Catalogue of the Pathological Museum of the Glasgow Royal Infirmary / edited by David Foulis.

Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: Catalogue of the Pathological Museum of the Glasgow Royal Infirmary / edited by David Foulis. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    On the borders of the tricuspid valves tliere was just a trace of soft recent vegetations^ but no evidence of old lesion, All the cavities of the heart were enlarged, but chiefly the right ventricle, whose muscular tissue presented through- out the yellow mottling characteristic of fatty degenera- tion. The left auricle was much distended and contained several globular vegetations. The lungs presented several masses of hemorrhagic condensation (pulmonary apoplexjr) and the entire lower lobe of the left lung was as if carni- fied. The kidney showed on microscopic examination evidences of parenchymatous nephritis, the epithelium of the renal tubules being altered and in some parts fatty. The case was that of a woman 23 years of age. She gave the history of an injury about the pericardial region, 4 years before admission, followed by spitting of blood. Since then there has been palpitation and breathlessness when walking quickly. When admitted she complained of orthopnoea, cough, hemoptysis, swelling of legs, and dribbling of urine ; there was irregularity of heart's action, loud blowing murmur at apex (V.S.) over right ventricle, lower part of sternum, and lower angle of scapula. A slight short murmur preceding fast sound (A.D.) was heard in vessels of^neck. The urine corrtanied cellular tube-casts. The patient was in the 8th month of pregnancy. On death csesarian section was performed, but the child was dead. Under Dr. Gairdner, Ward VIII. [See Path., Rep., Sept. 12, 1873.] 121. Aneurism of mitral valve, and aortic valvular disease. In this preparation the curtains of the aortic valve are seen to present along their free margins numerous soft and prominent vegetations. These are very ragged, and in several places the curtain itself is torn, so that there is a distinct gap, and in one place an aperture about a quarter of an inch in diameter. There are also pretty numerous soft vegetations on the mitral curtains, and both on the ventricular and auricular surfaces. On the auricular surface of the anterior mitral curtain, and about lialf an inch from its inferior border, there is a pedun- culated groAvth of about the size of a small hazel nut, and of a rounded form. This is found to be an aneurism, and it communicates with the ventricle by an aperture which passes right through the curtain. The aperture, which opens on the ventricular surface of the curtain, is partially concealed by vegetations, but in the preparation a piece of whalebone has been stuck into it. The heart was considerably enlarged, weighing 19.} oz. The lungs