Some account of the last yellow fever epidemic of British Guiana / by Daniel Blair ; edited by John Davy.

Date:
1850
Catalogue details

Licence: Public Domain Mark

Credit: Some account of the last yellow fever epidemic of British Guiana / by Daniel Blair ; edited by John Davy. Source: Wellcome Collection.

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

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    Cases. Spleen : — perfectly healthy - - - _ . - 6 friable and soft - - - _ . -12 almost fluid, with broken-down black blood - - - l containing much grumous blood - - - i thin claret-like blood - - - 2 congested - - - _ _ _ -11 enlarged* - - _ . _ . -14 Urinary Bladder: — containing urine - - - . . - 20 very much distended with urine - - - - 1 containing limpid urine - - - . l contracted - - - - _ _ 4 thickened - - - - _ . -2 mucous and submucous membrane ecchymosed and injected - 1 Kidney: — inflamed f - - - - - - -10 unusually large - - - - . 1 unusually small - - - - - - 1 congested - - - - - _ - 3 cortical structure hypertrophied - - - - 23 abscess in surrounding cellular tissue - - - 1 containing a serous cyst •- - - - 1 friable - - - - - - - 2 softened \ - - - - - - - 2 pale hue to be merely a bloodless state of the organ, a draining off of the red corpuscles in the black vomit from the portal system f adding (I quote from a note from him), If this be true, the hepatic lobules ought to be reddest in the centre, and palest at the circumference; that is to say, the portal vein being distributed to the interlobular spaces, blood drained from this vessel would render the margins of the lobules pale, while their centre (supplied by the venules which open into the vena cava) might be expected to be redder. This explanation accords with my recollection of the peculiar appearance of the liver. In the destructive yellow fever which prevailed amongst the troops in Dominica, between April and June, 1838, a small quantity of transparent lymph is noticed as being commonly found in the gall-bladder in the fatal cases, with the liver of a buffy colour.] — Ed. * [The spleen, in the majority of the fatal cases of the late endemic in Barbados, exhibited no uniform, or indeed but rarely any well-marked, morbid appearance.]—Ed. f The pyuritis was generally slight, but occasionally extended to ureters. j [In many instances, in the fatal cases of yellow fever in Barbados, the kidneys have exhibited a congested state, with ecchymosis of the investing membrane; and the urine, during life, has been found to be albuminous, coagulating when heated and on the addition of nitric acid: this I have learned from Staff-Surgeon Dr. Codings, who has made many observations and