Observations on some forms of rheumatism prevailing in India / By John Grant Malcolmson.
- Malcolmson, John Grant, -1844.
- Date:
- 1835
Licence: Public Domain Mark
Credit: Observations on some forms of rheumatism prevailing in India / By John Grant Malcolmson. Source: Wellcome Collection.
Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.
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![gulated firmly and had little serum. He died the end of May. Dissection. The brain was healthy, as were the contents of the spinal canal, which contained only a very little fluid such as is often found in chronic disease. Heart small, pale and flaccid. Lungs healthy. Mucous membrane of the oesopha- gus dark and that of intestines thin, with dark tints and slight excoriation. Great engorgement near the ceecura. Colon livid, with marks of old ulcers. Liver enormously enlarged and all its fissures very deep, the substance having increased without encroaching on them. The great fissure was almost a complete canal' into which the finger could be pressed during life, and gave the feel of a collection of fluid, through which the aorta could be felt to pulsate. On the surface of the organ there were some nine or ten deep scarlike ir- regular fissures, from some of which fibrous processes penetrated into the substance of the liver; but that they were not real scars appeared from some natural hepatic substance being found close to some of them, from large healthy vessels passing through them, and from others not penetrating the substance of the vis- cus, which was seen to be health]/ immediateli/ beloio them. The structure of the liver was altered: it was partly changed into a pale white gristly substance, in which minute orange red spots were seen wi%h a mag- nifier, or numerous white waved lines separated small portions of the natural hepatic matter. The convexi- ty of the organ felt soft like wet sand, but contained no matter; the lower and back part tore like rotten leather. It appeared to me from the examination of this liver, that the marks usually considered as the scars of old abscesses are formed, by the irregular en- largement of the organ caused by its shape, the posi-](https://iiif.wellcomecollection.org/image/b21364540_0102.jp2/full/800%2C/0/default.jpg)
