Catalogue of the Pathological Museum / compiled by J. Coats.

  • Western Infirmary, Glasgow.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Catalogue of the Pathological Museum / compiled by J. Coats. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    any adequate account of them here. Path. Re]}ort8, 16th April, 1878. No. 315. 27. Pneumothorax. Cavities in Lung. Slough of Pleura. {Dr. Jas. Finldyson.) This preparation illustrates the mode of occurrence of pneumothorax. The lung tissue is seen to be largely occupied by cavities, and at one part the pleura, over an area as large as a shilling, is dead. In the fresh state it presented a dead white colour, which contrasted with the surrounding hue. At one edge the slough has begun to separate, and a communi- cation is shown between the pleural cavity and the lung. The pleura was covered by a fibrinous exudation, and it contained gas and pus. Thirteen days before death there was a sudden occurrence of pain in the side corresponding to the lesion, with great breathlessness, &c. Simultaneously there occurred amphoric respiration, metallic tinkling, &c., with a subsequent develop- ment of splashing sounds on succussion. The patient was a girl, 23 years old, and her phthisical history went back a year. Path. Reports, 17th December, 1876. No. 170. 28. Cavity in Lung, simulating Pneumothorax. {Dr. W. T. Gairdner.) The whole lung is preserved, and it is seen that a cavity occupies its entire extent, from apex to base, with the exception of a small portion at the lower part in front, where there is some condensed tissue. The immense cavity is seen to be partially divided by partitions and trabeculse, which, as well as the general wall, are frequently pigmented. During life there were signs construed as due to pneumo- thorax, but specially noted as being without evidence of distension, and without history of a sudden attack of pneumo- thorax. The case is recorded with every available detail as observed during more than four months (November to March 1875-6), in Journal A. of Ward 6, p. 58, where also a summary of the details, too long for insertion here, will be found. The following extract from a clinical lecture on 14th December, taken from the notes of Mr. D. M'Vail, will show that while the case passed generally for one of pneumothorax, the alternative diagnosis of a very large intra-pulmonary excava- tion was duly considered and presented at that date:— Signs now are—marked cavernous phenomena; strong (metallic) after-tone with breath-sound, cough and rales. With the breath-sound it follows expiration, and is best heard behind.
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