C.W. 3
Dr. Chau Kai Bių
Affirmed in English
My qualifications are M.R.R.S. (H.K.) and M.R.C.P. (London & Edinburgh).
I work in Queen Mary Hospital, Government Unit. The deceased Tang Chuen was
transferred to Queen Mary Hospital on 20/12/69, I examined him on his admission.
He gave a history that he had been ill for about 2 weeks for loss of appetite
and tireness while he was in Prison. About a week later, he developed jaundice
and deep colour urine. lle was admitted in the Stanley Prison Hospital. He
was originally treated there.. He was transferred to queen Mary Hospital
because his jaundice did not clean up in treatment. It became worse. He
also developed abdomen distension and swollen of legs. When I examined
him on 20/12/69, his condition was fair. He was fully conscious and could
give a good and relevant history of his illness. He had a mild ankle
oedema. His abdomen. was grossly distented with fluid and I could not feel
the liver or spleen because of the fluid there. He had liver palm which
means that his palms were red on the margin. This indicated that he had gross
hepatitic damages. There was no abmonality in his heart, lung or C.N.S.
The diagnosis was that the deceased had pre-existing cirrhosis
of liver and he had moderate severe attack of infectious hepatitis.
He was treated with high carbohydrate diet.
Vitamin K and
Vitamin B complex. He was given a drug called lasix which was to help
him to pass more water so that his fluid in the abdomen could be diminished.
He was put in this sort of treatment for a week but he showed
no improvement. On 27/12/69, a complication arose in the form of gastro-
intestinal bleeding properly had come from dilated vain in the lower end
of esophagus. Because of this bleeding he was in comatous condition and we
treated him as a case of hepatitis coma. I/V glucose drip was given.
Syrup Neo-mycin was given through a tube from the month to the stomach.
Hydrocortisone was used. All these measures were designed to bring him
(?) vesponse
out from coma but his repulse was poor. He died on 29/12/69 at 2.10 a.m.
The House Officer certified him death under my supervision.