Pathological researches on phthisis ... Tr. from the French with introduction, notes, additions, and an essay on treatment / by Charles Cowan.

  • Pierre Charles Alexandre Louis
Date:
1836
Catalogue details

Licence: Public Domain Mark

Credit: Pathological researches on phthisis ... Tr. from the French with introduction, notes, additions, and an essay on treatment / by Charles Cowan. Source: Wellcome Collection.

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

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    r AT] 10 LOG ICAL ANATOMY. After the diarrhoea commenced the debility rapidly in- creased ; and during the last twenty days, the patient was con- fined to his bed. There was slight delirium a few hours before death, coming on at 4 p. m. A blister was applied to the left arm from the beginning of December, and at the same time frictions of hydriodate of potash every morning in either axilla, were continued to within a few days of death. Sectio Forty Hours after Death. Exterior.—Almost extreme emaciation without oedema. Head.—Very trifling infiltration beneath the arachnoid; some white opaque miliary granulations attached to this mem- brane in the longitudinal fissure; a spoonful of limpid fluid in the left lateral ventricle; rather less in the right; two more in the lower occipital fossae. Immediately below the pons- varolii and in the substance of the spinal marrow, was a tu- bercle about the dimension of a middle-sized pea, neither encysted or softened, and round which the medullary substance was healthy. The remainder of cerebral mass sound. Neck.—Epiglottis not ulcerated. There was a deep round ulceration at the junction of the vocal cords. Lower portion of tracheal mucous membrane slightly reddened, but of natural thickness and consistence. Thorax.—From four to five ounces of clear fluid in each of the pleurae. A white, narrow band extended from the costal pleura to the summit of left lung, where it terminated in a point corresponding to a tuberculous excavation. The whole of the upper lobe was indurated, offered numerous yellow spots at its surface, and two small cavities in its summit; everywhere else there was an almost infinite number of irre- gularly shaped tubercles, varying in size from that of a pea to a hazel-nut, frequently confluent, and occasionally softened or incompletely excavated. They were less numerous in the lower lobe, and none of them softened. Nearly all were sur- rounded with hepatized pulmonary tissue. On the right side, the inferior lobe was slightly engorged, but presented no tuber- cles. The latter were also less numerous in the upper lobe than on the left side; none of them were softened. In neither