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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    lutig could we detect the grey semi-transparent matter. The bronc hi were of a uniform pink tint. Heart small and healthy; aorta natural. Abdomen.—The stomach contained a large quantity of o-reen bile and a little thick tenacious mucus. Its lining mem- brane was of a yellow colour and much softened in a small portion of the large extremity. In an elongated surface of from five to six square inches along the great curvature, it was nianiillated, of a greyish red, more than half a line thick, and evidently raised above the surrounding parts. Elsewhere it was sound. The condition of mucous membrane of small intes- tine in its upper third, was healthy ; it presented some trans- verse ulcerations in the middle third, and in the lower portion, some longitudinal and elliptical ulcerations, such as we see in those attacking the glandular structure. The transverse ulcerations did not encircle the intestine; they were from an inch to an inch and a half wide in their centre, gradually nar- rowing at either extremity. The corresponding mucous mem- brane was completely removed, and the ulcerated surface very uneven, owing to the thickened and partially destroyed sub- mucous layer. Their edges were prominent, of reddish and yellowish tint, in consequence of the presence of numerous softened tubercles in the thickness of the sub-mucous tissue. Externally the portion of intestine corresponding to the ulce- rations, was more or less grey or violet coloured, presenting in- equalities caused by tuberculous granulations situated between the peritoneal and muscular tissues. The longitudinal ulce- rations were not complete; that is, the mucous membrane was only partially destroyed. Their surface was unequal both from this cause and the reasons already stated. The in- tervening mucous membrane was healthy. It was pale, thickened, and of the consistence of mucus, throughout the whole of large intestine. The ccecum and right lumbar colon offered five small irregular tuberculated ulcerations, leaving the muscular coat exposed. The mesenteric glands were in- creased in volume, and almost wholly tuberculous; this was also the case with many of the meso-ccecal, and also of the rio-ht meso-colic glands. Liver pale and slightly adipous; the bile of gall bladder very thick and dark coloured. The spleen con- tained ten or twelve granulations of the size of a small pea,