Report ... on the Asiatic cholera, together with a report of the City Physician on the Cholera Hospital.

  • Committee of Internal Health (Boston, Mass.)
Date:
1849
Catalogue details

Licence: Public Domain Mark

Credit: Report ... on the Asiatic cholera, together with a report of the City Physician on the Cholera Hospital. Source: Wellcome Collection.

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    ural in appearance, excepting that mucous follicles are rather enlarged, and their mouths open. Stomach contains about four ounces of dingy, olive-colored, faintly acid fluid. Mucous membrane pale or brownish, for most part, with some thinning and gelatinization of posterior part in cardiac half. Red discoloration of prominent edges of plicae, to- ward pylorus, but no softening or other alteration of texture. * Mesenteric glands not remarkable. Liver much altered in size and appearance. Right commencing lobe is much enlarged, elongated and thickened, with and ad vane- roundish, massive edges. Left lobe considerably ed m leit. s]irun]ienj wdtli edges in some parts thinned and reduced to a fibrous seam. Organ is generally pale yellow, (somewhat variegated) externally and inter- nally ; firmer than natural, with a dense, solid feel, a smooth section and granular fracture. Its surface is generally smooth, especially on anterior part of right lobe ; but toward fissure and over left lobe, there are various markings and indications of a divis- ion into factitious lobules and nodules, owing to streaks of dirty white, condensed fibrous tissue, run- ning in various directions. Also spots where surface is distinctly granular both to sight and touch. There are a few bands of adhesion between anterior surface and abdominal walls, and also some plates of old inflammatory thickening of peritoneum. The variegation of color on surface is apparently produced by a convoluted mass of distended capil- lary gall ducts, causing a yellow spot in the centre of each acinus ; which spot is surrounded by the pale color of remainder of acinus.