine and whiskey were given at intervals, and hypo-\nChlorides\ndermics of camphorated oil.\nSulphates\na little high.\nBulletin 34, 2.50 A.M. The President's condition is very serious, and gives\nMicroscopical Examination. Microscopical examination of sediment ob-\nrise to the gravest apprehension. His bowels have moved well, but his heart\ntained by centrifuge, before and after clearing, shows no change from\ndoes not respond properly to stimulation. He is conscious. The skin is\nyesterday's sample. Casts, hyaline and granular, both large and small,\nwarm, and the pulse small, regular, easily compressible, 126; respiration, 30 ;\ncomparatively few. Cylindroids, a few. Crystals, large amount of uric\ntemperature, 100°.\nacid, some sodium urate, and in the untreated specimen a large amount\nThe wound had been dressed regularly in the manner described three\nof amorphous deposit, principally of phosphates. There are a few epithelial\ntimes a day. At 9 A.M. the dressing was changed, and a mixture of\ncells, small, granular. Occasional red cells and leucocytes.\nbalsam of Peru and glycerin put in on gauze after the douching.\nStimulants were continued as before, but more freely. Coffee, 45 c.c.,\nREPORT ON THE AUTOPSY.¹ Bx HARVEY R. GAYLORD, M.D.,\nPathologist to the New York State Pathological Laboratory.\nand clam-broth, 60 e.c., were given; also, liquid peptonoids.\nAt 8.30 A.M. 1.50 gramme of adrenalin was given hypodermically,\nOrdinary signs of death : Ecchymosis in dependent portions of the body.\nand repeated at 9.40.\nRigor mortis well marked. Upon the surface of the chest, to the right of\nAt 10 A.M. nearly two pints of normal salt solution were given under\nthe midsternal line, a spot 1 cm. in diameter, dark red in color, with a slight\nthe skin, and a pint, containing adrenalin, at 6 P.M. Nitroglycerin and\n1 The autopsy was performed by Drs. Gaylord and Matzinger."
}