Volume 1

A manual of pathological anatomy / translated from the German by W.E. Swaine, E. Sieveking, C.H. Moore and G.E. Day.

  • Carl von Rokitansky
Date:
1844-52
Catalogue details

Licence: Public Domain Mark

Credit: A manual of pathological anatomy / translated from the German by W.E. Swaine, E. Sieveking, C.H. Moore and G.E. Day. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    partial recovery; more or fewer important residua and sequelae of tlie disease, not incompatible with a tolerably fair state of health, remaining entailed. Thus the previously diseased organ may have lost substance, or more or less its natural texture; or it may have suffered changes in form or in position, or interruptions of continuity. 2. The issue of one general disease in another general disease [metascliematismus] is frequent. Anatomical research proves, and chemical analysis will still more clearly demonstrate, that it is far more frequent and varied than would appear from mere clinical observation. This is taught in an especial manner in the mutual exclusion of different morbid processes, which seem to succeed each other, when in full vigour, some- times almost by a necessary sequence. Thus dropsy may succeed to the exhaustion of fibrine and the excretion of albumen, cancer to tubercle, &c. 3. Transition by so-called metastasis often becomes the subject of the scalpel. It comprises various conditions : («.) The localisation of a general disease at an unusual spot. It has the character of a vicarious or supplementary crisis. Instances are afforded in skin eruptions, and especially in the secondary typhous processes. (A) Topical processes constituting the localisation of a metaschematism, with which, as in the former instance, a general disease concurs. Such metastases occur more par- ticularly in the sequel of typhus, and in the shape of inflam- mation, suppuration, gangrene, in both external and internal organs. They represent the localisation of a general disease consecutive to the original typhous process. (c.) Local processes, with the development of which the general disease is essentially abated, or thoroughly exhausted and extinguished. They are frequent, and deserve alone to be designated as metastases,—metastases in a restricted sense. They are either just sufficient vents for the general disease, and are only cured when the latter is subdued; or they heal spontaneously, the dyscrasis having, through their agency, become exhausted. {cl.) When, owing to whatever cause, a local disease has been checked in its development, it subsides only to reappear in another part, often with augmented force, and with the