Phlebitis and thrombosis / by Warrington Haward.

  • Haward, Warrington.
Date:
1906
Catalogue details

Licence: In copyright

Credit: Phlebitis and thrombosis / by Warrington Haward. Source: Wellcome Collection.

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    ulcer of the stomach. There was much swelling of the arm, shoulder, and neck, and enlargement of the surface veins over the chest and upper arm. Dr. Wilberforce Smith has described1 an instance of thrombus, organized and adherent in the innominate and subclavian veins, in a case of pulmonary phthisis. There was a cavity in the apex of the lung, over which the pleura was thickened, and the adjacent part of the subclavian vein was thickened and narrowed. Four weeks before death oedema and lividity of the arm appeared. Besides these examples of thrombosis occurring in con- ditions which are of themselves of grave import, it is easily provoked in persons who are debilitated by over- fatigue, anxiety, starvation, or other depressing influences. Herein, although the debility is the predisposing cause, the immediate cause is most often some severe muscular effort, and the thrombus starts in the strained or over-used muscle. Such is the origin of most of the cases of non- infective thrombosis of the upper limbs, a condition not very often met with. Pulmonary Embolism. V Pulmonary embolism may occur in any case of phlebitis or thrombosis, in the course of slight as well as severe attacks. The second and third weeks are the periods most liable to this danger, which is not often met with after the sixth week. Nevertheless, fatal embolism maybe produced by violence, such as a blow or severe pressure applied to a blocked vein, at much later periods. Dr. Playfair, in a paper in the Transactions of the Patho- logical Society,2 collected twenty-five cases of thrombosis and embolism of the pulmonary artery occurring in women 1 Transactions of Pathological Society of London, vol. xxxii., p. 70. 2 Ibid., vol., xviii., p. 68, and the Lancet, 1867, vol. ii., pp. 66, 93, 1 S3-
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