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.

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    thickneM. detachment. heiiatie Bar- fare after removal. SubBtanco— lobuleB. ItranulationB. cIcatrlceB. pus. ahscesseB. Astulse. calcareous matter. gangrene, growths, tubercle, cysts, wounds, rupture, microscopical examination. Veins— portal. ductus venosus. umbilical. hepatic. Hepatic ducts. renry; vascularity;—thickness;—fraf^ility;—elevation of capsule; by air, serosity, pus, blood;—facility with which detached from hepatic substance; amount of hejiatic sub.stance removed with capsule; — condition of hepatic surface after removid of capsule; smooth- ness ; colour;—condition of substance subjacent to morbid alterations of capsule or adhesions. 416. Substance:—cut surface; degree of moisture or dryness ? flaceidity; fragility ; usitcct of fractured surface;—colour; relative jwsition of yellow and red substances; their redative proportion ;—transparency; —consi-stence; 8j)ccific gravity;— emphysema;—fluids expressible;—liH-morrhage into substance.—Lobules: degree of separation; mode of 8C]>aratinn ;—situation of red and yellow substance in separate lobules.— Granulations: number; size; colour; structure.— Cicatrices (6.30): relation to branches of portal vein, of hepatic duct; to abnormiti(‘s seen on surface—e. g. puckcrings, opacities, etc.—Pus in detached points; number, size, form and arrangement of the points; condition of tissue around them;—abscesses (606 et srq.); Connexion with, or openings into surrounding parts; ducts opening into them; tissue surrounding them; evidence of contraction;—fistuln: (613 et seq.) —Calcareous matter: number of dejiosits; situation; size;—relation to the several elements of liver, e. g., lobules, ducts, and veins.—Gangrene (618 et seq)— Growths : lipoma ; cancer (638 et seq.)—Tubercles or tuberculnrmattcr(644).—(634c/seq): hydatids. — ITounds (626 etseq)—Bupture: numl)cr of fissures; extent; situation; depth; direction; condition of edges, etc.—Microscopical examination, of lobules, etc. 417. Vc'ns:—Portal vein: (see Fei)is, 474 et seq); —malformations;—ductus venosus, open or closed ? if open, its calibre, contents, thickness of coats, condition of interior;—umbilical vein, open or closed ? if open, its calibre, contents, thickness of coats, etc.—Divi- sions of portal vein: their condition ;—relation of branches to linear opacities, puckered spots, abscesses, cicatrices?, gangrene, etc.—Hepatic vein (for particu- lars, sec Feins, 474 et seq) 418. Hepatic ducts: — contents;—calibre; con- tracted, obliterated, dilated; scat and extent of the above changes;—thickness of walls;—mucous mem- brane (594 et seq)—Divisions of ducts; relation to puckered spots, cicatrices, abscesses, etc.