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514 AMERICAN JOURNAL OF THE MEDICAL SCIENCES. CASE OF PRESIDENT MCKINLEY. 515 There are fewer casts-small and large hyaline-some finely granular. Cylindroids are more abundant. SIS Seventh day, Thursday, September 12th. The President slept a good t deal during the night, and awoke in the morning feeling better. The Wid Stil beef juice was continued and increased, and a little chicken-broth added " 8 to the dietary. He also had a little whiskey and water. " E At 8.30 A.M. he had chicken-broth, a very small piece of toast and a WY 8 small cup of coffee. He did not care for the toast, and ate scarcely NW 21 any of it. " 8 The wound was dressed and washed with a weak solution of iodine Wd E and then with hydrogen dioxide. He was given 30 c.c of castor oil at WH 08'9 9.20 A.M. NW Z/ 1 The President now seemed at his best and his condition to warrant " 07Z the favorable prognosis given out. The time for peritonitis and sepsis " OE'E had passed. The bowels had moved and gas passed freely, showing that Wd 916 there was no obstruction. The tongue was clear, and the appetite in- WHOE'S " 076 creasing; and he seemed to be able to digest food. There was no pain 2 or tenderness in the abdomen, and he was able to turn easily and to Wd E sleep on his side. The urine was steadily increasing. His spirits were & DO W N 21 good and his mind clear, while his pulse, though frequent, was strong 6 and of good quality, and the temperature low. <<< 022 The analysis of the urine gave no uneasiness, as the amount of urea OT'S was fair; there was no albumin worth considering, and the casts were WY OEZ I rapidly diminishing. There were no more of them than are found in a " 6 large percentage of cases following a long operation under ether. The 6 WH to excess of indican was taken to mean merely some intestinal indigestion, NW 21 and to be of no serious import. The only symptom to cause any uneasi- N 21 ness was the frequency of the pulse. Still, anxiety on this score was 9 relieved by knowing that the President had naturally a rapid pulse, and 80 " S that it was easily excited. The open wound was not considered impor- " OZE tant. It looked healthy, and, though it would take a long time to heal, WHDEZI in itself it was evidently causing no harm, nor was it likely to. " 9 Dr. McBurney left Buffalo for his home in the morning, having W'd E arranged to return at once if his presence was desired. N 2/ Toward noon it was noticed that the character of the pulse was not L - 6 quite so good. Infusion of digitalis, 8 c.c., was ordered, and strychnine, 8 0.002 gramme. WH 9 It was thought probable that there was some intestinal tox2emia, as NW Z/ there had been no free movement from the bowel since food had been // begun, the oil having failed to act. Gradually the pulse went to 130, STOI and grew weaker. 6 Dr. Charles G. Stockton was added to the medical staff in consulta- `W'd 928 tion. At 7 P.M. the President was given 0.20 gramme of calomel. LG 09 Bulletin 32, 8.30 P.M. The President's condition this evening is not quite so good. His food has not agreed with him, and has been stopped. Excre-

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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.

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    "ocrText": "514 AMERICAN JOURNAL OF THE MEDICAL SCIENCES.\nCASE OF PRESIDENT MCKINLEY.\n515\nThere are fewer casts-small and large hyaline-some finely granular.\nCylindroids are more abundant.\nSIS\nSeventh day, Thursday, September 12th. The President slept a good\nt\ndeal during the night, and awoke in the morning feeling better. The\nWid\nStil\nbeef juice was continued and increased, and a little chicken-broth added\n\"\n8\nto the dietary. He also had a little whiskey and water.\n\"\nE\nAt 8.30 A.M. he had chicken-broth, a very small piece of toast and a\nWY\n8\nsmall cup of coffee. He did not care for the toast, and ate scarcely\nNW\n21\nany of it.\n\"\n8\nThe wound was dressed and washed with a weak solution of iodine\nWd\nE\nand then with hydrogen dioxide. He was given 30 c.c of castor oil at\nWH\n08'9\n9.20 A.M.\nNW\nZ/\n1\nThe President now seemed at his best and his condition to warrant\n\"\n07Z\nthe favorable prognosis given out. The time for peritonitis and sepsis\n\"\nOE'E\nhad passed. The bowels had moved and gas passed freely, showing that\nWd 916\nthere was no obstruction. The tongue was clear, and the appetite in-\nWHOE'S\n\"\n076\ncreasing; and he seemed to be able to digest food. There was no pain\n2\nor tenderness in the abdomen, and he was able to turn easily and to\nWd\nE\nsleep on his side. The urine was steadily increasing. His spirits were\n&\nDO\nW\nN\n21\ngood and his mind clear, while his pulse, though frequent, was strong\n6\nand of good quality, and the temperature low.\n<<<\n022\nThe analysis of the urine gave no uneasiness, as the amount of urea\nOT'S\nwas fair; there was no albumin worth considering, and the casts were\nWY OEZ\nI\nrapidly diminishing. There were no more of them than are found in a\n\"\n6\nlarge percentage of cases following a long operation under ether. The\n6\nWH\nto\nexcess of indican was taken to mean merely some intestinal indigestion,\nNW\n21\nand to be of no serious import. The only symptom to cause any uneasi-\nN\n21\nness was the frequency of the pulse. Still, anxiety on this score was\n9\nrelieved by knowing that the President had naturally a rapid pulse, and\n80\n\"\nS\nthat it was easily excited. The open wound was not considered impor-\n\"\nOZE\ntant. It looked healthy, and, though it would take a long time to heal,\nWHDEZI\nin itself it was evidently causing no harm, nor was it likely to.\n\"\n9\nDr. McBurney left Buffalo for his home in the morning, having\nW'd\nE\narranged to return at once if his presence was desired.\nN\n2/\nToward noon it was noticed that the character of the pulse was not\nL\n-\n6\nquite so good. Infusion of digitalis, 8 c.c., was ordered, and strychnine,\n8\n0.002 gramme.\nWH\n9\nIt was thought probable that there was some intestinal tox2emia, as\nNW\nZ/\nthere had been no free movement from the bowel since food had been\n//\nbegun, the oil having failed to act. Gradually the pulse went to 130,\nSTOI\nand grew weaker.\n6\nDr. Charles G. Stockton was added to the medical staff in consulta-\n`W'd\n928\ntion. At 7 P.M. the President was given 0.20 gramme of calomel.\nLG\n09\nBulletin 32, 8.30 P.M. The President's condition this evening is not quite\nso good. His food has not agreed with him, and has been stopped. Excre-"
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