What to observe at the bed-side and after death in medical cases.

  • London Medical Society of Observation
Date:
1853
Catalogue details

Licence: Public Domain Mark

Credit: What to observe at the bed-side and after death in medical cases. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    110/166 (page 86)
    Substance of wall— thickness. wouiuU. perforation. rupture. adhesion. constriction. i I weight. I examination for poisons. Cardiac opening. Pylorus— openness, constriction, mucous mem- brane, sub-mucous coat. muscular coat. Inirtlines generally. E.\ternal cha- racters— position, liemiie. 401. Substance of Kail of stomach:—transparency when held between observer and the light;—thick- ness (measured in various parts.)—M'ounds (626).— Perforation (625); e.xaet lltuation, on which sur- face ? near which curvature? etc. — “Alterations “ in organs adjacent to perforated spot; softening; “ corrosion ; blackening, etc.”—Ilupture; its seat, extent, dircctiou, etc.—If adhesion be observed be- tween stomach and adjacent parts, note if it corre- sponds in position with ulcers, cicatrices, or perfora- tions discovered after opening the organ.—If circidar constriction be observal, note if it corre.sponds in position with softening or induration of mucous or sub-mucous coats, ulcers, perforations, or cicatrices.— W(!ight of stomach.—“ lu case of suspected {misoning, “ examine tissue chemicidly for miueral poisons.” 402. Cardiac opening:—constricted or not ? cause of constriction ;—condition of epithelium. 403. Pglorus: — abnormally ■ open ; constricted; constriction overcome or not by slight force ?—opening smooth or fissured round edges?—Mucous membnine; its condition (595); puckered or not?—Ulcer (624). —Sub-mucous coat; its condition (596).—Muscular coat; thickness as measured; degree of visibility of muscular fibres; of different layers of fibres;—pre- sence between the fibres of ailveutitious products; colloid, encephaloid, sciiThous or common exudation matter; their microscopical characters. Intestines generally. [The following particulars arc to be noted throughout the canal, but it is to be specified in which division each is observed, whether in the duodenum, jeju- num, ileum, crccnm, colon (ascending, transverse, or descending), sigmoid flexure, or rectum.] 404. External characters.—Position: in relation to general cavity of abdomen ; to adjoining parts and organs;—in hernia, external or intermd; degree of constriction undergone by bowel; appearance of con- stricted part, of part involved in hernia; condition of parts above and below hernia (contracted, dilated, etc.);—cause and nature of constriction, an intestinal diverticulum, adhesions, holes in the mesenteiy, bands and cords formed by omentum, etc.; — twisting of